2018-09-26T19:27:01-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2017-01-01 910506306 WASHINGTON CARE SERVICES WASH 2067252800 2821 SOUTH WALDEN STREET SEATTLE WA 98414 CASH CARLOS CEO & ADMINISTRATOR 2067252800 2018-09-24 1 KURT BENNION CPA P01469618 4252506100 2018-09-24 67.137.57.251 2018-09-24 14:22:15 PD P 9C3E08EBF53FA5FA3C7B2B5BD0B3E335DF999A73 F0F62AA6298128500262D125680EAF6D2D38659B 2017 2018-06-14 16:35:46Z CASH CARLOS 2821 SOUTH WALDEN STREET SEATTLE WA 98414 13975391 0 X WWW.WACENTER.ORG X 2004 WA TO MEET THE AGING & HEALTHCARE- RELATED NEEDS OF OUR MULTI-CULTURAL COMMUNITY WITH DIGNITY & RESPECT 8 8 254 20 0 0 0 12966 13299961 13954337 0 219 0 7869 13299961 13975391 0 0 0 0 8516160 8850532 0 0 0 5064289 5246855 13580449 14097387 -280488 -121996 4749424 4368140 2635629 3008827 2113795 1359313 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 12556555 0 13860716 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. WASHINGTON CARE SERVICES PROVIDED OVER 53,000 BED DAYS OF SKILLED NURSING SERVICES INCLUDING PHARMACY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND PHYSICAL THERAPY. OVER 68% OF WASHINGTON CARE RESIDENTS QUALIFY FOR STATE MEDICAID COVERAGE. 12556555 1 0 0 1 0 0 0 0 1 0 1 0 0 0 1 1 1 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 35 0 254 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 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 DAPHNE SCHNEIDER VICE-PRESIDENT 1.00 1.00 X X 0 0 0 GLENN GREGORY SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 KENNY CHAN DIRECTOR 1.00 1.00 X 0 0 0 LISA HARDY DIRECTOR 1.00 1.00 X 0 0 0 MCQUESTER HOOKS DIRECTOR 1.00 1.00 X 0 0 0 GINNY KENYON DIRECTOR 1.00 1.00 X 0 0 0 FRANK KLINGBEIL DIRECTOR 1.00 1.00 X 0 0 0 CASH CARLOS CEO & ADMINISTRATOR 50.00 1.00 X 146591 0 16416 BARBARA ENDRESON CFO (THROUGH OCT 2017) 40.00 0.00 X 71596 0 3196 JORDAN LEIGH CFO (THROUGH DEC 2017) 40.00 0.00 X 26710 0 458 ORETIS MOORE MDS COORDINATOR 40.00 0.00 X 108259 0 6051 MARSHA SMITH RESIDENT CARE MANAGER 40.00 0.00 X 117325 0 2400 470481 0 28521 3 0 1 0 INFINITY REHAB 25117 SW PARKWAY SUITE D WILSONVILLE OR 97070 THERAPY SERVICES 601553 MAXIM STAFFING SOLUTIONS 6021 244TH STREET SW MOUNTLAKE TERRACE WA 98043 STAFFING SERVICES 158893 2 12966 2000 12966 NURSING FACILITY 623000 13954337 13860716 93621 13954337 219 219 916 0 916 916 411 0 411 411 MISCELLANEOUS INCOME 900099 6542 6542 6542 13975391 13860716 0 101709 264967 264967 7396624 6804255 592369 47435 42973 4462 427507 373399 54108 713999 641085 72914 37084 37084 1263540 1133140 130400 17916 17916 279160 159980 119180 1494916 1474420 20496 63243 63243 168494 87051 81443 132849 105078 27771 MEDICAL SUPPLIES 827263 827263 DIETARY SUPPLIES 407914 407914 BAD DEBTS 300125 300125 DUES & LICENSES 145493 119395 26098 108858 80477 28381 14097387 12556555 1540832 0 501639 701281 1164642 1363019 152710 114783 1187699 880798 336799 306901 2568571 1854642 25063 27514 4749424 4368140 1531477 1852057 20136 22699 200000 825000 825000 259016 109071 2635629 3008827 X 2113795 1359313 2113795 1359313 4749424 4368140 X -121996 -632486 X 0 1 X 1 0 X 300 10 1587 12966 14863 14990945 13188698 13468640 13147754 13860716 68656753 14991245 13188708 13470227 13147754 13873682 68671616 0 0 0 68671616 24 600 219 843 24 600 219 843 95882 77315 152207 101490 426894 15087151 13266623 13470227 13299961 13975391 69099353 0.99380 0.99620 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ACCOUNTING FEES OTHER RESIDENT SERVICES MISCELLANEOUS INCOME FUNDRAISING EVENTS RAFFLES 1 1 0 0 0 0 1 794 0 0 794 0 PART II-B, LINE 1: DURING 2017, WASHINGTON CARE SERVICES' CEO AND BOARD MEMBERS LOBBIED STATE AND COUNTY OFFICIALS REGARDING MEDICAID REIMBURSEMENT RATES AND OTHER GOVERNMENT FUNDING. 0 1 X 223798 111357 112441 963901 769441 194460 306901 LONG-TERM ACCRUED LIABILITIES 109071 109071 X 13975391 0 13975391 0 13975391 14097387 0 14097387 0 14097387 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. PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION AND HAS BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR UNRELATED BUSINESS INCOME, UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISIONS FOR FEDERAL INCOME TAXES HAS BEEN MADE IN THE FINANCIAL STATEMENTS. X X X 0 0 0 0 0 0 0 0 0 CASH CARLOS CEO & ADMINISTRATOR 146591 0 0 0 0 0 16416 0 0 0 163007 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 A, LINE 3 WASHINGTON CARE SERVICES OUTSOURCES ITS CFO RESPONSIBILITIES TO CLIFTONLARSONALLEN LLP AND ITS LAUNDRY AND HOUSEKEEPING SERVICES TO HEALTHCARE SERVICES GROUP. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL 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 2018. 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 XI, LINE 9: GOODWILL IMPAIRMENT -632,486. 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