2019-11-14T14:48:17-06:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2018-01-01 910506306 WASHINGTON CARE SERVICES WASH 2067252800 2821 SOUTH WALDEN STREET SEATTLE WA 98144 MCCALLEN SONS INC DANIEL J. FALLON, PRESIDENT 2067252800 2019-11-13 1 KURT BENNION CPA P01469618 4252506100 2019-11-13 67.137.57.251 2019-11-13 16:11:07 PS P 87BD3611550E1D67138C53841B1C9A886D50C97E D393EE94A1B818777A7285D28D1C1E92A392F7EC 2018 2020-03-31 21:24:44Z X JIM KRIEGER 2821 SOUTH WALDEN STREET SEATTLE WA 98144 13868849 0 X WWW.WACENTER.ORG X 2004 WA TO MEET THE AGING & HEALTHCARE- RELATED NEEDS OF OUR MULTI-CULTURAL COMMUNITY WITH DIGNITY & RESPECT 6 6 242 20 0 0 12966 16975 13954337 13832514 219 365 7869 18995 13975391 13868849 0 0 0 0 8850532 8630362 0 0 0 5246855 6042428 14097387 14672790 -121996 -803941 4368140 4497601 3008827 3942229 1359313 555372 WASHINGTON CARE SERVICES EXISTS TO MEET THE AGING AND HEALTHCARE-RELATED NEEDS OF OUR MULTI-CULTURAL COMMUNITY WITH DIGNITY AND RESPECT - WITHOUT REGARD TO ECONOMIC CIRCUMSTANCES. 0 0 13122325 0 13767787 WASHINGTON CARE SERVICES IS LICENSED TO SERVE 165 RESIDENTS BY PROVIDING COMPREHENSIVE LONG-TERM CARE AND SHORT-TERM REHABILITATION SERVICES BY SKILLED AND PROFESSIONAL STAFF. DURING 2018, WASHINGTON CARE SERVICES PROVIDED 51,952 BED DAYS OF SKILLED NURSING SERVICES INCLUDING PHARMACY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND PHYSICAL THERAPY. 13122325 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 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 37 0 242 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X ELISSA SIEH 2067252800 2821 SOUTH WALDEN STREET SEATTLE WA 98144 SHEILA HOLMES PRESIDENT 1.00 1.00 X X 0 0 0 FRANK KLINGBEIL VICE-PRESIDENT 1.00 1.00 X X 0 0 0 DAPHNE SCHNEIDER SECRETARY 1.00 1.00 X X 0 0 0 GLENN GREGORY TREASURER 1.00 1.00 X X 0 0 0 KENNY CHAN DIRECTOR 1.00 1.00 X 0 0 0 LISA HARDY DIRECTOR (LEFT IN 2018) 1.00 1.00 X 0 0 0 MCQUESTER HOOKS DIRECTOR (LEFT IN 2018) 1.00 1.00 X 0 0 0 GINNY KENYON DIRECTOR 1.00 1.00 X 0 0 0 CASH CARLOS CEO & ADMINISTRATOR 50.00 1.00 X 141440 0 21590 WALE FOLARIN LICENSED PRACTICAL NURSE 40.00 0.00 X 114071 0 5778 ORETIS MOORE MDS COORDINATOR 40.00 0.00 X 104441 0 14445 MARSHA SMITH RESIDENT CARE MANAGER 40.00 0.00 X 103428 0 3120 463380 0 44933 4 0 1 0 INFINITY REHAB 25117 SW PARKWAY SUITE D WILSONVILLE OR 97070 THERAPY SERVICES 848254 HEALTHCARESERVICESGROUP 6021 244TH STREET SW MOUNTLAKE TERRACE WA 98043 STAFFING SERVICES 507280 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 OUTSOURCED CFO SERVICES 114510 3 16975 985 16975 NURSING FACILITY 623000 13832514 13767787 64727 13832514 365 365 MISCELLANEOUS INCOME 900099 18995 18995 18995 13868849 13767787 0 84087 X 163030 163030 7324225 6754587 569638 49001 40902 8099 375401 331376 44025 718705 646797 71908 28145 28145 2000674 1701502 299172 32012 32012 197488 100723 96765 1463016 1442539 20477 73681 73681 173638 106390 67248 121053 92177 28876 MEDICAL SUPPLIES 819686 819686 BAD DEBTS 478829 476104 2725 DIETARY SUPPLIES 400656 400656 DUES & LICENSES 133756 107491 26265 119794 101395 18399 14672790 13122325 1550465 0 701281 657425 1363019 1359643 114783 137844 1520106 987188 306901 532918 1854642 1787394 27514 22377 4368140 4497601 1852057 2621197 