2022-11-15T21:44:14-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2021-01-01 910963214 ELISEO ELIS 2537527112 1301 NORTH HIGHLANDS PARKWAY TACOMA WA 98406 R KEVIN MCFEELY PRESIDENT/CEO 2537527112 2022-11-14 1 R KEVIN MCFEELY 999009999 KURT BENNION CPA P01469618 4252506100 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z R KEVIN MCFEELY 1301 NORTH HIGHLANDS PARKWAY TACOMA WA 98406 26533718 0 X WWW.ELISEO.ORG X 1938 WA ELISEO IS A NOT-FOR-PROFIT LIFE PLAN COMMUNITY. 13 13 379 386 0 0 336140 5644245 22669881 20180042 130041 85777 531760 204878 23667822 26114942 14700 9366 0 0 14266038 14067997 0 0 0 10328720 11046037 24609458 25123400 -941636 991542 24237101 107438418 21561493 104065977 2675608 3372441 ELISEO IS A NOT-FOR-PROFIT LIFE PLAN COMMUNITY COMMITTED TO ENRICHING LIVES IN A VIBRANT AND CHRIST-CENTERED ENVIRONMENT PROVIDING EXCEPTIONAL SENIOR HOUSING AND SERVICES. 0 0 21327865 9366 20180042 ELISEO IS ONE OF THE LARGEST LIFE PLAN COMMUNITIES IN PIERCE COUNTY, PROVIDING HEALTH CARE SERVICES AND A VARIETY OF RESIDENTIAL ACCOMODATIONS FOR OVER 350 SENIORS DAILY. FOR OVER 80 YEARS, ELISEO HAS GROWN AND CHANGED WITH THE CHANGING NEEDS OF SENIORS IN OUR COMMUNITY. WE OFFER A FULL CONTINUUM OF CARE AND SERVICES INCLUDING ACTIVE RETIREMENT LIVING, ASSISTED SENIOR LIVING, LONG-TERM CARE, DEMENTIA CARE, RESPITE CARE, SHORT-TERM MEDICAL CARE, REHABILITATION SERVICES, AND END-OF-LIFE CARE. WE HAVE A REPUTATION FOR AFFORDABLE, QUALITY CARE AND QUALITY SENIOR LIVING FOR ALL. OUR FAITH-BASED COMMUNITY WELCOMES SENIORS OF ALL RELIGIOUS DENOMINATIONS AND BELIEFS. WE ARE MINDFUL OF ONE'S PHYSICAL, EMOTIONAL AND SPIRITUAL HEALTH. 21327865 1 1 0 1 0 0 0 1 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 34 0 379 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X DAVID HOFFMAN 2537567565 1301 NORTH HIGHLANDS PARKWAY TACOMA WA 98406 R KEVIN MCFEELY PRESIDENT/CEO 47.50 2.50 X 264525 0 32881 DAVID HOFFMAN CFO 47.50 2.50 X 212283 0 22331 BRITA CARPENTER DIRECTOR OF NURSING SERVICES 50.00 0.00 X 131023 0 4870 RYAN SCHROEDER ASST DIRECTOR OF NURSING SERVICES 50.00 0.00 X 109860 0 22331 SUSAN MUTHEE NURSE 50.00 0.00 X 108627 0 9283 DENISE COOKSEY HR DIRECTOR 50.00 0.00 X 117698 0 0 LYDIA ASARE NURSE 45.00 0.00 X 101587 0 9283 RON KEMPE CHAIR 2.00 2.00 X X 0 0 0 JANET MONROE VICE CHAIR & BOARD MEMBER 2.00 0.00 X X 0 0 0 DANIEL HOFFMAN TREASURER & VICE CHAIR 2.00 0.00 X X 0 0 0 JAN LENG SECRETARY 2.00 0.00 X X 0 0 0 SCOTT RICHIE BOARD MEMBER & TREASURER 2.00 0.00 X X 0 0 0 JOSEPH ANDERSON BOARD MEMBER 2.00 0.00 X 0 0 0 STEVE DUNCAN BOARD MEMBER 2.00 0.00 X 0 0 0 LARRY GAFFNEY BOARD MEMBER 2.00 0.00 X 0 0 0 JANIS GRAVES BOARD MEMBER 2.00 0.00 X 0 0 0 JESSIE MCKENZIE BOARD MEMBER 2.00 0.00 X 0 0 0 HON KATHRYN J NELSON BOARD MEMBER 2.00 0.00 X 0 0 0 LYNN RIEGEL BOARD MEMBER 2.00 0.00 X 0 0 0 MARC STRELESKI BOARD MEMBER 2.00 2.00 X 0 0 0 1045603 0 100979 7 0 1 0 WALSH CONSTRUCTION 315 S 54TH AVENUE SUITE 600 SEATTLE WA 98104 CONSTRUCTION SERVICES 3225201 FOREFRONT HEALTHCARE 1117 GRISWOLD SUITE 1114 DETROIT MI 48226 ENVIRONMENTAL SERVICES 1893371 CONSONUS REHAB PO BOX 4800 PORTLAND OR 972084800 THERAPY SERVICES 742251 CORNERSTONE STAFFING 4115 BRIDGEPORT WAY W SUITE A UNIVERSITY PLACE WA 98466 MEDICAL STAFFING 726767 ANKROM MOISAN ARCHITECTS PO BOX 5273 PORTLAND OR 97208 ARCHITECTURAL SERVICES 537698 16 184984 5459261 5644245 PATIENT REVENUE, NET 623000 13731247 13731247 INDEPENDENT LIVING 623000 2677275 2677275 ASSISTED LIVING 623000 2229794 