2018-11-01T16:54:39-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2017-01-01 910583380 WESLEY HOMES WESL 2068701260 815 SOUTH 216TH STREET DES MOINES WA 98198 JIM YAMAMOTO VICE PRESIDENT OF FINANCE 2068701223 2018-08-28 1 KURT BENNION CPA P01469618 4252506100 2018-08-28 67.137.57.251 2018-08-28 10:11:21 PD P B1033B006BFCD7423EE2E3AB54E3E8445E45BF8B 5361518973D1A559921F7DF4214214CF34F86A31 2017 2019-02-21 02:37:17Z KEVIN ANDERSON 815 SOUTH 216TH STREET DES MOINES WA 98198 47641440 0 X WWW.WESLEYHOMES.ORG X 1944 WA PROVIDES RETIREMENT HOUSING AND CARE SERVICES FOR OLDER ADULTS. 14 14 821 44 0 0 1409342 3092391 36314082 40477169 766326 616385 -279855 231831 38209895 44417776 526844 3630974 0 0 19967483 22656532 0 0 0 18387531 19373929 38881858 45661435 -671963 -1243659 118585673 158508997 103265748 142583501 15319925 15925496 X WESLEY HOMES IS A FAITH BASED ORGANIZATION PROVIDING RETIREMENT COMMUNITIES AND A NETWORK OF SERVICES FOR OLDER ADULTS. WITH LOVE AND JOY, WE ARE CALLED TO MEET THE PHYSICAL, SOCIAL AND SPIRITUAL NEEDS OF THOSE WE SERVE. WE AFFIRM THE WORTH OF ALL THOSE WE SERVE AND THOSE WHO PROVIDE SERVICE. 0 0 26625398 3019366 26994528 WESLEY HOMES DES MOINES SERVES AN AVERAGE OF 470 SENIORS AT ANY ONE TIME IN INDEPENDENT COTTAGES/APARTMENTS, ASSISTED LIVING AND SKILLED NURSING. THIS CAMPUS EMPLOYS APPROXIMATELY 312 PEOPLE WHO PROVIDE CARE GIVING AND HOSPITALITY SERVICES. IT ALSO HOUSES THE OFFICES FOR THE PACIFIC NORTHWEST CONFERENCE OF THE UNITED METHODIST CHURCH.RESIDENTS AT WESLEY HOMES DES MOINES HAVE A CONTRACT THAT PROVIDES FOR THEM EVEN IF THEY RUN OUT OF MONEY. RESIDENT SUBSIDIES AND MEDICAID SHORTFALLS WERE WELL OVER $3,727,225 AND TWENTY-ONE RESIDENTS BENEFITED FROM THE BISHOP MCCONNELL PROGRAM IN 2017. SINCE ITS 2001 INCEPTION, THE ORGANIZATION HAS SUBSIDIZED $4,612,699 IN RESIDENCY AND SERVICE FEES FOR BISHOP MCCONNELL SCHOLARSHIP RESIDENTS.WESLEY HOMES DES MOINES PARTNERS WITH ANOTHER NON-PROFIT, ELDER AND ADULT DAY SERVICES, TO PROVIDE ADULT DAY CARE ON CAMPUS. THIS PROGRAM SERVES FIFTEEN TO TWENTY INDIVIDUALS AT LOWER INCOME LEVELS EACH DAY, PROVIDING MUCH NEEDED ACTIVITIES, FOOD AND SOCIAL SERVICES. 9798726 611608 13482641 WESLEY HOMES LEA HILL SERVES AN AVERAGE OF 230 SENIORS AT ANY ONE TIME IN INDEPENDENT COTTAGES/APARTMENTS, ASSISTED LIVING AND SKILLED NURSING. THIS CAMPUS EMPLOYS APPROXIMATELY 103 EMPLOYEES. WITH FULLY REFUNDABLE ENTRANCE DEPOSITS AND MODERATE MONTHLY FEES, THIS CAMPUS IS AFFORDABLE TO INDIVIDUALS OF MODEST MEANS WHILE PROVIDING HIGH QUALITY PROGRAMS AND AMENITIES TO PROMOTE ACTIVE AND HEALTHY AGING.STAFF AND RESIDENTS AT WESLEY HOMES LEA HILL ARE COMMITTED TO SUPPORTING OTHER COMMUNITY ORGANIZATIONS SUCH AS CHILDREN'S THERAPY CENTER OF KENT BY PROVIDING THE INDOOR POOL FOR THE CHILDREN'S WATER THERAPY PROGRAM. THEY ALSO SUPPORT ELEMENTARY SCHOOLS, THE AUBURN FOOD BANK, THE AUBURN SENIOR CENTER, AND FAMILIES DEALING WITH AGING ISSUES BY PROVIDING VOLUNTEERS, DONATIONS AND SUPPORT GROUPS. 