MARTHA AND MARY LUTHERAN SERVICES: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MARTHA AND MARY LUTHERAN SERVICES (EIN 94-3229627)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-10-30
- IRS object ID
- 202333039349302353
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule L
- Schedule O
- Schedule R
- Affiliated Group Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-30T14:51:03-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10700 NORTHUP WAY SUITE 200 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 943229627 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTHA & MARY HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MART | BusinessNameControlTxt |
| Phone | 3607797500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 127 | AddressLine1Txt |
| City | POULSBO | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 983700127 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AARON SCHIELKE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3607797500 | PhoneNum |
| Signature | 2023-10-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | AARON | PersonFirstNm |
| Person Last | SCHIELKE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KURT BENNION CPA | PreparerPersonNm |
| PTIN | P01469618 | PTIN |
| Phone | 4252506100 | PhoneNum |
| Preparation | 2023-10-24 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALAN CRAIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 127 | AddressLine1Txt |
| City | POULSBO | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 983700127 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,722,712 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 4103 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MARTHAANDMARY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | A SKILLED NURSING FACILITY OFFERING REHABILITATION, LONG-TERM CARE, AND RESPITE CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 305 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,893,528 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,420,068 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,558,806 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,137,872 | CYProgramServiceRevenueAmt |
| PY Investment Income | $17,434 | PYInvestmentIncomeAmt |
| CY Investment Income | -$286,495 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$35,211 | PYOtherRevenueAmt |
| CY Other Revenue | $125,362 | CYOtherRevenueAmt |
| PY Total Revenue | $14,434,557 | PYTotalRevenueAmt |
| CY Total Revenue | $14,396,807 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,413,174 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,504,220 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,894,062 | PYOtherExpensesAmt |
| CY Other Expenses | $5,186,531 | CYOtherExpensesAmt |
| PY Total Expenses | $14,307,236 | PYTotalExpensesAmt |
| CY Total Expenses | $15,691,751 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $127,321 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,294,944 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,897,947 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,141,735 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,597,424 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,378,962 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$4,699,477 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$6,237,227 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MARTHA AND MARY HEALTH SERVICES PROVIDES QUALITY, COMPASSIONATE CARE FOR ADULTS AND SENIORS REGARDLESS OF FAITH, ETHNICITY OR ECONOMIC STATUS. WE DO THIS IN A CHRISTIAN MANNER BY OFFERING THOSE WE SERVE INTERGENERATIONAL EXPERIENCES, A CARING PLACE FOR REHABILITATION, AND AN OPPORTUNITY TO LIVE WITH DIGNITY, HONOR AND INDIVIDUALITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,221,426 | ExpenseAmt |
| Grant | $1,000 | GrantAmt |
| Revenue | $13,137,872 | RevenueAmt |
