2023-05-15T18:21:34-05:00 2022-12-31 910614823 SCHOEDEL & SCHOEDEL CPAS PLLC 422 W RIVERSIDE AVE STE 1420 SPOKANE WA 992010395 990 2022-01-01 910645439 Christian Health Care Center CHRI 3603544434 855 Aaron Drive Lynden WA 98264 W Patrick O'Neill Chief Executive Officer 3603544434 2023-05-13 1 W Patrick ONeill XXX-XX-XXXX 0 SCOTT OPPERUD CPA P00542597 5097472158 2023-05-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z W Patrick O'Neill 855 Aaron Drive Lynden WA 98264 12100697 0 X www.chcclynden.org X 1954 WA Christian Health Care Center is a skilled nursing facility which provides housing services designed to meet the needs of older residents of Lynden, Washington regardless of their ability to pay. 10 10 253 30 0 0 4060060 336283 11432153 11699165 7889 23729 0 41520 15500102 12100697 0 0 0 0 10988645 10155856 0 0 0 3724229 3626967 14712874 13782823 787228 -1682126 11480143 9464583 1032562 699128 10447581 8765455 Christian Health Care Center is a skilled nursing facility which provides housing services designed to meet the needs of older residents of Lynden Washington regardless of their ability to pay. 0 0 11404543 11699165 Providing skilled nursing care, therapy services and housing for patients in Lynden, Washington, regardless of the person's ability to pay. Skilled nursing care includes routine and ancillary care and rehabilitation of residents in our 142-bed facility. 11404543 1 1 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 12 0 1 253 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X The Organization 3603544434 855 Aaron Drive Lynden WA 98264 W Patrick O'Neill Chief Executive Officer 39.00 1.00 X 242390 0 8336 Tonja A Meyers Administrator 40.00 X 160364 0 8336 Lannea M Riggs Nurse 40.00 X 146521 0 8336 Heather Lewis Nurse 40.00 X 146384 0 8336 Leah R Maassen Nurse 40.00 X 124535 0 8336 Karen L Jemison Nurse 40.00 X 102036 0 8336 Jeany Aupperlee 102021 Director 1.00 X 0 0 0 Blake Bostrom 032020 Director 1.00 X 0 0 0 Vincent Buys 102021 Director 1.00 X 0 0 0 Kevin DeYoung 102020 Treasurer 1.00 0.25 X X 0 0 0 Dr Emily Gibson 052022 Director 1.00 X 0 0 0 Nancy Hendricks 052018 Secretary 1.00 X X 0 0 0 Joel Kok 102020 Chair 1.00 0.25 X X 0 0 0 Jacki Matter 102017 Director 1.00 X 0 0 0 Dr Jack Veltkamp DDS 072022 Director 1.00 X 0 0 0 Jim Weinert 062018 Vice Chair 1.00 0.25 X X 0 0 0 Gary Hall Chair (Resigned 2022) 1.00 0.25 X X 0 0 0 Don Kok Chair (Resigned 2022) 1.00 0.25 X X 0 0 0 Claudia Vanderhoek Director (Resigned 2022) 1.00 X 0 0 0 922230 0 50016 6 0 1 0 Premiere Rehab dba Infinity Rehab 25117 SW Parkway Ste D Wilsonville OR 97070 Therapy Services 348276 Sodexo Inc & Affiliates 9801 Washingtonian Blvd Gaithersburg MD 20878 Food Services 277348 Bellingham PR & Communcations 2950 Newmarket Ste 101-315 Bellingham WA 98226 Communication services 128491 3 335883 400 336283 Fees and contracts 623000 8540794 8540794 Resident services 623000 3158371 3158371 11699165 23729 23729 Related party transfers 623000 41520 41520 41520 12100697 11699165 0 65249 402754 402754 7187501 6556440 631061 1749790 1650402 99388 815811 712203 103608 21553 21553 117422 117422 338787 338787 82063 82063 64992 64992 298655 278794 19861 34134 21135 12999 6281 5863 418 390052 390052 206545 192810 13735 Quality maintenance fee 657570 657570 Supplies 502432 472588 29844 Food costs 320102 320102 Dues, licenses and subs 213662 213662 372717 197849 174868 13782823 11404543 2378280 0 1387317 666092 2648387 1652503 1033019 1053333 110508 120795 165315 162475 15231497 10720392 4798764 4511105 1336833 1298280 11480143 9464583 752273 617103 15344 14527 264945 67498 1032562 699128 X 10447581 8765455 10447581 8765455 11480143 9464583 -1682126 0 X 1 X 0 0 0 X 29456 2120654 1095 400 2151605 14340344 14642075 12745970 11432153 11699565 64860107 14369800 14642075 14866624 11433248 11699965 67011712 0 0 0 67011712 14270 18038 5994 7889 23729 69920 14270 18038 5994 7889 23729 69920 3014 2611 28968 598686 335883 969162 14387084 14662724 14901586 12039823 12059577 68050794 0.98470 0.99850 0.00100 0.00100 X Schedule A, Part III, Line 12, Explanation of Other Income: Miscellaneous - 2018 Amount: $ 3,014. 2019 Amount: $ 2,611. 2020 Amount: $ 5,334. Pandemic relief income - 2020 Amount: $ 23,634. 2021 Amount: $ 598,686. 2022 Amount: $ 335,883. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1051011 1051011 5461082 3032697 2428385 8046411 7072465 973946 672993 615230 57763 4511105 Employee retention tax credit receivable 1270483 Trust account cash 14527 Due from related party 13270 1298280 Part IV, Line 2b: Christian Health Care Center maintains trust accounts for the convenience of its residents. These accounts are included as both an asset and a liability on the Care Center's balance sheet. 