2019-05-14T09:20:12-07:00 2018-12-31 PAULSEN MEGAARD & CO PS 22232 17th Ave SE Suite 310 Bothell WA 980217425 990 2018-01-01 910570840 COLUMBIA LUTHERAN MINISTRIES COLU 2066327400 4700 PHINNEY AVE N SEATTLE WA 981036399 DAVID HEYER PRESIDENT/ADMINISTRATOR 2066327400 2019-05-08 true Susan L Paulsen CPA NHA P00443486 4254893416 2019-05-14 96.78.57.230 2019-05-14 09:19:58 PD P 1AE8840A6172FDD1CCF26A92E8871550D779BC50 1AE8840A6172FDD1CCF26A92E8871550D779BC50 2018 2019-02-21 02:37:17Z COLUMBIA LUTHERAN HOME DAVID HEYER 4700 PHINNEY AVE N SEATTLE WA 981036399 17023950 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 8 237 220 0 0 53233 141091 12901234 14057179 598813 687658 0 13553280 14885928 0 0 7796421 8468478 0 13492 4440076 5090786 12236497 13559264 1316783 1326664 20754608 21286859 2059449 2112337 18695159 19174522 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 12677663 0 14057179 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 40,000 patient days are provided annually with at least half paid by Medicaid. 12677663 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 25 0 true 237 true true true 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 CINDY SEARS 2066327400 4700 PHINNEY AVENUE N SEATTLE WA 981036399 CAROLINE ALABACH CHAIRPERSON 1.00 X 0 0 0 LISA ABRAMS BOARD MEMBER 1.00 X 0 0 0 ED MASON BOARD MEMBER 1.00 X 0 0 0 JENNY RORABACK CARSON MD 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 SABINE VON PREYSS-FRIEDMAN MD BOARD MEMBER 1.00 X 0 0 0 DAVID HEYER PRESIDENT/ADMINISTRATOR 40.00 X 170798 0 41122 CINDY SEARS DIRECTOR OF FINANCE/TREASURER 40.00 X 90020 0 3601 HABIB HARIRI RN 93.00 X 234691 0 9388 ADIJATU AYILARA RN 58.00 X 136493 0 5460 RITA GALUTERA DIRECTOR OF NURSING 40.00 X 126485 0 11248 AICHA LHOR RN 63.00 X 125625 0 5025 JOAN LEE RN 45.00 X 123214 0 4929 1007326 0 80773 10 false true false PREMERE REHAB LLC M/S 24 PO BOX 5700 PORTLAND OR 97228 PHYSICAL, OCCUPATIONAL & SPEECH THERAPY SERVICES 1110756 WG CLARK CONSTRUCTION CO 1945 YALE PLACE EAST SEATTLE WA 98102 GENERAL CONTRACTOR 130669 SODEXO PO BOX 360170 PITTSBURGH PA 15251 DIETARY/FOOD SERVICES MANAGEMENT 664791 3 141091 141091 NURSING CARE 623000 14057179 0 0 14057179 306678 0 306678 2519002 2138022 380980 380980 0 0 380980 14885928 14057179 0 687658 305541 0 305541 0 6860785 6681963 168862 9960 183847 179789 4058 0 492927 474405 18522 0 625378 593816 31562 0 3555 0 3555 0 39425 0 39425 0 50943 0 50943 0 1734648 1606917 127731 0 4760 3727 1033 0 210290 145262 65022 6 305365 299136 5832 397 51 44 7 0 13047 12125 809 113 529635 518830 10116 689 52404 52404 0 0 SAFETY NET ASSESSMENTS 634969 634969 0 0 FOOD 337330 337330 0 0 NURSING SUPPLIES 278489 278489 0 0 ANCILLARIES 411097 411097 0 0 484778 447360 35091 2327 13559264 12677663 868109 13492 543595 1360660 1747381 1830932 1691533 36726 40845 150464 131490 14610313 9811145 4802580 4799168 11451065 13037266 191865 225897 20754608 21286859 1188408 1555485 864487 550489 6554 6363 2059449 2112337 X 18654188 19133542 40971 40980 18695159 19174522 20754608 21286859 X 1326664 -846177 -1124 X false true X true false X 0 0 0 0 0 0 0 0 103591 103591 6387796 4624437 1763359 4542166 3710201 831965 3576760 1476507 2100253 4799168 PATIENT TRUST FUND 772 SALES AND USE TAXES 0 RESIDENT COUNCIL PAYABLE 1070 FAIR VALUE OF INTEREST RATE SWAP 4521 6363 13987684 -846177 -846177 14833861 50943 1124 52067 14885928 13508321 13508321 50943 50943 13559264 Pt XI, Line 4b CHANGE IN FAIR VALUE OF INTEREST RATE SWAP X X X false false false false false false false false false DAVID HEYER 163798 0 7000 0 0 0 6832 0 34290 0 211920 0 0 0 HABIB HARIRI 233966 0 725 0 0 0 9388 0 0 0 244079 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. Pt XI LINE 9 OTHER CHANGES IN NET ASSETS WAS FOR CHANGE IN FAIR VALUE OF INTEREST RATE SWAP. LUTHERAN SERVICES IN NORTHWEST LLC 1301 N HIGHLANDS PKWY TACOMA WA 98406 912130411 ES-ADMIN & BUSINESS SUPPORT SERVICES WA NA RELATED -552 -232 false 0 false 0.17000 false false false false false false false false false false false false false false false false false false false