| Desc | SEE SCHEDULE OMARTHA & MARY HEALTH SERVICES (MMHS) AND ITS AFFILIATED ORGANIZATIONS HAVE SERVED SENIORS AND OTHERS IN NEED IN THE WEST SOUND REGION SINCE 1954. MMHS IS NOT ONLY ONE OF THE LARGEST SKILLED NURSING PROVIDERS IN WASHINGTON, WE CONSISTENTLY RANK AMONG THE TOP THREE TO FOUR PROVIDERS WHEN IT COMES TO ACCESS. IN 2022, 243 INDIVIDUALS (141 ADMISSIONS) WERE SERVED; THE AVERAGE AGE OF OUR RESIDENTS AS OF DECEMBER 31, 2022 WAS 82 YEARS. 82% OF THE DAYS OF CARE PROVIDED WERE MEDICAID, WHICH LED TO US PROVIDING $2.3M IN UNDERFUNDED CARE IN 2022.MMHS IS COMPRISED OF TWO RESIDENT CARE AREAS: BAY/COURTYARD, AND MARINA. ALTHOUGH PROGRAMMING AND SERVICES OVERLAP IN BOTH AREAS, EACH HAS ITS SIGNATURE PROGRAMS SPECIFIC TO THE NEEDS OF RESIDENTS SERVED IN THOSE AREAS. BAY/COURTYARD SERVES INDIVIDUALS WITH BOTH MEMORY AND BEHAVIORAL HEALTH CARE NEEDS.THE MARINA CARE AREA SERVES PRIMARILY LONG TERM CARE RESIDENTS WITH CHRONIC CONDITIONS REQUIRING 24-HOUR CARE AND SUPPORT, ALONG WITH SHORT-STAY REHABILITATION CLIENTS.FOR MANY OF OUR LONG-TERM RESIDENTS, OUR ROBUST QUALITY OF LIFE PROGRAM IS AN IMPORTANT FACTOR TO THEIR OVERALL WELLNESS AND SATISFACTION. PET, MUSIC, HORTICULTURE AND ART THERAPIES ARE AMONG THE ACTIVITIES OFFERED TO THIS RESIDENT GROUP. INTERGENERATIONAL PROGRAMMING IS OFFERED DAILY IN CONJUNCTION WITH OUR CHILDCARE AND EARLY LEARNING PROGRAMS.MMHS CONTINUES TO DEMONSTRATE QUALITY OUTCOMES AND HIGH PATIENT/FAMILY SATISFACTION WHILE SERVING A VERY DIVERSE PORTFOLIO OF INDIVIDUALS AND NEEDS. | Desc |
| Total Program Service Expenses | $13,221,426 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 305 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AARON SCHIELKE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3607797500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 127 | AddressLine1Txt |
| City | POULSBO | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 983700127 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| LYNETTE LADENBURG | ||||||||
| CEO | 1.00 | 39.00 | Yes (X) | $203,177 | $0 | $13,976 | ||
| GLEN MELIN | ||||||||
| CC&DO | 1.00 | 39.00 | Yes (X) | $142,592 | $0 | $17,578 | ||
| AARON SCHIELKE | ||||||||
| CFO | 1.00 | 39.00 | Yes (X) | $129,553 | $0 | $23,002 | ||
| CHRISTOPHER VERNON-COLE | ||||||||
| COO | 1.00 | 39.00 | Yes (X) | $136,725 | $0 | $8,986 | ||
| JOHN GUZZWELL | ||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $127,590 | $0 | $8,986 | Yes (X) | ||
| AMBER RENEE DYER | ||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $118,017 | $0 | $10,413 | Yes (X) | ||
| LEAH MEADOWS DIRECTOR OF | ||||||||
| NURSING SERVICES (THROUGH DEC 2022) | 40.00 | 0.00 | $125,513 | $0 | $0 | Yes (X) | ||
| JOHN CORTINA | ||||||||
| REGISTERED NURSE UNIT MANAGER | 40.00 | 0.00 | $115,954 | $0 | $8,625 | Yes (X) | ||
| REBECA AGUILAR FELICIANO | ||||||||
| ASST. DIRECTOR OF NURSING | 40.00 | 0.00 | $122,753 | $0 | $0 | Yes (X) | ||
| JESSICA VISSERMAN | ||||||||
| CHRO (THROUGH SEPTEMBER 2022) | 1.00 | 39.00 | Yes (X) | $75,352 | $0 | $0 | ||
| BILL BAIRD | ||||||||
| PRESIDENT & VICE PRESIDENT | 0.30 | 1.20 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ALAN CRAIN | ||||||||
| TRUSTEE & PRESIDENT | 0.30 | 1.20 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| SUSAN EAGAN | ||||||||
| VICE PRESIDENT & TRUSTEE | 0.30 | 1.20 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| KATHERINE DE BRUYN | ||||||||
| SECRETARY | 0.30 | 1.20 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| SHERRY APPLETON | ||||||||
| TRUSTEE | 0.30 | 1.20 | $0 | $0 | $0 | Yes (X) | ||
| SHANNON BRUCE | ||||||||
| TRUSTEE (THROUGH APRIL 2022) | 0.30 | 1.20 | $0 | $0 | $0 | Yes (X) | ||
| COREY BURCHILL | ||||||||
| TRUSTEE (THROUGH APRIL 2022) | 0.30 | 1.20 | $0 | $0 | $0 | Yes (X) | ||
| LINNEA CHU | ||||||||
| TRUSTEE | 0.30 | 1.20 | $0 | $0 | $0 | Yes (X) | ||
| BILL CRABTREE | ||||||||
| TRUSTEE | 0.30 | 1.20 | $0 | $0 | $0 | Yes (X) | ||
| SHERRY GUTIERREZ | ||||||||
| TRUSTEE | 0.30 | 1.20 | $0 | $0 | $0 | Yes (X) | ||
| CHRISTINA HUGHES | ||||||||
| TRUSTEE | 0.30 | 1.20 | $0 | $0 | $0 | Yes (X) | ||
| LINDSEY LIND | ||||||||
| TRUSTEE | 0.30 | 1.20 | $0 | $0 | $0 | Yes (X) | ||
| JAMIE MITTET | ||||||||
| TRUSTEE | 0.30 | 1.20 | $0 | $0 | $0 | Yes (X) | ||
| BOBBIE MOORE | ||||||||
| TRUSTEE | 0.30 | 1.20 | $0 | $0 | $0 | Yes (X) | ||
