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COLUMBIA LUTHERAN MINISTRIES: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
COLUMBIA LUTHERAN MINISTRIES (EIN 91-0570840)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-04
IRS object ID
202033099349300648
Schema version
2019v5.1
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)
Return2020-11-04T08:26:12-08:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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
ZIP980217425ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

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
ZIP981036399ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID HEYERPersonNm
Person TitlePRESIDENT/ADMINISTRATORPersonTitleTxt
Phone2066327400PhoneNum
Signature2020-10-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSusan L Paulsen CPA NHAPreparerPersonNm
PTINP00443486PTIN
Phone4254893416PhoneNum
Preparation2020-11-04PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address96.78.57.230IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-04IPDt
IP Tm08:26:03IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id5266E8E9984B2C2EFC6815B4938A2D643ADC0A2AAtSubmissionCreationDeviceId
At Submission Filing Device Id5266E8E9984B2C2EFC6815B4938A2D643ADC0A2AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$17,377,217GrossReceiptsAmt
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 Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee242TotalEmployeeCnt
Total Volunteers220TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$141,091PYContributionsGrantsAmt
CY Contributions Grants$94,627CYContributionsGrantsAmt
PY Program Service Revenue$14,057,179PYProgramServiceRevenueAmt
CY Program Service Revenue$14,227,340CYProgramServiceRevenueAmt
PY Investment Income$687,658PYInvestmentIncomeAmt
CY Investment Income$693,441CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$14,885,928PYTotalRevenueAmt
CY Total Revenue$15,015,408CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,468,478PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,097,097CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$15,272CYTotalFundraisingExpenseAmt
PY Other Expenses$5,090,786PYOtherExpensesAmt
CY Other Expenses$5,594,105CYOtherExpensesAmt
PY Total Expenses$13,559,264PYTotalExpensesAmt
CY Total Expenses$14,691,202CYTotalExpensesAmt
PY Revenues Less Expenses$1,326,664PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$324,206CYRevenuesLessExpensesAmt
Total Assets BOY$21,286,859TotalAssetsBOYAmt
Total Assets EOY$21,988,273TotalAssetsEOYAmt
Total Liabilities BOY$2,112,337TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,562,426TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,174,522NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,425,847NetAssetsOrFundBalancesEOYAmt
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$13,796,520ExpenseAmt
Grant$0GrantAmt
Revenue$14,227,340RevenueAmt
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 40,000 patient days are provided annually with at least half paid by Medicaid.Desc
Total Program Service Expenses$13,796,520TotalProgramServiceExpensesAmt
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 Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee242EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CAROLINE ALABACH
CHAIRPERSON1.00Yes (X)$0$0$0
STEPHANIE HILLMAN
BOARD MEMBER1.00Yes (X)$0$0$0
ED MASON
BOARD MEMBER1.00Yes (X)$0$0$0
JENNY RORABACK CARSON MD
BOARD MEMBER1.00Yes (X)$0$0$0
BARBARA GRAHAM
BOARD MEMBER1.00Yes (X)$0$0$0
DOUG STENSBY
BOARD MEMBER1.00Yes (X)$0$0$0
CHARLOTTE MCGINNESS
BOARD MEMBER1.00Yes (X)$0$0$0
DEBORAH RAMSEY
BOARD MEMBER1.00Yes (X)$0$0$0
SABINE VON PREYSS-FRIEDMAN MD
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID HEYER
PRESIDENT/ADMINISTRATOR40.00$178,392$0$44,049Yes (X)
CINDY SEARS
DIRECTOR OF FINANCE/TREASURER40.00$91,671$0$3,667Yes (X)
HABIB HARIRI
RN103.00$288,730$0$7,907Yes (X)
ADIJATU AYILARA
RN62.00$160,818$0$6,206Yes (X)
RITA GALUTERA
DIRECTOR OF NURSING40.00$137,181$0$11,726Yes (X)
RAMON ONG
RN67.00$164,159$0$6,574Yes (X)
MICHAEL WOLDEYOHANNES
RN63.00$135,025$0$5,363Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,155,976TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$85,492TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PREMERE REHAB LLC
M/S 24 PO BOX 5700PORTLANDOR97228PHYSICAL, OCCUPATIONAL & SPEECH THERAPY SERVICES$1,143,046
WG CLARK CONSTRUCTION CO
1945 YALE PLACE EASTSEATTLEWA98102GENERAL CONTRACTOR$3,545,616
SODEXO
PO BOX 360170PITTSBURGHPA15251DIETARY/FOOD SERVICES MANAGEMENT$751,719
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$94,627AllOtherContributionsAmt
Noncash Contributions$6,116NoncashContributionsAmt
Total Contributions$94,627TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNURSING CAREDesc
Business623000BusinessCd
Total Revenue Column$14,227,340TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$14,227,340TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$303,662TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$303,662ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,751,588SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,361,809SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$389,779SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$389,779TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$389,779ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,015,408TotalRevenueColumnAmt
Related Or Exempt Func Income$14,227,340RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$693,441ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$317,779TotalAmt
Program Services$0ProgramServicesAmt
Management And General$317,779ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,451,024TotalAmt
Program Services$7,271,039ProgramServicesAmt
Management And General$170,025ManagementAndGeneralAmt
Fundraising$9,960FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$155,811TotalAmt
Program Services$154,876ProgramServicesAmt
Management And General$935ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$500,628TotalAmt
Program Services$485,077ProgramServicesAmt
Management And General$15,551ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$671,855TotalAmt
Program Services$639,086ProgramServicesAmt
Management And General$32,769ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,647TotalAmt
Program Services$0ProgramServicesAmt
Management And General$6,647ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$41,912TotalAmt
Program Services$0ProgramServicesAmt