36424124 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 40 0 821 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X SYED RASHID 2068701310 815 SOUTH 216TH STREET DES MOINES WA 98198 ED ROGEL CHAIR 1.00 0.00 X X 0 0 0 STEVE STORMS VICE CHAIR 1.00 0.00 X X 0 0 0 JERRY FLAGEL SECRETARY 1.00 0.00 X X 0 0 0 JOHN MCGILLIARD TREASURER 1.00 1.00 X X 0 0 0 CLARK DAFFERN BOARD MEMBER (THROUGH MAY 2017) 1.00 0.00 X 0 0 0 BRIAN GARRETT BOARD MEMBER 1.00 1.00 X 0 0 0 JOE HARMON BOARD MEMBER 1.00 0.00 X 0 0 0 WALTER LIANG BOARD MEMBER (THROUGH MAY 2017) 1.00 1.00 X 0 0 0 DENNIS MAGNUSON BOARD MEMBER 1.00 0.00 X 0 0 0 CRAIG PARRISH BOARD MEMBER (THROUGH JULY 2017) 1.00 0.00 X 0 0 0 DANA NELSON PETERSON BOARD MEMBER 1.00 1.00 X 0 0 0 JEANI ROTTLE BOARD MEMBER 1.00 0.00 X 0 0 0 TIM SEARING BOARD MEMBER 1.00 0.00 X 0 0 0 ANNE SHANNON BOARD MEMBER 1.00 0.00 X 0 0 0 BRENT SMITH BOARD MEMBER 1.00 0.00 X 0 0 0 JACK WIMPRESS BOARD MEMBER 1.00 0.00 X 0 0 0 MONTE WINDSOR BOARD MEMBER 1.00 0.00 X 0 0 0 KEVIN ANDERSON PRESIDENT/CEO 40.00 10.00 X 322317 0 27875 JIM YAMAMOTO VP OF FINANCE 40.00 10.00 X 154970 0 8865 CHRISTINE TREMAIN VP OF MARKETING 50.00 0.00 X 157385 0 10032 AIJA STAPARS VP OF HUMAN RESOURCES 40.00 10.00 X 132740 0 11144 ALEX CANDALLA DES MOINES CAMPUS ADMINISTRATOR 50.00 0.00 X 195681 0 8651 JESSE DYKSHOORN DIRECTOR OF IT 40.00 10.00 X 121762 0 8719 GREG BYRGE LEA HILL CAMPUS ADMINISTRATOR 40.00 10.00 X 134669 0 3743 NOEL DONATO DES MOINES DIRECTOR OF NURSING 40.00 10.00 X 114998 0 17072 SYED RASHID CONTROLLER 40.00 10.00 X 104723 0 9335 1439245 0 105436 9 0 1 0 ASHER CONSTRUCTION PO BOX 280 PUYALLUP WA 98371 CONSTRUCTION 12099817 WALSH CONSTRUCTION 315 FIFTH AVE SOUTH SUITE 600 SEATTLE WA 98104 CONSTRUCTION 11178797 CONSONUS PO BOX 4800 PORTLAND OR 972084800 THERAPY SERVICES 1522746 SENIOR HOUSING PARTNERS 3116 FAIRVIEW AVE N ROSEVILLE MN 55113 CONSULTING 530015 IN SITE ARCHITECTS 2324 UNIVERSITY AVENUE SUITE 105 ST PAUL MN 55114 CONSTRUCTION PROJECT OVERSIGHT 511580 10 3091891 500 3092391 HEALTH SERVICES 623000 23275172 23275172 SERVICE CHARGES 623990 15395143 15395143 RESIDENCY FEES 623990 1488809 1488809 OTHER REVENUE 623990 318045 318045 40477169 419154 419154 3420895 3223664 197231 197231 197231 MANAGEMENT FEES 561000 231831 231831 231831 44417776 40477169 0 848216 3630974 3630974 825328 825328 16209695 14186507 2023188 388205 329211 58994 1860479 1702330 158149 3372825 3166972 205853 104509 104509 74737 74737 70500 70500 2684360 1916135 768225 419592 419592 1130743 284050 846693 372983 372983 2133917 1847575 286342 97815 42316 55499 11757 2666 9091 1966858 1966858 4976251 4976251 349599 349599 RESIDENT EXPENSES 2678531 2678531 HEALTH CARE SUPPLIES 1382384 1382384 ALL OTHER EXPENSES 610796 278222 332574 BAD DEBTS 308597 308597 45661435 36424124 9237311 0 1223982 2476028 254974 173386 1400536 2668113 956776 740610 89185 133133 468828 457249 180716481 73388745 79320137 107327736 15288799 17691053 19582456 26841689 118585673 158508997 4455561 8352560 11983354 12581082 70842968 103972699 209434 244832 15774431 17432328 103265748 