| LYNN NORDBY | ||||||||
| TRUSTEE | 0.30 | 1.20 | $0 | $0 | $0 | Yes (X) | ||
| GALEN SCHULER | ||||||||
| TRUSTEE | 0.30 | 1.20 | $0 | $0 | $0 | Yes (X) | ||
| DIANA SMELAND | ||||||||
| TRUSTEE | 0.30 | 1.20 | $0 | $0 | $0 | Yes (X) | ||
| HELEN STOLL | ||||||||
| TRUSTEE (THROUGH APRIL 2022) | 0.30 | 1.20 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,297,226 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $91,566 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO INC AND AFFILIATES | |||||
| DEP 880328 | LOS ANGELES | CA | 900880328 | FOOD SERVICES | $809,603 |
| MARTHA AND MARY LUTHERAN SERVICES | |||||
| PO BOX 127 | POULSBO | WA | 983700127 | MANAGEMENT SERVICES | $602,128 |
| CONSONUS REHAB | |||||
| UNIT 12 PO BOX 4800 | PORTLAND | OR | 972084800 | REHAB SERVICES | $253,134 |
| SWIFT PLUMBING & HEATING INC | |||||
| 26144 BOND ROAD NE | POULSBO | WA | 983700296 | PLUMBING & HEATING INSTALL & REMODEL | $129,388 |
| GUARDIAN SECURITY SYSTEMS INC | |||||
| 1743 FIRST AVENUE S | SEATTLE | WA | 98134 | SECURITY SYSTEMS SERVICES | $105,454 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $131,070 | RelatedOrganizationsAmt |
| Government Grants | $1,284,252 | GovernmentGrantsAmt |
| All Other Contributions | $4,746 | AllOtherContributionsAmt |
| Total Contributions | $1,420,068 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NURSING HOME REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $13,137,872 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,137,872 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,137,872 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,215 | TotalRevenueColumnAmt |
| Exclusion | $38,215 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,148 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $30,198 | SecuritiesAmt |
| Other | $295,660 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$29,050 | SecuritiesAmt |
| Other | -$295,660 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$324,710 | TotalRevenueColumnAmt |
| Exclusion | -$324,710 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $6,607 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $47 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,560 | TotalRevenueColumnAmt |
| Exclusion | $6,560 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| OTHER REVENUE | 722320 | $85,014 | $85,014 |
| NAC TRAINING REIMBURSEMENT | 611710 | $31,548 | $31,548 |
| BEAUTY REVENUE | 812900 | $2,240 | $2,240 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $118,802 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,396,807 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,137,872 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$161,133 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000 | TotalAmt |
| Program Services | $1,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $750,941 | TotalAmt |
| Management And General | $750,941 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,501,579 | TotalAmt |
| Program Services | $7,539,884 | ProgramServicesAmt |
| Management And General | -$38,305 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,432,027 | TotalAmt |
| Program Services | $1,377,024 | ProgramServicesAmt |
| Management And General | $55,003 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $819,673 | TotalAmt |
| Program Services | $754,702 | ProgramServicesAmt |
| Management And General | $64,971 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,128 | TotalAmt |
| Program Services | $509,393 | ProgramServicesAmt |
| Management And General | $92,735 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,337 | TotalAmt |
| Management And General | $18,337 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,640 | TotalAmt |
| Program Services | $58,814 | ProgramServicesAmt |
| Management And General | $21,826 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,174,061 | TotalAmt |
| Program Services | $1,174,061 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,988 | TotalAmt |
| Program Services | $4,220 | ProgramServicesAmt |