Management And General$41,912ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$48,262TotalAmt
Program Services$0ProgramServicesAmt
Management And General$48,262ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,790,720TotalAmt
Program Services$1,650,060ProgramServicesAmt
Management And General$140,660ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$33,007TotalAmt
Program Services$30,758ProgramServicesAmt
Management And General$2,249ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$210,852TotalAmt
Program Services$142,937ProgramServicesAmt
Management And General$67,804ManagementAndGeneralAmt
Fundraising$111FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,425TotalAmt
Program Services$2,425ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$299,989TotalAmt
Program Services$293,869ProgramServicesAmt
Management And General$5,730ManagementAndGeneralAmt
Fundraising$390FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,616TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,616ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,287TotalAmt
Program Services$12,082ProgramServicesAmt
Management And General$2,124ManagementAndGeneralAmt
Fundraising$81FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$626,496TotalAmt
Program Services$613,716ProgramServicesAmt
Management And General$11,966ManagementAndGeneralAmt
Fundraising$814FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$62,414TotalAmt
Program Services$62,414ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SAFETY NET ASSESSMENTS$680,153$680,153$0$0
FOOD$361,303$361,303$0$0
NURSING SUPPLIES$311,837$311,837$0$0
ANCILLARIES$476,658$476,658$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$625,527TotalAmt
Program Services$608,230ProgramServicesAmt
Management And General$13,381ManagementAndGeneralAmt
Fundraising$3,916FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,691,202TotalAmt
Program Services$13,796,520ProgramServicesAmt
Management And General$879,410ManagementAndGeneralAmt
Fundraising$15,272FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,360,660BOYAmt
EOY$434,122EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,691,533BOYAmt
EOY$1,918,547EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$40,845BOYAmt
EOY$50,345EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$131,490BOYAmt
EOY$204,188EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,874,443LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,859,592LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,799,168BOYAmt
EOY$8,014,851EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$13,037,266BOYAmt
EOY$11,159,880EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$225,897BOYAmt
EOY$206,340EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,286,859BOYAmt
EOY$21,988,273EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,555,485BOYAmt
EOY$1,335,872EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$550,489BOYAmt
EOY$223,698EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,363BOYAmt
EOY$2,856EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,112,337BOYAmt
EOY$1,562,426EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,133,542BOYAmt
EOY$20,401,665EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$40,980BOYAmt
EOY$24,182EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,174,522BOYAmt
EOY$20,425,847EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,286,859BOYAmt
EOY$21,988,273EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$324,206ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$922,650NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,469OtherChangesInNetAssetsAmt
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$4,802,153DepreciationAmt
Book Value$1,585,643BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,281,832OtherCostOrOtherBasisAmt
Depreciation$3,360,986DepreciationAmt
Book Value$920,846BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,101,224OtherCostOrOtherBasisAmt
Depreciation$1,696,453DepreciationAmt
Book Value$5,404,771BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,014,851TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PATIENT TRUST FUND$2,221
RESIDENT COUNCIL PAYABLE$584
FAIR VALUE OF INTEREST RATE SWAP$51
FieldValueIRS element (for citing)
Total Liability$2,856TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$15,894,265TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$922,650NetUnrealizedGainsInvstAmt
Other Revenue$4,469OtherRevenueAmt
Revenue Not Reported$927,119RevenueNotReportedAmt
Revenue Subtotal$14,967,146RevenueSubtotalAmt
Investment Expenses Not Incld$48,262InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$48,262RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,015,408TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,642,940TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$14,642,940ExpensesSubtotalAmt
Investment Expenses Not Incld2$48,262InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$48,262ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,691,202TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePt XI, Line 2dFormAndLineReferenceDesc
ExplanationCHANGE IN FAIR VALUE OF INTEREST RATE SWAPExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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
DAVID HEYER
$170,892$0$7,500$0$0$0$7,135$0$36,914$0$222,441$0$0$0
HABIB HARIRI
$284,405$0$4,325$0$0$0$7,907$0$0$0$296,637$0$0$0
ADIJATU AYILARA
$160,593$0$225$0$0$0$6,206$0$0$0$167,024$0$0$0
RAMON ONG
$163,934$0$225$0$0$0$0$0$6,574$0$170,733$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 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.
Pt XILINE 9 OTHER CHANGES IN NET ASSETS WAS FOR CHANGE IN FAIR VALUE OF INTEREST RATE SWAP.
Form 990, Part IX, Line 11gNURSING PURCHASED SERVICES 48850. 48850. 0. 0.
Form 990, Part IX, Line 11gMEDICAL DIRECTOR 52599. 52599. 0. 0.
Form 990, Part IX, Line 11gDENTAL CONSULTANT 4800. 4800. 0. 0.
Form 990, Part IX, Line 11gDIETARY PURCHASED SERVICES 347147. 347147. 0. 0.
Form 990, Part IX, Line 11gMAINTENANCE PURCHASED SERVICES 67297. 67297. 0. 0.
Form 990, Part IX, Line 11gBENEFIT ADMIN FEES 44353. 0. 44353. 0.
Form 990, Part IX, Line 11gA&G PURCHASED SERVICES 96307. 0. 96307. 0.
Form 990, Part IX, Line 11gOTHER PURCH. SERVICES AND CONSULTANTS 7835. 7835. 0. 0.
Form 990, Part IX, Line 11gTHERAPY PURCHASED SERVICES 1121532. 1121532. 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-$654ShareOfTotalIncomeAmt
Share Of EOY Assets-$886ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.17000OwnershipPct
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