2019-05-14T17:33:36-05:00 2018-06-30 911194016 Clark Nuber PS 10900 NE 4th Street Suite 1400 Bellevue WA 98004 990 2017-07-01 930386860 Lutheran Community Services Northwest LUTH 2069011685 4040 South 188th Street No 300 SeaTac WA 98188 Karyn Huffman Chief Financial Officer 2069011685 2019-05-10 1 Sara Elizabeth J Hyre P00235495 4254544919 2019-05-09 65.158.230.194 2019-05-10 09:38:09 PD P DE1D2BBAE0F1147E7A7EA18DABEA7E867F199504 7E1C1C48B605640F5FBE28779BA9EF8252CA2299 2017 2020-01-14 16:20:31Z David Duea 4040 South 188th Street No 300 SeaTac WA 98188 52319744 0 X www.lcsnw.org X 1926 OR LCSNW partners with individuals, families and communities for health, justice and hope. 11 11 1042 2580 84393 -27233 35276024 41721583 9051449 9025866 61154 32785 34725 -41728 44423352 50738506 3467207 3541316 0 0 29840777 32195377 0 4000 1135933 10215541 12153430 43523525 47894123 899827 2844383 25304914 29328775 10063257 11224672 15241657 18104103 X LCSNW partners with individuals, families and communities for health, justice and hope. LCSNW provides a wide variety of social services in Oregon, Washington and Idaho and serves people of all ages, cultures and faiths. 0 0 12583212 690177 7118584 BEHAVIORAL HEALTH: LCSNW offers outpatient mental health services for children, adults and families. Specialties include working with immigrants and refugees, survivors of violence and abused and neglected children. LCSNW also provides substance abuse treatment services and an array of supportive programs to help individuals and families regain control of their lives. 14042152 1451471 431039 CHILD WELFARE: In the state of Washington, LCSNW is licensed as a Child Placing Agency. The Agency provides private agency foster care, treatment foster care and permanency planning foster care. LCSNW also operates a refugee foster care program for unaccompanied minors. In addition, LCSNW offers services that help stabilize families and prevent out of home placements. These include wraparound services, outreach, and child abuse prevention and reunification services. 4718008 1136123 941755 IMMIGRATION AND REFUGEE SERVICES: LCSNW provides both immigration and refugee resettlement services. Services are focused on helping immigrants and refugees transition successfully into their new communities. Services are provided in multiple languages and include English as a second language, citizenship classes, health education, case management and housing assistance. 2893051 140133 79257 SERVICE FOR SENIORS AND PERSONS WITH DISABILITIES: LCSNW provides a variety of services to enable seniors and persons with disabilities to remain in their homes and communities, decrease isolation and increase their independence and well-being. All services are targeted in helping clients remain in the least restrictive living situation and to have access to nutrition, health care and information through our Senior Media Services. Specific services include in-home chore services, senior companions, and meals on wheels. Our Caregiver University program provides training for caregivers of seniors or persons with disabilities to help them plan ahead, care for themselves and reduce burnout. 2826271 123412 319257 FAMILY AND COMMUNITY SUPPORT: LCSNW provides an array of services designed to empower individuals and families, increase community involvement and improve the well-being of people. Services include information and referral, community, parenting, self-sufficiency education and prevention services. Prevention services focus on reduction of child abuse and neglect, school dropout, divorce and separation and promotion of positive social relationships for adolescent development. Many of these services are provided at family support centers operated by LCSNW. 