| Management And General | $768 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,125 | TotalAmt |
| Program Services | $13,544 | ProgramServicesAmt |
| Management And General | $581 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,862 | TotalAmt |
| Program Services | $8,498 | ProgramServicesAmt |
| Management And General | $364 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $870,140 | TotalAmt |
| Program Services | $332,237 | ProgramServicesAmt |
| Management And General | $537,903 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,684 | TotalAmt |
| Program Services | $14,114 | ProgramServicesAmt |
| Management And General | $2,570 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $812,325 | TotalAmt |
| Program Services | $65,145 | ProgramServicesAmt |
| Management And General | $747,180 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,949 | TotalAmt |
| Program Services | $7,054 | ProgramServicesAmt |
| Management And General | $125,895 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES/ANCILLARY/FOOD | $1,187,822 | $1,138,998 | $48,824 |
| MISCELLANEOUS | $148,555 | $118,990 | $29,565 |
| BAD DEBTS | $72,506 | $61,339 | $11,167 |
| TAXES | $42,409 | $42,409 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,691,751 | TotalAmt |
| Program Services | $13,221,426 | ProgramServicesAmt |
| Management And General | $2,470,325 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,420 | BOYAmt |
| EOY | $1,420 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,857 | BOYAmt |
| EOY | $235,777 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,035,490 | BOYAmt |
| EOY | $3,862,104 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,776 | BOYAmt |
| EOY | $228,974 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,505,265 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,453,536 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,050,986 | BOYAmt |
| EOY | $6,051,729 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,677 | BOYAmt |
| EOY | $181,479 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,094,964 | BOYAmt |
| EOY | $852,158 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,039,777 | BOYAmt |
| EOY | $728,094 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,897,947 | BOYAmt |
| EOY | $12,141,735 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $928,894 | BOYAmt |
| EOY | $1,029,471 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,811 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,364 | BOYAmt |
| EOY | $31,260 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,857,968 | BOYAmt |
| EOY | $13,742,385 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $662,387 | BOYAmt |
| EOY | $3,575,846 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,597,424 | BOYAmt |
| EOY | $18,378,962 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,826,720 | BOYAmt |
| EOY | -$7,144,818 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,127,243 | BOYAmt |
| EOY | $907,591 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,699,477 | BOYAmt |
| EOY | -$6,237,227 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,897,947 | BOYAmt |
| EOY | $12,141,735 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,294,944 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$242,806 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $102,643 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $129,408 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,256,953 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,893,528 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,420,068 | CurrentTaxYearAmt |
| Total | $4,802,600 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,357,669 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,998,572 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,654,053 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,558,806 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,137,872 | CurrentTaxYearAmt |
