2022-07-22T13:26:57-05:00 2021-12-31 911123435 THE MYERS ASSOCIATES PC 520 PIKE ST STE 1040 SEATTLE WA 981012397 990 2021-01-01 910933802 ALPHA SUPPORTED LIVING SERVICES ALPH 2062849130 16030 JUANITA-WOODINVILLE WAY NE BOTHELL WA 98011 SCOTT LIVENGOOD CEO 2062849130 2022-07-22 1 SCOTT LIVENGOOD 999009999 MARK T LONG CPA P00047630 2066236116 2022-07-05 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z SCOTT LIVENGOOD 16030 JUANITA-WOODINVILLE WAY NE BOTHELL WA 98011 44403195 0 X WWW.ALPHASLS.ORG X 1974 WA RESIDENTIAL AND SUPPORT SERVICES FOR ADULTS WITH DEVELOPMENTAL DISABILITIES 11 11 971 20 6000 0 982759 637850 42629326 43292263 40094 118801 5271 145972 43657450 44194886 0 0 0 0 38978761 39047644 0 0 188672 3743738 3466357 42722499 42514001 934951 1680885 12941278 14923566 5180856 5346148 7760422 9577418 X THE MISSION OF ALPHA SUPPORTED LIVING SERVICES IS TO SERVE INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES BY PROVIDING RESIDENTIAL AND COMMUNITY SERVICES THAT MAXIMIZE EACH PERSON'S QUALITY OF LIFE. 0 0 39318078 42489711 PROVIDE RESIDENTIAL SUPPORT SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES THROUGHOUT KING, SNOHOMISH AND SPOKANE COUNTIES. THE PROGRAMS FOCUS ON RESPECTING RESIDENT'S CHOICES IN A CONTEXT OF DIGNITY, SAFETY, AND HEALTH. THE EXPENSES INCLUDED ABOVE ARE ONLY THE DIRECT PROGRAM EXPENSES, IN ADDITION ASLS INCURS MANAGEMENT AND GENERAL COSTS TO MANAGE THE OPERATIONS WHICH ARE REIMBURSED AS PART OF THE REVENUE ALSO REFLECTED ABOVE. THE PROGRAM CURRENTLY SERVES APPROXIMATELY 201 CLIENTS. 627206 634446 THE CHILDREN'S RESIDENTIAL PROGRAM SERVES CHILDREN WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES BETWEEN THE AGES OF 11 AND 20 IN A HOME ENVIRONMENT. THIS LICENSED STAFFED RESIDENTIAL PROGRAM PROVIDES A SAFE AND SUPPORTIVE HOME ENVIRONMENT FOR UP TO FIVE INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES IN EACH HOME. THE GOAL OF THE PROGRAM IS TO INCREASE INDEPENDENCE IN DAILY LIVING AND TO REDUCE CHALLENGING BEHAVIORS. THIS IS ACHIEVED BY TEACHING SOCIAL AND LIVING SKILLS, AND BY PROVIDING OPPORTUNITIES TO INTEGRATE INTO THE COMMUNITY THROUGH RECREATION, CULTURAL ACTIVITIES, AND COMMUNITY EVENTS. THIS PROGRAM CURRENTLY SERVES THREE CHILDREN IN ONE HOME. 478907 310414 THE COMMUNITY ACCESS PROGRAM PROVIDES 1:1 SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES TO BE ENGAGED IN COMMUNITY ACTIVITIES. COMMUNITY ACCESS CREATES OPPORTUNITIES FOR PEOPLE WHO HAVE EITHER RETIRED FROM SUPPORTED EMPLOYMENT, OR WERE NOT ABLE TO BE PLACED IN A JOB, TO BE ENGAGED IN THE COMMUNITY AND BUILD RELATIONSHIPS. THE PROGRAM CURRENTLY SERVES OVER 70 CLIENTS. 55662 44334 THE REPRESENTATIVE PAYEE PROGRAM PROVIDES FINANCIAL SERVICES AND COUNSEL FOR PEOPLE AT RISK OF HOMELESSNESS AND RECEIVING SOCIAL SECURITY. THE PAYEE PROGRAM HELPS CLIENTS MANAGE THEIR BENEFITS THROUGHOUT THE MONTH, AS WELL AS DEVELOP GOALS AND PLANS FOR LONG-TERM SAVINGS AND FINANCIAL STABILITY. THE PROGRAM CURRENTLY SERVES OVER 80 CLIENTS. 