22699 16797 200000 333680 825000 970555 109071 0 3008827 3942229 X 1359313 555372 1359313 555372 4368140 4497601 -803941 0 X 0 0 0 X 10 1587 12966 16975 31538 13188698 13468640 13147754 13860716 13767787 67433595 13188708 13470227 13147754 13873682 13784762 67465133 0 0 0 67465133 600 219 365 1184 600 219 365 1184 77315 152207 101490 83722 414734 13266623 13470227 13299961 13975391 13868849 67881051 0.99390 0.99380 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ACCOUNTING FEES OTHER RESIDENT SERVICES MISCELLANEOUS INCOME FUNDRAISING EVENTS RAFFLES 0 1 X 223798 131282 92516 1150753 855906 294847 145555 145555 532918 PART IV, LINE 2B: THE ORGANIZATION HOLDS RESIDENT FUNDS IN TRUST IN A SEPARATE INTEREST-BEARING BANK ACCOUNT. TO ACCESS THEIR FUNDS, RESIDENTS MAKE A REQUEST AT THE FRONT DESK. 0 0 0 0 0 0 0 0 0 CASH CARLOS CEO & ADMINISTRATOR 141440 0 0 0 0 0 21590 0 0 0 163030 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE COMPRISED OF THE OFFICERS OF THE BOARD AND THE IMMEDIATE PAST PRESIDENT. THE CEO & ADMINISTRATOR ALSO PARTICIPATES AS A NON-VOTING MEMBER. THE EXECUTIVE COMMITTEE MEETS AS NEEDED TO: (A) DISCUSS POLICY ISSUES AND MAKE RECOMMENDATIONS TO THE BOARD; (B) CONDUCT THE ORGANIZATION'S BUSINESS IN ACCORDANCE WITH THE POLICIES OF THE BOARD AND AS AUTHORIZED BY A MAJORITY OF THE BOARD; (C) WITH FULL BOARD INPUT, PREPARE AND PRESENT A WRITTEN PERFORMANCE EVALUATION OF THE CEO DURING THE FOURTH QUARTER EACH YEAR; AND (D) SUBMIT ANY POLICY RECOMMENDATIONS TO THE BOARD IN WRITING, AT LEAST ONE WEEK PRIOR TO THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE COURT-APPOINTED RECEIVER PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO THE BOARD MEMBERS AND OFFICERS. ALL POTENTIAL CONFLICTS OF INTEREST ARE COMMUNICATED WITH THE BOARD OF DIRECTORS. BY MAJORITY VOTE, THE BOARD DETERMINES WHETHER A CONFLICT EXISTS AND, IF A CONFLICT EXISTS, THE APPROPRIATE RESPONSE. UPON JOINING THE ORGANIZATION AND EACH YEAR THEREAFTER, THE BOARD MEMBERS AND OFFICERS COMPLETE CONFLICT OF INTEREST STATEMENTS THAT ARE COLLECTED AND MAINTAINED BY THE CEO & ADMINISTRATOR. FORM 990, PART VI, SECTION B, LINE 15A THE ADMINISTRATOR & CEO'S COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. COMPARABILITY DATA IS USED AND THE PROCESS AND OUTCOME ARE DOCUMENTED. THE PROCESS LAST OCCURRED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PURCHASE SERVICES - CORPORATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 299,172. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 299,172. PURCHASE SERVICES - DIRECT CARE: PROGRAM SERVICE EXPENSES 182,249. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 182,249. PURCHASE SERVICES - SUPPLEMENTARY: PROGRAM SERVICE EXPENSES 563,794. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 563,794. PURCHASE SERVICES - REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 83,784. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,784. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 871,675. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 871,675. SOUTHEAST CARE CENTER FACILITIES 5224 WILSON AVENUE S SUITE 102 SEATTLE WA 98118 912143943 PROVIDE HEALTH CARE FACILITIES TO A DISADVANTAGED COMMUNITY WA 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0