| Total | $75,706,972 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $284,768 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $284,768 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $109,417 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $56,669 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,395 | CurrentTaxYearAmt |
| Total | $776,017 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,745,080 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,412,748 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,020,423 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,509,003 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,598,335 | CurrentTaxYearAmt |
| Total | $81,285,589 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $81,285,589 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,221 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $816 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $474 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $800 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,215 | CurrentTaxYearAmt |
| Total | $43,526 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,221 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $816 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $474 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $800 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,215 | CurrentTaxYearAmt |
| Total | $43,526 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,946 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $85,983 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $47,953 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $68,905 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $85,014 | CurrentTaxYearAmt |
| Total | $321,801 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,782,247 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,499,547 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,068,850 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,578,708 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,721,564 | CurrentTaxYearAmt |
| Total | $81,650,916 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99550 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99660 | PublicSupportPY509Pct |
| Investment Income CY | 0.00050 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER REVENUE | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
Total Grassroots Lobbying TotalGrassrootsLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $366 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $366 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $366 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $366 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $15,691,385 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $23,325,846 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $15,691,751 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $23,326,212 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $934,588 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $233,647 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | $531 | CurrentYearMinus2Amt |
| Current Year Minus1 | $481 | CurrentYearMinus1Amt |
| Current Year | $366 | CurrentYearAmt |
| Total | $1,378 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,094,964 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$197,331 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $45,475 | OtherExpendituresAmt |
| End Year Balance | $852,158 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,034,431 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $102,982 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $42,449 | OtherExpendituresAmt |
| End Year Balance | $1,094,964 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $975,428 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $144,388 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $85,385 | OtherExpendituresAmt |
| End Year Balance | $1,034,431 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $826,176 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $149,252 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $975,428 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $952,422 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$62,140 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $64,106 | OtherExpendituresAmt |