55662 44334 40479853 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 5 0 1 971 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X X SCOTT LIVENGOOD 2062849130 16030 JUANITA-WOODINVILLE WAY NE BOTHELL WA 98011 PAUL VLCEK PRESIDENT 1.00 X X 0 0 0 SALVADOR SEGURA VICE PRESIDENT 0.50 X X 0 0 0 JIM KURESMAN TREASURER 0.50 X X 0 0 0 GINA MADEYA SECRETARY 1.00 X X 0 0 0 BOB BRESKOVICH MEMBER 0.50 X 0 0 0 JANESSA HUNTER MEMBER 0.50 X 0 0 0 JAN JOHNSTON MEMBER 0.50 X 0 0 0 PENNY MARTIN MEMBER 0.50 X 0 0 0 RUTH ANN HALFORD MEMBER 0.50 X 0 0 0 LINDA JOHNSON MEMBER 0.50 X 0 0 0 MARK JOHNSON MEMBER 0.50 X 0 0 0 KATIE ROSATI MEMBER 0.50 X 0 0 0 SCOTT LIVENGOOD CEO 43.00 X 433642 0 7681 ARTHUR BRYANT DIRECTOR-FINANCE 42.00 X 114247 0 8384 ROBERT BURMASTER DIRECTOR OF OPERATIONS 40.00 X 151661 0 21701 JILL BRUBACHER BRANCH DIRECTOR 40.00 X 113247 0 11762 TSHITEYA KABUIKA DIRECT SUPPORT PROFESSIONA 100.00 X 135314 0 4223 DIANE PERRY DEVELOPMENT DIRECTOR 40.00 X 104340 0 6896 DEBRA GOSS CONTROLLER 40.00 X 105099 0 1750 1157550 0 62397 7 0 1 0 0 1000 122345 514505 637850 SUPPORTED LIVING 623990 42481560 42481560 PARTICIPATION/RENT 623990 316950 316950 COMMUNITY ACCESS 623990 310414 310414 PRIVATE CARE PAYMENTS 623990 132130 132130 REP PAYEE PROGRAM 623990 44334 44334 6875 6875 43292263 81754 81754 198686 27249 188888 0 9798 27249 37047 27249 9798 0 122345 19421 -19421 -19421 OTHER REVENUE 623990 133890 133890 CONSULTING & TRAINING 623990 25503 25503 BOOKKEEPING SERVICES 541200 6000 6000 165393 44194886 43478905 6000 72131 723888 67355 635017 21516 32626980 31841220 637988 147772 536648 527925 5856 2867 1914034 1877281 32003 4750 3246094 3165542 68854 11698 28850 28850 21591 21591 349382 294196 55186 173083 146451 26563 69 140569 139362 1207 764850 658206 106644 222973 204635 18338 7127 772 6355 VEHICLE LEASE EXPENSES 814506 811561 2945 PROGRAM SUPPLIES & FEES 307523 307523 EQUIP LEASE & MNTNCE 279962 268479 11483 BAD DEBT EXPENSE 167583 0 167583 188358 169345 19013 42514001 40479853 1845476 188672 2191987 2417149 1441 1608349 1230282 147717 430454 9589831 1906124 5705470 7683707 3202483 3090370 83831 71604 12941278 14923566 3434422 3113774 942377 902246 720226 1258524 83831 71604 5180856 5346148 X 7760422 9577418 7760422 9577418 12941278 14923566 1680885 136111 0 X X 0 0 0 X 264630 309404 1917863 982759 637850 4112506 20207426 22454735 27956206 42629326 43292263 156539956 20472056 22764139 29874069 43612085 43930113 160652462 0 0 0 160652462 24435 32063 49920 80049 81754 268221 24435 32063 49920 80049 81754 268221 -23592 -844 -22634 -27358 -28026 -102454 20472899 22795358 29901355 43664776 43983841 160818229 0.99900 0.99920 0.00170 0.00150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 1679 1 21488 0 0 23167 0 PART II-B, LINE 1: THE ORGANIZATION ENGAGES IN LOBBYING ACTIVITIES TO PROTECT THE INTERESTS OF AND ENCOURAGE FUNDING FOR INDIVIDUALS WITH DISABILITIES IN THE STATE OF WASHINGTON. 