142583501 X 15319925 15925496 15319925 15925496 118585673 158508997 -1243659 1849230 0 X 0 1 X 1 0 X 1007351 250004 1409342 3092391 5759088 33479592 34229314 35458078 36314082 40477169 179958235 33479592 35236665 35708082 37723424 43569560 185717323 9426 18371 406130 433927 0 9426 18371 406130 433927 185283396 645024 607506 777118 514452 419154 2963254 645024 607506 777118 514452 419154 2963254 364099 413889 172569 196786 231831 1379174 34488715 36258060 36657769 38434662 44220545 190059751 0.97490 0.97230 0.01560 0.01770 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MANAGEMENT FEES 0 0 0 0 0 0 0 0 1 970 970 0 PART II-B, LINE 1: DURING 2017, WESLEY HOMES PAID $40,658 OF ASSOCIATION DUES TO LEADINGAGE. $29,013 WENT TO LEADINGAGE WASHINGTON AND $11,645 WENT TO LEADINGAGE NATIONAL. 1.9% OF THE WASHINGTON AMOUNT AND 3.6% OF THE NATIONAL AMOUNT IS ATTRIBUTED TO LOBBYING ACTIVITIES CONDUCTED BY LEADINGAGE. 0 1 X 8383473 8383473 123151505 59796477 63355028 1858672 1658719 199953 15168974 11933549 3235425 32153857 32153857 107327736 ASSETS RESTRICTED FOR USE-BOND FUNDS 24086414 ACCRUED INTEREST 10602 DEPOSITS 2744673 26841689 REFUNDABLE RESIDENCY FEES 17432328 17432328 X 45245644 1849230 4769767 6618997 38626647 70500 5720629 5791129 44417776 48049420 6478633 6478633 41570787 70500 4020148 4090648 45661435 PART IV, LINE 2B: THESE ARE RESIDENT TRUST FUNDS AND RENTAL SECURITY DEPOSIT FUNDS HELD FOR RESIDENTS. PART X, LINE 2: THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS AND IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE YEARS 2014 TO 2017 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: WESLEY HOMES FOUNDATION REVENUES 93,287. WESLEY HOMES COMMUNITY HEALTH SERVICES REVENUES 4,636,240. UNRESTRICTED CONTRIBUTIONS, GIFTS AND BEQUESTS 40,240. PART XI, LINE 4B - OTHER ADJUSTMENTS: TRANSFERS FROM RELATED ORGANIZATIONS 2,634,983. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL 290,740. NET INVESTMENT INCOME 2,405,732. MANAGEMENT FEES 231,831. TRANSACTIONS ELIMINATED IN THE FINANCIAL STATEMENTS 157,343. PART XII, LINE 2D - OTHER ADJUSTMENTS: WESLEY HOMES FOUNDATION EXPENSES 940,666. WESLEY HOMES COMMUNITY HEALTH SERVICES EXPENSES 5,537,967. PART XII, LINE 4B - OTHER ADJUSTMENTS: TRANSFERS TO RELATED ORGANIZATIONS 3,630,974. MANAGEMENT FEES 231,831. TRANSACTIONS ELIMINATED IN THE FINANCIAL STATEMENTS 157,343. 1 WESLEY HOMES FOUNDATION 815 SOUTH 216TH STREET DES MOINES WA 98198 911732317 501(C)(3) 451603 TO SUPPORT GENERAL OPERATIONS. WESLEY HOMES COMMUNITY HEALTH SERVICES 815 SOUTH 216TH STREET DES MOINES WA 98198 571160339 501(C)(3) 1082661 TO SUPPORT GENERAL OPERATIONS WESLEY HOMES AT HOME LLC 815 SOUTH 216TH STREET DES MOINES WA 98198 208593142 501(C)(3) 1716408 TO SUPPORT GENERAL OPERATIONS WESLEY HOMES HOSPICE LLC 815 SOUTH 216TH STREET DES MOINES WA 98198 814451201 501(C)(3) 380302 TO SUPPORT GENERAL OPERATIONS 4 0 PART I, LINE 2: THE TRANSFERS LISTED ARE TO RELATED ORGANIZATIONS THAT ARE UNDER COMMON MANAGEMENT. TRANSFERS BETWEEN ORGANIZATIONS ARE TRACKED