| End Year Balance | $826,176 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $271,139 | OtherCostOrOtherBasisAmt |
| Book Value | $271,139 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,993,495 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,113,714 | DepreciationAmt |
| Book Value | $3,879,781 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,464,057 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,409,483 | DepreciationAmt |
| Book Value | $54,574 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,586,292 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,930,339 | DepreciationAmt |
| Book Value | $655,953 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,190,282 | OtherCostOrOtherBasisAmt |
| Book Value | $1,190,282 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,051,729 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | TRUST ASSETS | Desc |
| Book Value | $852,158 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $852,158 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ESCROW DEPOSITS | $86,140 |
| REPLACEMENT RESERVE | $605,000 |
| RESIDENT FUNDS HELD IN TRUST | $31,260 |
| OTHER ASSETS | $5,694 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $728,094 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| INTEREST PAYABLE | $26,772 |
| INTERCOMPANY PAYABLE | $3,549,074 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,575,846 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $14,583,766 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $318,029 | OtherRevenueAmt |
| Revenue Not Reported | $318,029 | RevenueNotReportedAmt |
| Revenue Subtotal | $14,265,737 | RevenueSubtotalAmt |
| Other Revenues Not Included | $131,070 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $131,070 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $14,396,807 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,987,458 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $295,707 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $295,707 | ExpensesNotReportedAmt |
| Expenses Subtotal | $15,691,751 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $15,691,751 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | FUNDS ARE RECEIVED FROM RESIDENTS AND DEPOSITED INTO A SEPARATE BANK ACCOUNT ON BEHALF OF THE RESIDENTS. MARTHA AND MARY HEALTH SERVICES, AS CUSTODIAN, DISBURSES THOSE FUNDS AT THE DIRECTION OF THE RESIDENTS OR THEIR REPRESENTATIVES. |
| PART V, LINE 4: | THE ORGANIZATION IS BENEFICIARY OF A TERM TRUST. THE PURPOSE OF THE TRUST IS TO ADMINISTER THE WELL-BEING OF SINGLE WOMEN OF INADEQUATE MEANS AT THE HEALTH SERVICES' SKILLED NURSING FACILITY. THE PRINCIPAL IS RESTRICTED FOR 50 YEARS, UNTIL OCTOBER 2058. AFTER THAT DATE, THE TRUSTEE WILL HAVE DISCRETION TO DISTRIBUTE INCOME AND PRINCIPAL. |
| PART X, LINE 2: | THE INTERNAL REVENUE SERVICE (IRS) HAS DETERMINED HEALTH SERVICES TO BE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE FINANCIAL STATEMENTS. HEALTH SERVICES IS ALSO EXEMPT FROM CERTAIN STATE BUSINESS AND OCCUPATION TAXES AND CERTAIN COUNTY REAL PROPERTY TAXES. HEALTH SERVICES APPLIES THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN HEALTH SERVICES' FINANCIAL STATEMENTS. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. HEALTH SERVICES IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THEIR TAX-EXEMPT STATUS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD 47. NET ASSETS RELEASED FROM RESTRICTION 22,322. LOSS ON DISPOSAL OF ASSETS 295,660. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | GRANTS RECEIVED FOR CAPITAL PURCHASES 131,070. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD 47. LOSS ON DISPOSAL OF ASSETS 295,660. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LYNETTE LADENBURG | ||||||||||||||
| CEO | $201,427 | $0 | $1,750 | $0 | $0 | $0 | $0 | $0 | $13,976 | $0 | $217,153 | $0 | $0 | $0 |
| GLEN MELIN | ||||||||||||||
| CC&DO | $140,842 | $0 | $1,750 | $0 | $0 | $0 | $0 | $0 | $17,578 | $0 | $160,170 | $0 | $0 | $0 |
