2023-08-15T15:57:53-07:00 2022-12-31 911537851 PAULSEN MEGAARD & CO PS 22232 17th Ave SE Suite 310 Bothell WA 98021 990 2022-01-01 910570840 COLUMBIA LUTHERAN MINISTRIES COLU 2066327400 4700 PHINNEY AVE N SEATTLE WA 981036374 DAVID HEYER PRESIDENT/ADMINISTRATOR 2066327400 2023-07-05 true DAVID HEYER XXX-XX-XXXX true Susan L Paulsen CPA P00443486 4254893416 2023-08-15 3 AAL1 IAL1 FAL1 2022 2023-04-26 12:10:37Z COLUMBIA LUTHERAN HOME DAVID HEYER 4700 PHINNEY AVE N SEATTLE WA 981036399 12695667 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. 7 7 186 0 0 0 4577806 44126 9628731 10181540 990463 398111 0 15197000 10623777 0 0 8170071 7748674 0 3549 4512757 4588650 12682828 12337324 2514172 -1713547 23787297 20403692 876426 979915 22910871 19423777 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 11452267 0 10181540 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. We welcome everyone regardless of religion, orientation or ability to pay. Nearly 23,000 patient days are provided annually with at least half paid by Medicaid. 11452267 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 14 0 true 186 true false false false false false false false false false false false false X 7 7 false false false false false false false true true false false true true true true true true true true false WA X CINDY SEARS 2066327400 4700 PHINNEY AVENUE N SEATTLE WA 981036399 HABIB HARIRI RN 103.00 X 352291 0 14330 DAVID HEYER PRESIDENT/ADMINISTRATOR 40.00 X 205514 0 49539 ROZINA KETSELA RN 64.00 X 179965 0 7199 TAMELA OGLESBY DIRECTOR OF NURSING 64.00 X 159756 0 0 THERESA SUTHERLAND NAC 76.00 X 137477 0 5593 SHALLUM LEGASPI LPN 52.00 X 126222 0 5480 BISRAT BEDASSA RN 51.00 X 122490 0 5001 CINDY SEARS DIRECTOR OF FINANCE/TREASURER 30.00 X 78781 0 4060 CAROLINE ALABACH BOARD MEMBER 1.00 X 0 0 0 KEITH MAHLER CHAIRPERSON 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 DOUG STENSBY BOARD MEMBER 1.00 X 0 0 0 CHARLOTTE MCGINNESS BOARD MEMBER 1.00 X 0 0 0 DEBORAH RAMSEY BOARD MEMBER 1.00 X 0 0 0 JANET SMITH BOARD MEMBER 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 1362496 0 91202 7 false true false PREMERE REHAB LLC 8100 SW NYBERG ST STE 200 TUALATIN OR 97062 THERAPY SERVICES 559631 SODEXO PO BOX 360170 PITTSBURGH PA 15251 DIETARY/FOOD SERV. MANAGEMENT 613908 2 44126 10116 44126 NURSING CARE 623000 10181540 0 0 10181540 227077 0 227077 2242924 2071890 171034 171034 0 0 171034 10623777 10181540 0 398111 497650 159756 337894 0 6106530 5954432 150070 2028 165411 163065 2346 0 421328 405239 16089 0 557755 526043 31712 0 3145 0 3145 0 59401 0 59401 0 46135 0 46135 0 1461408 1337396 124012 0 109970 109970 0 0 183309 116148 67161 0 90 90 0 0 345043 338004 6590 449 739 18 721 0 4074 2996 1078 0 824713 807889 15752 1072 68931 68931 0 0 SAFETY NET ASSESSMENTS 402431 402431 0 0 NURSING SUPPLIES 319946 319946 0 0 FOOD 301866 301866 0 0 ANCILLARIES 278791 278791 0 0 178658 159256 19402 0 12337324 11452267 881508 3549 524134 489993 2358839 2358839 781532 1150480 48672 58097 191851 201749 18743952 12047353 7465331 6696599 12208131 9238135 208807 209800 23787297 20403692 839057 936665 37369 43250 876426 979915 X 22881048 19394032 29823 29745 22910871 19423777 23787297 20403692 -1713547 -1773547 X false true X true false X 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 103591 103591 6387796 5309544 1078252 4344764 3594764 750000 7907801 3143045 4764756 6696599 PATIENT TRUST FUND 929 RESIDENT COUNCIL PAYABLE 591 MEDICARE SETTLEMENT PAYABLE 41730 43250 8804095 -1773547 -1773547 10577642 46135 46135 10623777 12291189 12291189 46135 46135 12337324 false false false false false false false false false HABIB HARIRI 352066 0 225 0 0 0 14330 0 0 0 366621 0 0 0 DAVID HEYER 200514 0 5000 0 0 0 8137 0 41402 0 255053 0 0 0 ROZINA KETSELA 179740 0 225 0 0 0 7199 0 0 0 187164 0 0 0 TAMELA OGLESBY 139756 0 20000 0 0 0 0 0 0 0 159756 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 35021. 35021. 0. 0. Form 990, Part IX, Line 11g MEDICAL DIRECTOR PURCHASED SERVICES 30000. 30000. 0. 0. Form 990, Part IX, Line 11g DENTAL CONSULTANT 4800. 4800. 0. 0. Form 990, Part IX, Line 11g DIETARY PURCHASED SERVICES 365354. 365354. 0. 0. Form 990, Part IX, Line 11g HOUSEKEEPING PURCHASED SERVICES 1864. 1864. 0. 0. Form 990, Part IX, Line 11g MAINTENANCE PURCHASED SERVICES 59003. 59003. 0. 0. Form 990, Part IX, Line 11g A&G PURCHASED SERVICES 124012. 0. 124012. 0. Form 990, Part IX, Line 11g NURSING & OTHER PURCHASED SERVICES 261195. 261195. 0. 0. Form 990, Part IX, Line 11g OTHER PURCHASED SERVICES 580159. 580159. 0. 0. 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