2229794 MEMORY CARE 623000 970411 970411 ENTRANCE FEES EARNED 623000 571315 571315 20180042 81390 81390 423163 360143 58633 63020 -58633 4387 4387 OTHER REVENUE 623000 426966 426966 LOSS ON DEBT REFINANCING 900099 -222088 -222088 204878 26114942 20180042 0 290655 X 9366 9366 532020 373242 158778 11328408 10166694 1161714 1340793 1097252 243541 866776 780117 86659 83808 83808 20259 20259 4661 4661 4034177 3746624 287553 840465 45027 795438 221085 16381 204704 1560 1560 1582175 1582175 54928 45110 9818 104806 78697 26109 752115 731379 20736 1465454 1465454 MEDICAL SUPPLIES 1143309 944612 198697 BAD DEBTS 306357 306357 DUES & SUBSCRIPTIONS 104576 32337 72239 MENTOR/RECRUITING 91632 90304 1328 234670 118433 116237 25123400 21327865 3795535 0 4278765 4632174 3500 4126 1281972 1678919 34094 40543 366381 413391 54489665 29768493 15286632 24721172 2830271 3273732 155486 72674361 24237101 107438418 2733911 4586640 4018965 4458458 10483029 84898971 338521 200755 1151717 7677200 2835350 2243953 21561493 104065977 X 2675608 3372441 2675608 3372441 24237101 107438418 X 991542 -246431 -48278 X 0 1 X 1 0 X 301986 113287 226964 336140 5644245 6622622 22760600 21006798 20902931 22669881 20180042 107520252 23062586 21120085 21129895 23006021 25824287 114142874 0 0 0 114142874 65694 75784 89361 87636 81390 399865 65694 75784 89361 87636 81390 399865 519929 648864 595363 531760 426966 2722882 23648209 21844733 21814619 23625417 26332643 117265621 0.97340 0.97510 0.00340 0.00330 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1116 1116 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO LEADINGAGE WASHINGTON, WHICH LOBBIES ON BEHALF OF ALL OF ITS MEMBERS. 0 20000 X 0 0 1 X 1085133 1085133 32702264 23972737 8729527 1332921 970859 362062 7018108 4824897 2193211 12351239 12351239 24721172 RESIDENT TRUST FUNDS 8755 OTHER ASSETS 94752 ASSETS LIMITED AS TO USE - BOND FUNDS 70402892 ENTRANCE FEE DEPOSITS 2167962 72674361 ANNUITIES PAYABLE 75940 REFUNDABLE ENTRANCE FEE DEPOSITS 2168013 2243953 X PART III, LINE 4: THE ORGANIZATION HOLDS SEVERAL WORKS OF ART THAT ARE ON DISPLAY IN VARIOUS LOCATIONS WITHIN OUR FACILITIES FOR THE ENJOYMENT OF OUR RESIDENTS AND VISITORS. PART IV, LINE 2B: PROSPECTIVE RESIDENTS MAKE REFUNDABLE WAIT LIST DEPOSITS. DEPOSITS ARE FULLY REFUNDABLE IF THE INDIVIDUAL WISHES TO BE REMOVED FROM THE WAIT LIST OR ARE APPLIED TO RENT WHEN THE INDIVIDUAL MOVES IN. THE ORGANIZATION HOLDS RESIDENT FUNDS IN TRUST IN A SEPARATE INTEREST-BEARING ACCOUNT. RESIDENTS CAN ACCESS THEIR FUNDS DURING REGULAR BUSINESS HOURS EVERY DAY OF THE WEEK. FUNDS ARE HELD FOR VARIOUS RESIDENT-RUN PROGRAMS. THE RESIDENT GROUPS MAKE REQUESTS FOR FUNDS TO BE DEPOSITED OR DISBURSED AND THE ORGANIZATION ACTS AS FIDUCIARY ON THEIR BEHALF. PART X, LINE 2: ELISEO HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED ACTIVITIES. NO TAX PROVISION HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF ACTIVITIES AND CHANGES IN NET ASSETS. 1 PART I, LINE 2: SPONSORSHIPS ARE GIVEN TO LOCAL CHARITIES AND COMMUNITY GROUPS. ASIDE FROM ENSURING THE ORGANIZATION IS A QUALIFIED RECIPIENT, ELISEO DOES NOT FOLLOW UP REGARDING USE OF THE FUNDS. X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 R KEVIN MCFEELY PRESIDENT/CEO 264525 0 0 0 0 0 0 0 32881 0 297406 0 0 0 DAVID HOFFMAN CFO 212283 0 0 0 0 0 0 0 22331 0 234614 0 0 0 PART I, LINE 1B ELISEO'S LEADERS RECEIVE HOLIDAY BONUSES THAT RANGE FROM $250 TO $600 AND ARE GROSSED UP FOR TAX PURPOSES. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION. A WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 939783G91 2021-09-30 86874245 REFUND SERIES 2013 BONDS; FACILITY CONSTRUCTION AND RENOVATION 0 0 0 A 86874245 3823987 1711423 20657734 9340238 51340863 1 1 0 0 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE OF THE BOARD OF GOVERNORS CONSISTS OF THE OFFICERS OF THE BOARD. IT HAS GENERAL MANAGEMENT OVER THE FACILITIES, SUBJECT TO THE INSTRUCTIONS OF THE BOARD, AND HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS BETWEEN REGULAR BOARD MEETINGS SUBJECT TO ANY LIMITATIONS PLACED ON IT BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED IN APRIL 2021 TO MAKE THE FOLLOWING SIGNIFICANT CHANGES: 1. REQUIRE THAT THE BOARD CHAIR OF ELISEO FOUNDATION BE A VOTING BOARD MEMBER OF ELISEO BY VIRTUE OF THEIR CHAIR POSITION ON THE FOUNDATION'S BOARD; AND 2. INCLUDE THE IMMEDIATE PAST CHAIR AS AN OFFICER OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 ELIGIBLE MEMBERS OF THE ORGANIZATION CONSIST OF LUTHERAN CONGREGATIONS IN PIERCE COUNTY AND OTHER CONGREGATIONS; PROVIDED, HOWEVER, AT LEAST ONE MEMBER IS FROM THE ELCA AND ONE MEMBER IS FROM THE LCMS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE ORGANIZATION EACH APPOINT UP TO THREE DELEGATES. THE DELEGATES ELECT THE MEMBERS OF THE BOARD OF GOVERNORS. ADDITIONALLY, THE BOARD CHAIR OF ELISEO FOUNDATION IS A VOTING BOARD MEMBER OF ELISEO BY VIRTUE OF THEIR CHAIR POSITION ON THE FOUNDATION'S BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE DELEGATES APPOINTED BY THE MEMBERS HAVE THE POWER TO APPROVE OR DISAPPROVE (A) ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION, (B) ANY AMENDMENTS TO THE BYLAWS, AND (C) ANY RESOLUTION TO DISSOLVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE CFO AND DISTRIBUTED TO ALL BOARD MEMBERS. AFTER FILING, THE FORM 990 IS BEING REVIEWED BY THE BOARD OF GOVERNORS' FINANCE COMMITTEE, THEN REVIEWED AND APPROVED BY THE BOARD OF GOVERNORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES MEMBERS OF THE BOARD OF GOVERNORS AND EXECUTIVE OFFICERS TO ANNUALLY DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. OTHER THAN ANNUALLY WHEN THEY SIGN THE CONFLICT OF INTEREST DISCLOSURE, BOARD MEMBERS ARE EXPECTED TO DISCLOSE ANY POTENTIAL CONFLICTS WHEN ISSUES ARISE AND EXCUSE THEMSELVES FROM DISCUSSIONS AND VOTING ON THOSE ISSUES. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION FOR THE CEO AND TOP MANAGEMENT OFFICIALS IS DETERMINED BASED ON ANNUAL SALARY SURVEYS. THE BOARD REVIEWS AND APPROVES THE CEO'S COMPENSATION. THE CEO REVIEWS AND APPROVES THE OTHER EXECUTIVES' COMPENSATION. THE PROCESS WAS LAST COMPLETED IN 2021. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER SERVICES: PROGRAM SERVICE EXPENSES 3,746,624. MANAGEMENT AND GENERAL EXPENSES 287,553. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,034,177. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF ANNUITIES 2,259. CONTRIBUTION FROM FOUNDATION -50,537. AGE DIFFERENTLY CONSULTING AND MANAGEMENT LLC 1301 N HIGHLANDS PARKWAY TACOMA WA 98406 464732659 ENHANCE SERVICES TO THE ELDERLY WA 0 14363 TACOMA LUTHERAN RETIREMENT COMMUNITY TACOMA LUTHERAN HOME LLC 1301 N HIGHLANDS PARKWAY TACOMA WA 98406 910963214 PROPERTY HOLDING COMPANY WA 0 0 TACOMA LUTHERAN RETIREMENT COMMUNITY ELISEO FOUNDATION 1301 N HIGHLANDS PARKWAY TACOMA WA 98406 943031579 FUNDRAISING WA 501(C)(3) LINE 12A, I ELISEO 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 ELISEO FOUNDATION C 184984 CASH