2020-11-04T08:26:12-08:00 2019-12-31 PAULSEN MEGAARD & CO PS 22232 17th Ave SE Suite 310 Bothell WA 980217425 990 2019-01-01 910570840 COLUMBIA LUTHERAN MINISTRIES COLU 2066327400 4700 PHINNEY AVE N SEATTLE WA 981036399 DAVID HEYER PRESIDENT/ADMINISTRATOR 2066327400 2020-10-14 true Susan L Paulsen CPA NHA P00443486 4254893416 2020-11-04 96.78.57.230 2020-11-04 08:26:03 PS P 5266E8E9984B2C2EFC6815B4938A2D643ADC0A2A 5266E8E9984B2C2EFC6815B4938A2D643ADC0A2A 2019 2021-01-29 14:40:06Z COLUMBIA LUTHERAN HOME DAVID HEYER 4700 PHINNEY AVE N SEATTLE WA 981036399 17377217 false X www.columbialutheranhome.org X 1963 WA Columbia 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. 9 9 242 220 0 0 141091 94627 14057179 14227340 687658 693441 0 14885928 15015408 0 0 8468478 9097097 0 15272 5090786 5594105 13559264 14691202 1326664 324206 21286859 21988273 2112337 1562426 19174522 20425847 Columbia 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. false false 13796520 0 14227340 Columbia 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. 13796520 true true false false false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 20 0 true 242 true false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false WA X CINDY SEARS 2066327400 4700 PHINNEY AVENUE N SEATTLE WA 981036399 CAROLINE ALABACH CHAIRPERSON 1.00 X 0 0 0 STEPHANIE HILLMAN BOARD MEMBER 1.00 X 0 0 0 ED MASON BOARD MEMBER 1.00 X 0 0 0 JENNY RORABACK CARSON MD BOARD MEMBER 1.00 X 0 0 0 BARBARA GRAHAM BOARD MEMBER 1.00 X 0 0 0 DOUG STENSBY BOARD MEMBER 1.00 X 0 0 0 CHARLOTTE MCGINNESS BOARD MEMBER 1.00 X 0 0 0 DEBORAH RAMSEY BOARD MEMBER 1.00 X 0 0 0 SABINE VON PREYSS-FRIEDMAN MD BOARD MEMBER 1.00 X 0 0 0 DAVID HEYER PRESIDENT/ADMINISTRATOR 40.00 X 178392 0 44049 CINDY SEARS DIRECTOR OF FINANCE/TREASURER 40.00 X 91671 0 3667 HABIB HARIRI RN 103.00 X 288730 0 7907 ADIJATU AYILARA RN 62.00 X 160818 0 6206 RITA GALUTERA DIRECTOR OF NURSING 40.00 X 137181 0 11726 RAMON ONG RN 67.00 X 164159 0 6574 MICHAEL WOLDEYOHANNES RN 63.00 X 135025 0 5363 1155976 0 85492 6 false true false PREMERE REHAB LLC M/S 24 PO BOX 5700 PORTLAND OR 97228 PHYSICAL, OCCUPATIONAL & SPEECH THERAPY SERVICES 1143046 WG CLARK CONSTRUCTION CO 1945 YALE PLACE EAST SEATTLE WA 98102 GENERAL CONTRACTOR 3545616 SODEXO PO BOX 360170 PITTSBURGH PA 15251 DIETARY/FOOD SERVICES MANAGEMENT 751719 3 94627 6116 94627 NURSING CARE 623000 14227340 0 0 14227340 303662 0 303662 2751588 2361809 389779 389779 0 0 389779 15015408 14227340 0 693441 317779 0 317779 0 7451024 7271039 170025 9960 155811 154876 935 0 500628 485077 15551 0 671855 639086 32769 0 6647 0 6647 0 41912 0 41912 0 48262 0 48262 0 1790720 1650060 140660 0 33007 30758 2249 0 210852 142937 67804 111 2425 2425 0 0 299989 293869 5730 390 1616 0 1616 0 14287 12082 2124 81 626496 613716 11966 814 62414 62414 0 0 SAFETY NET ASSESSMENTS 680153 680153 0 0 FOOD 361303 361303 0 0 NURSING SUPPLIES 311837 311837 0 0 ANCILLARIES 476658 476658 0 0 625527 608230 13381 3916 14691202 13796520 879410 15272 1360660 434122 1691533 1918547 40845 50345 131490 204188 17874443 9859592 4799168 8014851 13037266 11159880 225897 206340 21286859 21988273 1555485 1335872 550489 223698 6363 2856 2112337 1562426 X 19133542 20401665 40980 24182 19174522 20425847 21286859 21988273 X 324206 922650 4469 X false true X true false X 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 103591 103591 6387796 4802153 1585643 4281832 3360986 920846 7101224 1696453 5404771 8014851 PATIENT TRUST FUND 2221 RESIDENT COUNCIL PAYABLE 584 FAIR VALUE OF INTEREST RATE SWAP 51 2856 15894265 922650 4469 927119 14967146 48262 48262 15015408 14642940 14642940 48262 48262 14691202 Pt XI, Line 2d CHANGE IN FAIR VALUE OF INTEREST RATE SWAP X X X false false false false false false false false false DAVID HEYER 170892 0 7500 0 0 0 7135 0 36914 0 222441 0 0 0 HABIB HARIRI 284405 0 4325 0 0 0 7907 0 0 0 296637 0 0 0 ADIJATU AYILARA 160593 0 225 0 0 0 6206 0 0 0 167024 0 0 0 RAMON ONG 163934 0 225 0 0 0 0 0 6574 0 170733 0 0 0 Pt VI, Line 11b AFTER 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 12c OFFICERS, DIRECTORS, AND KEY EMPLOYEES COMPLETE A WRITTEN CONFLICT OF INTEREST FORM UPON HIRE AND ANNUALLY. Pt VI, Line 15a HUMAN 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 15b HUMAN 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 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. Pt XI LINE 9 OTHER CHANGES IN NET ASSETS WAS FOR CHANGE IN FAIR VALUE OF INTEREST RATE SWAP. Form 990, Part IX, Line 11g NURSING PURCHASED SERVICES 48850. 48850. 0. 0. Form 990, Part IX, Line 11g MEDICAL DIRECTOR 52599. 52599. 0. 0. Form 990, Part IX, Line 11g DENTAL CONSULTANT 4800. 4800. 0. 0. Form 990, Part IX, Line 11g DIETARY PURCHASED SERVICES 347147. 347147. 0. 0. Form 990, Part IX, Line 11g MAINTENANCE PURCHASED SERVICES 67297. 67297. 0. 0. Form 990, Part IX, Line 11g BENEFIT ADMIN FEES 44353. 0. 44353. 0. Form 990, Part IX, Line 11g A&G PURCHASED SERVICES 96307. 0. 96307. 0. Form 990, Part IX, Line 11g OTHER PURCH. SERVICES AND CONSULTANTS 7835. 7835. 0. 0. Form 990, Part IX, Line 11g THERAPY PURCHASED SERVICES 1121532. 1121532. 0. 0. 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