| AARON SCHIELKE | ||||||||||||||
| CFO | $127,803 | $0 | $1,750 | $0 | $0 | $0 | $0 | $0 | $23,002 | $0 | $152,555 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE CEO'S COMPENSATION IS ESTABLISHED BY MARTHA AND MARY LUTHERAN SERVICES, A RELATED ORGANIZATION. MARTHA AND MARY LUTHERAN SERVICES USES THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JASMINE LADENBURG | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | DAUGHTER-IN-LAW OF LYNETTE LADENBURG, CEO | RelationshipDescriptionTxt |
| Transaction | $62,102 | TransactionAmt |
| Transaction | EMPLOYEE COMPENSATION | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE IS COMPOSED OF THE PRESIDENT, VICE PRESIDENT AND SECRETARY. THE EXECUTIVE COMMITTEE MEETS UPON CALL FOR THE PURPOSE OF PERFORMING BUSINESS THAT CANNOT WAIT FOR THE ACTION OF THE BOARD, AND TO CONSULT WITH OR ASSIST THE CEO AND/OR ADMINISTRATOR IN THE PERFORMANCE OF THEIR RESPECTIVE DUTIES. ANY ACTION OF THE EXECUTIVE COMMITTEE IS REPORTED FOR RATIFICATION AT THE NEXT MEETING OF TRUSTEES AND, IF INDICATED, MAY BE REPORTED SOONER BY MAIL. TWO MEMBERS OF THE COMMITTEE CONSTITUTE A QUORUM. |
| FORM 990, PART VI, SECTION A, LINE 3 | ALL MANAGEMENT FUNCTIONS ARE PERFORMED BY MARTHA AND MARY LUTHERAN SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 6 | MARTHA AND MARY HEALTH SERVICES (MMHS) IS A SUBSIDIARY OF MARTHA AND MARY LUTHERAN SERVICES (MMLS). WHILE MMLS IS NOT DEFINED AS A MEMBER OR STOCK HOLDER IN THE ORGANIZATIONAL DOCUMENTS, MMLS "HAS THE RIGHT TO PARTICIPATE" IN THE GOVERNANCE OF MMHS AND AS A RESULT IS CONSIDERED A "MEMBER" FOR PURPOSES OF THIS QUESTION. |
| FORM 990, PART VI, SECTION A, LINE 7A | MARTHA AND MARY LUTHERAN SERVICES, AS THE PARENT CORPORATION, ELECTS ALL TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7B | MARTHA AND MARY HEALTH SERVICES IS A SUBSIDIARY OF MARTHA AND MARY LUTHERAN SERVICES. THERE ARE DEFINED "SUBSTANTIAL ISSUES" THAT MUST BE APPROVED BY THE PARENT CORPORATION. THESE "SUBSTANTIAL ISSUES" INCLUDE: A) ACQUISITION OR SALE OF REAL PROPERTY, B) CORPORATE BORROWING THAT IS OR WILL BE SECURED BY A MORTGAGE, DEED OF TRUST, OR OTHER ENCUMBRANCE ON CORPORATE REAL PROPERTY, C) DISSOLVING THE CORPORATION, OR D) SALE OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS. APPROVED SUBSTANTIAL ISSUES WILL NOT HAVE ANY FORCE OR EFFECT WITHOUT THE PRIOR WRITTEN CONSENT OF HUD. |
| FORM 990, PART VI, SECTION B, LINE 11B | MANAGEMENT REVIEWED THE FORM 990 PRIOR TO THE COMPLETED FORM BEING SUBMITTED TO THE BOARD. A SUBCOMMITTEE OF THE BOARD UNDERTOOK A SPECIFIC REVIEW OF THE 990 AND PROVIDED ITS RECOMMENDATION FOR APPROVAL TO THE ENTIRE BOARD. THE FORM 990 WAS APPROVED BY THE BOARD PRIOR TO SUBMISSION TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS NOT ESTABLISHED A CONFLICT OF INTEREST POLICY OF ITS OWN. HOWEVER, IT HAS ADOPTED THE CONFLICT OF INTEREST POLICY OF ITS PARENT ORGANIZATION, MARTHA AND MARY LUTHERAN SERVICES (MMLS). THE MMLS CONFLICT OF INTEREST POLICY IS AS FOLLOWS: EACH YEAR AND UPON SELECTION TO THE BOARD, ALL BOARD TRUSTEES AND EMPLOYEE OFFICERS ARE REQUIRED TO COMPLETE A FORM STATING THAT THEY UNDERSTAND THE POLICY AND THAT THERE HAS BEEN NO CONTRAVENTION OF THE POLICY BY THEMSELVES OR FAMILY DURING THE YEAR, OR IF THERE WAS A CONFLICT, IT WAS FULLY DISCLOSED AT THE TIME. IN THE CASE OF A CONFLICT, TRUSTEES WILL RECUSE THEMSELVES. TRUSTEES AND ALL EMPLOYEES, INCLUDING EMPLOYEE OFFICERS, ARE REQUIRED TO REPORT ANY POTENTIAL CONFLICTS OF INTEREST WHENEVER THEY ARISE. THE GOVERNANCE COMMITTEE DETERMINES WHETHER CONFLICTS EXIST AND REVIEWS ACTUAL CONFLICTS OF INTEREST TO DETERMINE APPROPRIATE ACTIONS. ALSO, EACH YEAR PRIOR TO THE PREPARATION OF THE FORM 990, ALL TRUSTEES AND EMPLOYEE OFFICERS WHO SERVED DURING THE YEAR ARE PROVIDED WITH A QUESTIONNAIRE SPECIFICALLY TAILORED TO THE REQUIREMENTS OF FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE FILING ORGANIZATION DOES NOT PROVIDE A SALARY TO THE CEO. INSTEAD, THE CEO RECEIVES COMPENSATION FROM THE PARENT ORGANIZATION, MARTHA AND MARY LUTHERAN SERVICES (MMLS). THE BOARD PERSONNEL COMMITTEE FOR MMLS SETS THE COMPENSATION PACKAGE FOR THE CEO UTILIZING COMPENSATION BENCHMARKS AND ADDITIONAL PARAMETERS RELATED TO THE CONSTRAINTS OF BOARD-APPROVED BUDGET GUIDELINES. MMLS SETS AND PAYS THE COMPENSATION FOR KEY EMPLOYEES AND OTHER OFFICERS. THE CEO AND CHRO UTILIZE BOTH BENCHMARKS FROM LEADINGAGE WASHINGTON AND THE CONSTRAINTS OF BOARD APPROVED BUDGETS TO ESTABLISH A STARTING WAGE AND DETERMINE A FAIR AND EQUITABLE WAGE RANGE FOR OUR OFFICER AND KEY EMPLOYEE POSITIONS WITHIN MARTHA AND MARY. |