1 X X 0 0 0 0 0 0 0 0 0 W Patrick O'Neill Chief Executive Officer 242290 0 100 0 0 0 0 0 8336 0 250726 0 0 0 Tonja A Meyers Administrator 159666 0 698 0 0 0 0 0 8336 0 168700 0 0 0 Lannea M Riggs Nurse 146421 0 100 0 0 0 0 0 8336 0 154857 0 0 0 Heather Lewis Nurse 146284 0 100 0 0 0 0 0 8336 0 154720 0 0 0 Part I, Line 3 The compensation of the Chief Executive Officer (CEO) was determined by negotiations between the CEO and the Board of Directors. Prior to entering negotiations, the Board of Directors considered the needs of the Care Center, the employment qualifications of the CEO and prior compensation history of the position. Additionally, they reviewed and analyzed the annual AAHSA nursing home salary and benefits survey, as well as local market surveys, and compensation information obtained from similar organizations. The materials utilized in determining the CEO's compensation and the relevant deliberations of the process are memorialized, as is the approval of the CEO's compensation by the Board of Directors. Kevin DeYoung CPA AEP Board member for the organization Kevin DeYoung, CPA, a Board member for the organization, works for Larson Gross, PLLC. During the year, Larson Gross, PLLC provided regulatory advice. Christian Health Care Center compensated Larson Gross PLLC $1,361 for their work. 0 Form 990, Part VI, Section B, line 11b The Form 990 was prepared by the independent accounting firm of SCHOEDEL & SCHOEDEL, Certified Public Accountants, PLLC based on information provided under the direction of the Care Center's accounting staff. Draft copies of the Form 990 were first provided to the Care Center's CEO, who reviewed the Form 990 for accuracy and completeness. Any questions, concerns or issues raised were addressed and any necessary revisions were made to the Form 990. The revised Form 990 was then provided to the Board of Directors for its review and approval. Any additional questions, concerns, or issues raised by the Board of Directors were addressed, and any necessary revisions were made to the Form 990. The final version of the Form 990 was reviewed and approved for filing by the Board of Directors. Form 990, Part VI, Section B, line 12c Members of the Board of Directors and other persons having responsibility for the management or administration of the Care Center's finances, investments, or other proprietary information concerning the Care Center are under a continuing obligation to disclose any potential conflicts of interest to the Board of Directors as soon as it is known or reasonably should be known. On an annual basis, each Director are asked to disclose any actual or potential conflicts of interest by completing and signing a conflict-of-interest statement. All conflicts of interest and potential conflicts of interest are investigated by the disinterested Directors (or by disinterested parties designated by the disinterested Directors). If the disinterested Directors determine a conflict of interest exists, the Chairman of the Board, if appropriate, appoints a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the Directors determine whether the Care Center can obtain, with reasonable efforts, a more advantageous transaction or arrangement with a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the Board or committee determines by majority vote of the disinterested Directors whether the transaction agreement or arrangement is in the Care Center 's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination, the Directors decide whether to enter into the transaction agreement or arrangement. The minutes of the meetings reflect that the conflict disclosure was made to the Board, the vote taken and, where applicable, the abstention from voting and participation by the interested party. Whenever possible, the minutes frame the decision of the Board in such a way to provide guidance for consideration of future conflict of interest situations. Additionally, to ensure the Care Center operates in a manner consistent with its tax-exempt purposes and does not engage in activities that could jeopardize its tax-exempt status, the Board of Directors has directed the Chief Executive Officer to conduct periodic reviews of contracts and transactions. The periodic reviews include, at a minimum, the following subjects: Whether the contractual arrangements with service providers and the services provided are reasonable, based on competent market and survey information, and the result of arm's length negotiation; Whether contractual arrangements with service providers and arrangements with other organizations conform to written policies, are properly recorded, reflect reasonable investment or payments for goods and services, further tax-exempt purposes, and do not result in inurement, impermissible private benefit or in an excess benefit transaction; and Whether any transaction conducted by the Care Center during the review period involves or could possibly give rise to a conflict of interest. Form 990, Part VI, Section B, line 15a The compensation of the Chief Executive Officer (CEO) was determined by negotiations between the CEO and the Board of Directors. Prior to entering negotiations, the Board of Directors considered the needs of the Care Center, the employment qualifications of the CEO and prior compensation history of the position. Additionally, they reviewed and analyzed the annual AAHSA nursing home salary and benefits survey, as well as local market surveys, and compensation information obtained from similar organizations. The materials utilized in determining the CEO's compensation and the relevant deliberations of the process are memorialized, as is the approval of the CEO's compensation by the Board of Directors. Form 990, Part VI, Section C, line 19 The Care Center's governing documents, conflict of interest policy, financial statements and Form 990 are available to the general public upon written request sent to Christian Health Care Center at: 855 Aaron Drive, Lynden, WA 98264. Christian Health Care Center Foundation 855 Aaron Drive Lynden WA 98264 203154051 509(a)(3) Supporting Organization WA 501(c)(3) Line 12b, II Christian Health Care Center 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 Christian Health Care Center Foundation N No value assigned Christian Health Care Center Foundation O No value assigned Christian Health Care Center Foundation Q 41520