INTERNALLY THROUGH THE FINANCIAL REPORTING PROCESS. X X X 0 0 0 0 0 0 0 0 0 KEVIN ANDERSON PRESIDENT/CEO 301798 0 20000 0 519 0 12923 0 14952 0 350192 0 0 0 JIM YAMAMOTO VP OF FINANCE 152457 0 2000 0 513 0 6144 0 2721 0 163835 0 0 0 CHRISTINE TREMAIN VP OF MARKETING 155107 0 2000 0 278 0 6291 0 3741 0 167417 0 0 0 ALEX CANDALLA DES MOINES CAMPUS ADMINISTRATOR 189490 0 2000 0 4191 0 7336 0 1315 0 204332 0 0 0 A WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 939783TW6 2016-11-07 25000000 FACILITY ACQUISITION, DEMOLITION, CONSTRUCTION AND EQUIPPING 0 0 0 B WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 939783UA2 2016-12-13 83030000 FACILITY ACQUISITION, CONSTRUCTION AND EQUIPPING 0 0 0 C WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 939783TS5 2016-09-23 54301691 REFUND SERIES 2007A AND 2014 BONDS 0 0 0 A 25000000 614886 1250000 326255 7911352 1059752 0 0 0 1 B 83030000 1265225 4071284 1615032 1000000 6902264 7123799 0 0 0 1 C 54301691 3115664 40164667 1027200 44966 9950046 1 1 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 FORM 990, PART VI, SECTION A, LINE 1 THE ORGANIZATION'S EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, PAST CHAIR, CHAIR ELECT, TREASURER AND SECRETARY OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE HAS AND EXERCISES THE AUTHORITY OF THE BOARD OF TRUSTEES, EXCEPT THE EXECUTIVE COMMITTEE DOES NOT HAVE THE AUTHORITY OF THE BOARD IN REFERENCE TO: 1. AMENDING, ALTERING, OR REPEALING THE BYLAWS; 2. ELECTING, APPOINTING, OR REMOVING ANY MEMBER OF THE EXECUTIVE COMMITTEE OR ANY DIRECTOR OR OFFICER OF THE CORPORATION; 3. AMENDING THE ARTICLES OF INCORPORATION; 4. ADOPTING A PLAN OR MERGER OR ADOPTING A PLAN OF CONSOLIDATION; 5. AUTHORIZING THE SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S PROPERTY AND ASSETS; 6. AUTHORIZING THE VOLUNTARY DISSOLUTION OF THE ORGANIZATION OR ADOPTING A PLAN FOR THE DISTRIBUTION OF THE ORGANIZATION'S ASSETS; OR 7. AMENDING, ALTERING, OR REPEALING ANY RESOLUTION OF THE BOARD OF TRUSTEES WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED, OR REPEALED BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION AND INCLUDES MEMBERS FROM THE PACIFIC NORTHWEST CONFERENCE OF THE UNITED METHODIST CHURCH, WHO HAVE THE RIGHT TO PARTICIPATE IN THE SELECTION OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD MEMBERS ARE ELECTED AT THE ANNUAL MEETING OF THE MEMBERS. AT LEAST A MAJORITY OF THE ELECTED BOARD MEMBERS MUST BE MEMBERS OF THE UNITED METHODIST CHURCH. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS TO THE ARTICLES OF INCORPORATION MUST BE APPROVED BY A MAJORITY OF THE MEMBERS PRESENT AT THE ANNUAL MEETING IN ADDITION TO A TWO-THIRDS PASSING VOTE BY THE BOARD OF DIRECTORS. IN ADDITION, ANY MODIFICATIONS TO THE BYLAWS WITH RESPECT TO THE MEMBERSHIP OF WESLEY HOMES OR THE PROCESS OF ELECTING THE BOARD OF DIRECTORS MUST BE APPROVED BY THE MEMBERS AT THEIR ANNUAL MEETING PRIOR TO BEING AMENDED. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS DELEGATED THE RESPONSIBILITY OF REVIEWING THE FORM 990 TO THE FINANCE COMMITTEE. MANAGEMENT AND THE FINANCE COMMITTEE REVIEWED IN DETAIL THE FORM 990. A COPY OF THE 990 WAS PRESENTED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH MAY, OR WHEN A NEW MEMBER ARRIVES ON THE BOARD, BOARD MEMBERS ARE GIVEN A DISCLOSURE FORM TO SIGN AND SUBMIT DECLARING ANY POSSIBLE CONFLICT OF INTEREST. SHOULD CONFLICTS EXIST, THE CONFLICTS ARE DISCLOSED TO THE OTHER BOARD MEMBERS. BOARD MEETING MINUTES WOULD REFLECT THE CONFLICT AS IT RELATES TO A RELEVANT DISCUSSION AND THE MEMBER WITH THE CONFLICT WOULD ABSTAIN FROM THE DISCUSSION AND DECISION. EACH MEMBER HAS BEEN GIVEN THE POLICY UPON MEMBERSHIP TO THE BOARD. MONITORING OF CONFLICTS OF INTEREST IS MANAGED BY THE WESLEY HOMES EXECUTIVE ASSISTANT. FORM 990, PART VI, SECTION B, LINE 15A THE LAST COMPANY-WIDE COMPENSATION REVIEW OF ALL POSITIONS WAS CONDUCTED IN 2012. WE PURCHASED MILLIMAN NW HEALTHCARE SALARY DATA IN 2014 AND 2015, AND MILLIMAN NW PROFESSIONAL SALARY DATA IN 2015 AND USED THAT TO ESTABLISH SALARY RANGES FOR THE ORGANIZATION. WE ALSO FACTORED IN SALARY DATA FROM HOME HEALTH SALARY SURVEYS AND FROM LEADING AGE TO ARRIVE AT SALARY RANGES FOR STAFF AND SOME EXECUTIVE POSITIONS. WE USED AN OUTSIDE CONSULTANT TO DO THE ANALYSIS AND PRICING FOR THE PRESIDENT/CEO POSITION. A COMPENSATION ANALYSIS AND RECOMMENDATION WAS PREPARED FOR THE CHAIR OF THE BOARD WHO PRESENTED TO THE EXECUTIVE COMMITTEE. THE COMMITTEE REVIEWED AND APPROVED THE CEO SALARY INCREASE. MILLIMAN, LEADING AGE, HOME HEALTH SALARY SURVEYS AND JUDGEMENT WERE USED TO PRICE THE SALARIES OF THE OTHER OFFICERS. THE HR DEPARTMENT PROVIDED THE ANALYSIS AND THE PRESIDENT/CEO MADE THE FINAL DETERMINATION. FORM 990, PART VI, SECTION C, LINE 19 WESLEY HOMES' GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. WESLEY HOMES DES MOINES LLC 815 S 216TH STREET DES MOINES WA 98198 203541243 PLANNED RETIREMENT COMMUNITY WA 27177761 54700387 WESLEY HOMES WESLEY HOMES LEA HILL LLC 32049 109TH PLACE SE AUBURN WA 98092 202347503 PLANNED RETIREMENT COMMUNITY WA 13485626 57130889 WESLEY HOMES WESLEY HOMES BRADLEY PARK LLC 815 S 216TH STREET DES MOINES WA 98198 475289602 PLANNED RETIREMENT COMMUNITY WA 10073 44225403 WESLEY HOMES WESLEY HOMES RENTON LLC 13434 SE 180TH STREET RENTON WA 98058 813601830 PLANNED RETIREMENT COMMUNITY WA 0 1371692 WESLEY HOMES WESLEY HOME COMMUNITY HEALTH SERVICES 815 S 216TH STREET DES MOINES WA 98198 571160339 HOME HEALTH AGENCY WA 501(C)(3) LINE 10 WESLEY HOMES 1 WESLEY HOMES FOUNDATION 815 S 216TH STREET DES MOINES WA 98198 911732317 SUPPORT WESLEY HOMES AND ITS RESIDENTS WA 501(C)(3) LINE 12A, I WESLEY HOMES 1 0 1 1 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 WESLEY HOMES FOUNDATION B 451603 CASH WESLEY HOMES COMMUNITY HEALTH SERVICES B 3179371 CASH WESLEY HOMES FOUNDATION C 1302200 CASH WESLEY HOMES COMMUNITY HEALTH SERVICES C 1332783 CASH WESLEY HOMES FOUNDATION E 126861 NET BOOK VALUE WESLEY HOMES COMMUNITY HEALTH SERVICES M 149996 COST WESLEY HOMES COMMUNITY HEALTH SERVICES Q 231812 COST