| FORM 990, PART VI, SECTION C, LINE 19 | OUR FINANCIAL INFORMATION IS PUBLISHED IN OUR ANNUAL REPORT AND IS DISTRIBUTED TO OUR SUPPORTERS AND THE GREATER COMMUNITY. AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT GENERALLY AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF TERM TRUST -242,806. |
| FORM 990 PART XII, LINE 2C: | THE ORGANIZATION'S PROCESS FOR SELECTING AN INDEPENDENT AUDITOR AND FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MARTHA AND MARY LUTHERAN SERVICES | |||||||||||
| PO BOX 127 | POULSBO | WA | 98370 | 910567265 | PROVIDE EXECUTIVE MANAGEMENT, FUNDRAISING SERVICES AND ADMIN SUPPORT | WA | 501(C)(3) | LINE 7 | N/A | 0 | |
| MARTHA AND MARY CHILDREN'S SERVICES | |||||||||||
| PO BOX 127 | POULSBO | WA | 98370 | 911916806 | CHILDCARE AND EDUCATION FOR CHILDREN | WA | 501(C)(3) | LINE 10 | 0 | MARTHA AND MARY LUTHERAN SERVICES | |
| MARTHA AND MARY EBENEZER SERVICES | |||||||||||
| PO BOX 127 | POULSBO | WA | 98370 | 911249343 | SENIOR INDEPENDENT HOUSING | WA | 501(C)(3) | LINE 10 | 0 | MARTHA AND MARY LUTHERAN SERVICES | |
| MARTHA AND MARY HOME AND COMMUNITY SERVICES | |||||||||||
| PO BOX 127 | POULSBO | WA | 98370 | 911293400 | COMMUNITY BASED SERVICES FOR SENIORS AND FAMILIES | WA | 501(C)(3) | LINE 10 | 0 | MARTHA AND MARY LUTHERAN SERVICES | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VILLAGE GREEN KINGSTON ASSOCIATES LLLP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 127 | AddressLine1Txt |
| City | POULSBO | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98370 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263242661 | EIN |
| Primary Activities | DEVELOPMENT OF LOW INCOME SENIOR HOUSING | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 TERM TRUST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | INVESTMENTS | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBIA BANK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | T | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedScheduleGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Electing OrganizationElectingOrganizationInd | Total Grassroots LobbyTotalGrassrootsLobbyAmt | Total Direct LobbyTotalDirectLobbyAmt | Total Lobby ExpenditureTotalLobbyExpenditureAmt | Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt | Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt | Lobby NontxLobbyNontxAmt | Grassroots NontxGrassrootsNontxAmt | Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt | Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt | Share Excess Lobby ExpendShareExcessLobbyExpendAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARTHA AND MARY LUTHERAN SERVICES | |||||||||||||||
| PO BOX 127 | POULSBO | WA | 983700127 | 910567265 | Yes (X) | $0 | $0 | $0 | $2,799,034 | $2,799,034 | $289,952 | $72,488 | $0 | $0 | $0 |
| MARTHA AND MARY CHILDREN'S SERVICES | |||||||||||||||
| PO BOX 127 | POULSBO | WA | 983700127 | 911916806 | Yes (X) | $0 | $0 | $0 | $3,993,747 | $3,993,747 | $349,687 | $87,422 | $0 | $0 | $0 |
| MARTHA AND MARY LUTHERAN SERVICES (DBA EBENEZER SERVICES) | |||||||||||||||
| PO BOX 127 | POULSBO | WA | 983700127 | 911249343 | Yes (X) | $0 | $0 | $0 | $163,642 | $163,642 | $32,728 | $8,182 | $0 | $0 | $0 |
| MARTHA AND MARY HEALTH SERVICES | |||||||||||||||
| PO BOX 127 | POULSBO | WA | 983700127 | 943229627 | Yes (X) | $0 | $366 | $366 | $15,691,385 | $15,691,751 | $934,588 | $233,647 | $0 | $0 | $0 |
| MARTHA AND MARY HOME AND COMMUNITY SERVICES | |||||||||||||||
| PO BOX 127 | POULSBO | WA | 983700127 | 911293400 | $0 | $0 | $0 | $678,038 | $678,038 | $126,706 | $31,677 | $0 | $0 | $0 | |