2024-10-03T11:29:13-07:00 2023-12-31 911537851 PAULSEN MEGAARD & CO PS 22232 17th Ave SE Suite 310 Bothell WA 98021 990 2023-01-01 910570840 COLUMBIA LUTHERAN MINISTRIES COLU 2066327400 4700 PHINNEY AVE N SEATTLE WA 981036374 DAVID HEYER PRESIDENT/ADMINISTRATOR 2066327400 2024-10-02 true true Susan L Paulsen CPA P00443486 4254893416 2024-10-03 2023 2024-10-15 13:58:12Z COLUMBIA LUTHERAN HOME DAVID HEYER 4700 PHINNEY AVE N SEATTLE WA 981036399 14334779 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. 8 8 186 5 0 0 44126 34810 10181540 12885565 398111 561924 0 10623777 13482299 0 0 7748674 7991183 0 0 4588650 5074565 12337324 13065748 -1713547 416551 20403692 21436937 979915 869938 19423777 20566999 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 12109783 0 12885565 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. Nearly 25,000 patient days are provided annually. 12109783 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 186 true false false false false false false false false false false false false X 8 8 false false false false false false false true true false false true true true true true true true true false WA X AL STEVER 2066327400 4700 PHINNEY AVENUE N SEATTLE WA 981036399 HABIB HARIRI RN 112.00 X 427702 0 14464 DAVID HEYER PRESIDENT/ADMINISTRATOR 40.00 X 208740 0 53708 ROZINA KETSELA RN 55.00 X 169175 0 6767 TAMELA OGLESBY DIRECTOR OF NURSING 40.00 X 164659 0 3537 THERESA SUTHERLAND NAC 81.00 X 162604 0 6605 BISRAT BEDASSA RN 54.00 X 140705 0 5736 SHALLUM LEGASPI LPN 52.00 X 140152 0 5810 CINDY SEARS DIRECTOR OF FINANCE/TREASURER 23.00 X 74680 0 4021 CAROLINE ALABACH BOARD MEMBER 1.00 X 0 0 0 KEITH MAHLER BOARD MEMBER 1.00 X 0 0 0 ED MASON BOARD MEMBER 1.00 X 0 0 0 BARBARA GRAHAM BOARD MEMBER 1.00 X 0 0 0 CHARLOTTE MCGINNESS BOARD MEMBER 1.00 X 0 0 0 JANET SMITH CHAIRPERSON 1.00 X 0 0 0 BILL PURCELL BOARD MEMBER 1.00 X 0 0 0 ANNE LOHRMANN BOARD MEMBER 1.00 X 0 0 0 1488417 0 100648 7 false true false PREMERE REHAB LLC 8100 SW NYBERG ST STE 200 TUALATIN OR 97062 THERAPY SERVICES 758096 SODEXO PO BOX 360170 PITTSBURGH PA 15251 DIETARY/FOOD SERV. MANAGEMENT 673583 2 34810 34810 NURSING CARE 623000 12885565 0 0 12885565 328508 0 328508 1085896 852480 233416 233416 0 0 233416 13482299 12885565 0 561924 509345 168196 341149 0 6327467 6133629 193838 0 164315 161618 2697 0 420481 403846 16635 0 569575 535092 34483 0 2496 0 2496 0 46700 0 46700 0 44352 0 44352 0 1543539 1382225 161314 0 75866 75866 0 0 202593 132794 69799 0 3892 3892 0 0 328038 321772 6266 0 128 0 128 0 6740 3668 3072 0 752947 738566 14381 0 120756 120756 0 0 SAFETY NET ASSESSMENTS 412574 412574 0 0 ANCILLARIES 367161 367161 0 0 NURSING SUPPLIES 348861 348861 0 0 CREDIT LOSS 340229 340229 0 0 477693 459038 18655 0 13065748 12109783 955965 0 489993 1393129 2358839 721933 1150480 1221897 58097 41452 201749 203543 18845020 12768733 6696599 6076287 9238135 11554928 209800 223768 20403692 21436937 936665 864012 43250 5926 979915 869938 X 19394032 20536478 29745 30521 19423777 20566999 20403692 21436937 416551 726671 X false true X true false X 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 103591 103591 6387796 5402354 985442 4458376 3705627 752749 7895257 3660752 4234505 6076287 PATIENT TRUST FUND 945 RESIDENT COUNCIL PAYABLE 7 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 4974 5926 14164618 726671 726671 13437947 44352 44352 13482299 13021396 13021396 44352 44352 13065748 X X X false false false false false false false false false HABIB HARIRI 427477 0 225 0 0 0 14464 0 0 0 442166 0 0 0 DAVID HEYER 202696 0 6044 0 0 0 8346 0 45362 0 262448 0 0 0 ROZINA KETSELA 168950 0 225 0 0 0 6767 0 0 0 175942 0 0 0 TAMELA OGLESBY 151449 0 13210 0 0 0 3537 0 0 0 168196 0 0 0 THERESA SUTHERLAND 162379 0 225 0 0 0 6605 0 0 0 169209 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. Form 990, Part IX, Line 11g NURSING CONSULTANTS AND PURCHASED SERVICES 28812. 28812. 0. 0. Form 990, Part IX, Line 11g MEDICAL DIRECTOR PURCHASED SERVICES 58372. 58372. 0. 0. Form 990, Part IX, Line 11g DENTAL CONSULTANT 4800. 4800. 0. 0. Form 990, Part IX, Line 11g DIETARY PURCHASED SERVICES 382036. 382036. 0. 0. Form 990, Part IX, Line 11g MAINTENANCE PURCHASED SERVICES 66363. 66363. 0. 0. Form 990, Part IX, Line 11g BENEFIT ADMIN FEES 23981. 0. 23981. 0. Form 990, Part IX, Line 11g A&G PURCHASED SERVICES 137333. 0. 137333. 0. Form 990, Part IX, Line 11g NURSING & OTHER PURCHASED SERVICES 69632. 69632. 0. 0. Form 990, Part IX, Line 11g THERAPY PURCHASED SERVICES 772210. 772210. 0. 0. LUTHERAN SERVICES IN NORTHWEST LLC 1301 N HIGHLANDS PKWY TACOMA WA 98406 912130411 ES-ADMIN & BUSINESS SUPPORT SERVICES WA NA RELATED 116 268 false 0 false 0.12500 false false false false false false false false false false false false false false false false false false false