2025-09-25T11:34:39-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-01-01 943229627 MARTHA & MARY HEALTH SERVICES MART 3607797500 PO BOX 127 POULSBO WA 983700127 LYNETTE LADENBURG CEO 3607797500 2025-09-23 1 1 KURT BENNION CPA P01469618 4252506100 2025-09-23 2024 2025-03-06 01:10:19Z CHRISTINA HUGHES PO BOX 127 POULSBO WA 983700127 17727819 0 4103 X WWW.MARTHAANDMARY.ORG X 1995 WA A SKILLED NURSING FACILITY OFFERING REHABILITATION, LONG-TERM CARE, AND RESPITE CARE. 13 13 338 22 0 0 267801 46208 15301021 17231939 10315 20347 99163 293170 15678300 17591664 64767 1000 0 0 10730459 11813466 0 0 0 5912503 6642325 16707729 18456791 -1029429 -865127 11985898 11266877 19142723 19228274 -7156825 -7961397 X 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. 0 0 15928830 1000 17231939 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 2024, 339 INDIVIDUALS (225 ADMISSIONS) WERE SERVED; THE AVERAGE AGE OF OUR RESIDENTS AS OF DECEMBER 31, 2024 WAS 83 YEARS. 69% OF THE DAYS OF CARE PROVIDED WERE MEDICAID, WHICH LEAD TO US PROVIDING $1.26M IN UNDERFUNDED CARE IN 2024.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. 15928830 1 1 0 1 0 0 0 0 1 1 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 21 0 338 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X ELLEN OCONER 3607797500 PO BOX 127 POULSBO WA 983700127 LYNETTE LADENBURG CEO 1.00 39.00 X 213230 0 13586 CHRISTOPHER VERNON-COLE COO 1.00 39.00 X 142778 0 9370 JOHN GUZZWELL REGISTERED NURSE 40.00 0.00 X 141460 0 9370 THOMAS ALAN CLARK LICENSED PRACTICAL NURSE LEAD 40.00 0.00 X 113164 0 20679 DAN RED NURSING SERVICES DIRECTOR 40.00 0.00 X 110418 0 11178 REBECA AGUILAR FELICIANO NURSING SERVICES ASSISTANT DIRECTOR 40.00 0.00 X 111374 0 0 MARY LIZA STILLWELL LICENSED PRACTICAL NURSE LEAD 40.00 0.00 X 108983 0 0 GLEN MELIN CC&DO (THROUGH JUNE 2024) 1.00 39.00 X 82265 0 10283 AARON SCHIELKE CFO (THROUGH JUNE 2024) 1.00 39.00 X 71299 0 14961 ALAN CRAIN PRESIDENT & TRUSTEE 0.30 1.20 X X 0 0 0 DIANA SMELAND TRUSTEE & PRESIDENT 0.30 1.20 X X 0 0 0 BILL BAIRD VICE PRESIDENT & TRUSTEE 0.30 1.20 X X 0 0 0 DAN GOTTLIEB VICE PRESIDENT (AS OF APRIL 2024) 0.30 1.20 X X 0 0 0 LINNEA CHU SECRETARY 0.30 1.20 X X 0 0 0 BILL CRABTREE TRUSTEE 0.30 1.20 X 0 0 0 KATIE CRAIN TRUSTEE 0.30 1.20 X 0 0 0 DAVID DE BRUYN TRUSTEE (AS OF APRIL 2024) 0.30 1.20 X 0 0 0 KATHERINE DE BRUYN TRUSTEE (THROUGH APRIL 2024) 0.30 1.20 X 0 0 0 SHERRY GUTIERREZ TRUSTEE 0.30 1.20 X 0 0 0 CHRISTINA HUGHES TRUSTEE 0.30 1.20 X 0 0 0 KYLE KINCAID TRUSTEE (AS OF APRIL 2024) 0.30 1.20 X 0 0 0 LINDSEY LIND TRUSTEE 0.30 1.20 X 0 0 0 JAMIE MITTET TRUSTEE (THROUGH APRIL 2024) 0.30 1.20 X 0 0 0 LYNN NORDBY TRUSTEE 0.30 1.20 X 0 0 0 1094971 0 89427 11 0 1 0 SODEXO INC AND AFFILIATES DEP 880328 LOS ANGELES CA 900880328 FOOD SERVICES 950920 MARTHA AND MARY LUTHERAN SERVICES PO BOX 127 POULSBO WA 983700127 MANAGEMENT SERVICES 789864 CONSONUS REHAB UNIT 12 PO BOX 4800 PORTLAND OR 972084800 REHAB SERVICES 453399 ACTRIV HEALTHCARE INC PO BO 29647 DALLAS TX 752299647 CERTIFIED NURSING ASSISTANT STAFFING 218928 CONSONUS PHARMACY SERVICES WA LLC PO BOX 84157 SEATTLE WA 981245457 PHARMACY SERVICES 200759 13 6306 39902 46208 NURSING HOME REVENUE 623000 17231939 17231939 17231939 27597 27597 128905 136155 -7250 -7250 -7250 40 0 40 40 OTHER REVENUE 722320 271204 271204 GROUP RETRO REBATE 900099 12762 12762 NAC TRAINING REIMBURSEMENT 611710 6520 6520 2644 2644 293130 17591664 17231939 0 313517 X 1000 1000 557771 557771 8856141 8605056 251085 1639966 1551057 88909 759588 697896 61692 789864 771335 18529 7610 7431 179 117037 114292 2745 1848587 1805222 43365 24711 20302 4409 16500 13556 2944 6692 5498 1194 472861 178211 294650 32490 26693 5797 352559 289655 62904 828807 75497 753310 271971 10308 261663 SUPPLIES/ANCILLARY/FOOD 1536079 1479492 56587 MISCELLANEOUS 154660 126887 27773 BAD DEBTS 139084 114268 24816 TAXES 42813 35174 7639 18456791 15928830 2527961 0 1420 920 147448 326142 3178049 2926678 371906 272012 23677124 17842775 6235458 5834349 202667 218331 939665 983285 909285 705160 11985898 