1 1542979 3320715 3410530 1453164 0 3861118 3861118 4385653 990306 3395347 140008 60112 79896 749278 488072 261206 453774 367634 86140 7683707 457 PLAN FUNDING LIABILITY 71604 71604 44309406 136111 136111 44173295 21591 21591 44194886 42492410 0 42492410 21591 21591 42514001 PART IV, LINE 1B: ASLS MANAGES CUSTODIAL ACCOUNTS FOR MANY OF ITS SUPPORTED LIVING CLIENTS AS WELL AS MISSION-RELATED NON-CLIENTS IN NEED OF CUSTODIAL ARRANGEMENTS. GIVING THROUGH SONG 113381 113381 10723 GIVEBIG 8964 8964 8698 122345 122345 19421 19421 -19421 X X X X X X 0 1 0 1 0 1 0 1 0 SCOTT LIVENGOOD CEO 295200 0 59040 0 79402 0 1200 0 6481 0 441323 0 0 0 ROBERT BURMASTER DIRECTOR OF OPERATIONS 138188 0 13473 0 0 0 12061 0 9640 0 173362 0 0 0 PART I, LINE 4B CEO- 457 PLAN: $70,786 DISTRIBUTED TO EMPLOYEE IN 2021; $40,401 OF EMPLOYER CONTRIBUTIONS FUNDED TO THE PLAN FOR 2021. PART I, LINE 5 CEO BONUS COMPENSATION IS DETERMINED BASED ON PRE-SET BOARD-ESTABLISHED TARGETS ADVANCING ASLS'S STRATEGIC GOALS. THESE TARGETS INCLUDE FUNDRAISING REVENUE IN ADDITION TO NON-FINANCIAL MEASURES. PART I, LINE 6 CEO BONUS COMPENSATION IS DETERMINED BASED ON PRE-SET BOARD-ESTABLISHED TARGETS ADVANCING ASLS'S STRATEGIC GOALS. THESE TARGETS INCLUDE EXCESS OF REVENUES OVER EXPENSES IN ADDITION TO NON-FINANCIAL MEASURES. PART I, LINE 7 CEO RECEIVED A YEAR END BONUS AS A RESULT OF MEETING PERFORMANCE METRICS WHICH INCLUDE BOTH FINANCIAL AND NON-FINANCIAL MEASURES. A WASHINGTON STATE HOUSING FINANCE COMMISSION 911220968 2013-01-29 1336000 FACILITY REMODEL AND ACQUISITION 0 0 0 A 1336000 18846 1205778 111376 2013 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 2 MARRIED COUPLE ON THE BOARD OF DIRECTORS: MARK AND LINDA JOHNSON. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT FORM 990 IS PRESENTED TOGETHER WITH THE DRAFT AUDITED FINANCIAL STATEMENTS TO THE EXECUTIVE COMMITTEE. ANY UNUSUAL OR CHANGED ITEMS ARE HIGHLIGHTED IN DISCUSSION. THE BOARD OF DIRECTORS RECEIVES A COPY OF THE FULL FORM 990 PRIOR TO SIGNING BY THE CEO AND SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS DECLARES ANY CONFLICTS OF INTEREST AT LEAST ANNUALLY. IF THERE IS A SPECIFIC BOARD MATTER THAT PRESENTS A CONFLICT OF INTEREST FOR A BOARD MEMBER, THEY ARE RECUSED FROM THE DISCUSSION AND ANY RELATED VOTE. FORM 990, PART VI, SECTION B, LINE 15 ASLS HIRED A COMPENSATION CONSULTANT TO REVIEW THE CEO'S SALARY FOR 2022 AND COMPARE IT TO INDUSTRY AND REGIONAL STANDARDS. THIS RECOMMENDATION IS DISCUSSED AND COMPENSATION INCREASES ARE APPROVED BY THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. OTHER POLICY DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C, REVIEW OF AUDITED FINANCIAL STATEMENTS: THE AUDITED FINANCIAL STATEMENTS ARE REVIEWED BY THE EXECUTIVE COMMITTEE PRIOR TO ISSUANCE. INCLUSION HOUSING LLC 16030 JUANITA-WOODINVILLE WAY NE BOTHELL WA 98011 910933802 HOUSING FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES WA 68829 1383536 ALPHA SUPPORTED LIVING SERVICES ASLS GP LLC 16030 JUANITA-WOODINVILLE WAY NE BOTHELL WA 98011 HOUSING FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES WA 125000 125000 ALPHA SUPPORTED LIVING SERVICES