11266877 1102413 1297161 22867 19951 13558966 13352781 4458477 4558381 19142723 19228274 X -8112741 -8958830 955916 997433 -7156825 -7961397 11985898 11266877 X -865127 16935 43620 X X 0 1 X 1 1 1 X 1256953 1893528 1420068 267801 46208 4884558 15654053 12558806 13137872 15301021 17231939 73883691 109417 56669 40395 39289 9204 254974 17020423 14509003 14598335 15608111 17287351 79023223 0 0 0 79023223 474 800 38215 33259 27597 100345 474 800 38215 33259 27597 100345 47953 68905 85014 59874 283966 545712 17068850 14578708 14721564 15701244 17598914 79669280 0.99190 0.99470 0.00130 0.00090 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE GROUP RETRO REBATE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 355 355 355 355 18456436 27360877 18456791 27361232 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 481 366 347 355 1549 250000 250000 250000 250000 1000000 1500000 0 1 X 939665 43620 0 983285 852158 126566 39059 939665 1094964 -197331 45475 852158 1034431 102982 42449 1094964 975428 144388 85385 1034431 0.00000 0.00000 1.00000 0 0 271139 271139 13745593 9241960 4503633 1639610 1436874 202736 7644846 7163941 480905 375936 375936 5834349 TRUST ASSETS 983285 C 983285 ESCROW DEPOSITS 58735 REPLACEMENT RESERVE 517902 RESIDENT FUNDS HELD IN TRUST 19950 RIGHT-OF-USE LEASE ASSETS 108573 705160 INTEREST PAYABLE 25728 INTERCOMPANY PAYABLE 4420932 RIGHT-OF-USE LEASE LIABILITIES 111721 4558381 X 17616548 16935 45570 62505 17554043 37621 37621 17591664 18464041 7250 7250 18456791 0 18456791 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 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: NET ASSETS RELEASED FROM RESTRICTION 38,320. LOSS ON DISPOSAL OF ASSETS 7,250. PART XI, LINE 4B - OTHER ADJUSTMENTS: GRANTS RECEIVED FOR CAPITAL PURCHASES 37,621. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS 7,250. 0 0 0 0 0 0 0 0 0 LYNETTE LADENBURG CEO 213230 0 0 0 0 0 0 0 13586 0 226816 0 0 0 CHRISTOPHER VERNON-COLE COO 142778 0 0 0 0 0 0 0 9370 0 152148 0 0 0 JOHN GUZZWELL REGISTERED NURSE 141460 0 0 0 0 0 0 0 9370 0 150830 0 0 0 PART I, LINE 3 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 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 2 ALAN CRAIN AND KATIE CRAIN HAVE A FAMILY RELATIONSHIP. DAVID DE BRUYN AND KATHERINE DE BRUYN HAVE A FAMILY RELATIONSHIP. 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 HUMAN RESOURCES DIRECTOR 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 IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 1,805,222. MANAGEMENT AND GENERAL EXPENSES 43,365. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,848,587. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF TERM TRUST 43,620. 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. 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 & MARY CHILDREN'S SERVICES PO BOX 127 POULSBO WA 98370 911916806 CHILDCARE AND EDUCATION FOR CHILDREN WA 501(C)(3) LINE 10 MARTHA AND MARY LUTHERAN SERVICES 0 MARTHA AND MARY EBENEZER SERVICES PO BOX 127 POULSBO WA 98370 911249343 SENIOR INDEPENDENT HOUSING WA 501(C)(3) LINE 10 MARTHA AND MARY LUTHERAN SERVICES 0 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 MARTHA AND MARY LUTHERAN SERVICES 0 VILLAGE GREEN KINGSTON ASSOCIATES LLLP PO BOX 127 POULSBO WA 98370 263242661 DEVELOPMENT OF LOW INCOME SENIOR HOUSING WA N/A 0 0 1 TERM TRUST INVESTMENTS WA COLUMBIA BANK T 0 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 MARTHA AND MARY LUTHERAN SERVICES PO BOX 127 POULSBO WA 983700127 910567265 X 0 0 0 3141518 3141518 307076 76769 0 0 0 MARTHA AND MARY CHILDREN'S SERVICES PO BOX 127 POULSBO WA 983700127 911916806 X 0 0 0 5043434 5043434 402172 100543 0 0 0 MARTHA AND MARY LUTHERAN SERVICES (DBA EBENEZER SERVICES) PO BOX 127 POULSBO WA 983700127 911249343 X 0 0 0 197635 197635 39527 9882 0 0 0 MARTHA AND MARY HEALTH SERVICES PO BOX 127 POULSBO WA 983700127 943229627 X 0 355 355 18456436 18456791 1000000 250000 0 0 0 MARTHA AND MARY HOME AND COMMUNITY SERVICES PO BOX 127 POULSBO WA 983700127 911293400 0 0 0 521854 521854 103278 25820 0 0 0