5719322 263545 398514 37062694 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 129 0 1 1042 1 1 1 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OR X Karyn Huffman 2068163212 4040 South 188th Street Suite 300 SeaTac WA 98188 Laura Gifford Chair 1.00 1.00 X X 0 0 0 Les White Vice Chair 1.00 0.00 X X 0 0 0 Paul Stumme-Diers Secretary 1.00 0.00 X X 0 0 0 Greg Gilbert Director 1.00 0.00 X 0 0 0 Jimmy Go Director 1.00 0.00 X 0 0 0 Mark Kachmarek Director 1.00 1.00 X 0 0 0 Lisa Kraft Director 1.00 0.00 X 0 0 0 Heavin Maier Director 1.00 0.00 X 0 0 0 Gretta Merwin Director 1.00 0.00 X 0 0 0 Barbara Smithson Director 1.00 0.00 X 0 0 0 Mike Wilson Director 1.00 0.00 X 0 0 0 David Duea President & CEO 40.00 1.00 X 206505 0 12779 Karyn Huffman CFO (From 12/17) 40.00 1.00 X 6188 0 0 Jerry Heemstra Interim CFO 40.00 0.00 X 118238 0 0 Kay Reed CFO (Thru 07/17) 40.00 1.00 X 73244 0 11532 Heike Lake COO (From 06/18) 40.00 0.00 X 93981 0 9399 Dennis McGaughy COO (Thru 06/18) 40.00 0.00 X 144213 0 32923 Jean Casper CHRO 40.00 0.00 X 108144 0 15701 Jacob Fournier CIO 40.00 0.00 X 128727 0 15981 Barry Hazard CDO (Thru 05/18) 40.00 0.00 X 117282 0 19262 Joseph Pauly Controller (Thru 02/18) 40.00 0.00 X 109646 0 16159 Lakew Adnew ARNP 40.00 0.00 X 114477 0 11196 Robert Pickel District Director 40.00 0.00 X 113894 0 20165 Salah Ansary District Director 40.00 0.00 X 123747 0 11946 Scott Willard Director of HC Innovation 40.00 0.00 X 106865 0 13918 1565151 0 190961 11 0 1 0 Miller Nash PC 2801 Alaskan Way Suite 300 Seattle WA 98121 Legal 278591 Accountemps PO Box 743295 Los Angeles CA 900743295 Accounting 196628 In House Docs 23334 SW St Charles Way Sherwood OR 97140 Medical Consultation 185022 Nick Campo 233 SW Wilson Avenue Suite 201 Bend OR 97702 Medical Consultation 122640 CFO Selections 310 120th Avenue NE 101 Bellevue WA 98005 Accounting 118238 5 198538 747697 787927 32206942 7780479 5306288 41721583 Client Fees 900099 7223329 7223329 Medicaid Payments 900099 1447219 1447219 Workshops & Books 900099 219686 219686 Senior Scene 541800 135632 135587 45 9025866 41618 41618 469434 446561 22873 22873 -51194 74067 913910 871703 51040 42207 -51040 -8833 -8833 97712 747697 186477 -88765 -88765 4127 4200 -73 -73 20915 21257 -342 -342 Document Request Fee 900099 23219 23219 1360 1360 24579 50738506 8889892 84393 42638 3541316 3541316 996711 996711 24687627 19428254 4519015 740358 862992 624161 198542 40289 3327793 2779182 459050 89561 2320254 1761993 494402 63859 448097 165015 282082 1000 85272 62881 19995 2396 4000 4000 18241 18241 1875083 1063085 798031 13967 1978857 1404229 487769 86859 1945928 1531403 399233 15292 737919 545489 153788 38642 364907 225604 131880 7423 122310 20219 102091 379537 230799 147262 1476 212811 20026 187132 5653 Subcontractor Expense 2727373 2723186 4187 Donated Goods 443978 443974 4 Bad Debts 318333 318333 Volunteer Costs 66015 62815 902 2298 428769 110730 299370 18669 47894123 37062694 9695496 1135933 32677 110575 6169227 3649457 846661 656642 5146301 5326564 22836 67951 16015022 4385207 10766793 11629815 1484234 6736179 836185 1151592 25304914 29328775 3823464 4364096 1690871 1819655 3049595 2949347 1499327 2091574 10063257 11224672 X 10338333 10923988 4903324 7180115 15241657 18104103 25304914 29328775 X 2844383 45348 -27285 X 0 1 X 1 1 1 X 25626499 24649701 28229588 35276024 41721583 155503395 25626499 24649701 28229588 35276024 41721583 155503395 993489 154509906 386257 353399 337490 256560 378799 1712505 21537 21537 4367 1926 53795 3444 24579 88111 157325548 39407195 0.98210 0.98650 X Schedule A, Part II, Line 10, Explanation of Other Income: Other Income - 2013 Amount: $ 4,367. 2014 Amount: $ 1,926. 2015 Amount: $ 53,795. 2016 Amount: $ 3,444. 2017 Amount: $ 24,579. 2508030 4166008 318086 172445 6819679 2240541 103394 224167 60072 2508030 2182666 159126 -26673 74578 2240541 2193668 17695 29435 58132 2182666 1643466 357890 255911 49660 13939 2193668 0.30730 0.69270 0.00000 0 1 1 1681561 1681561 4140000 9094071 3847420 9386651 1095228 537787 557441 4162 4162 11629815 Part V, Line 4: Funding Agency Programs. Portland Luncheon 105565 95288 10277 10277 8075 Chocolate & Champagne 103137 63483 39654 18672 870 46516 22 636707 588926 47781 25558 47781 7262 21466 845409 747697 97712 25558 76730 8132 76057 186477 -88765 1 Crisis/Emergency 25 190 7112 Cost Payments for Emergency Needs Foster Care 90 0 887542 Cost Payments to Foster Parents Child Care 15 0 20134 Cost Payments to Child care providers Housing/Utilities 275 279943 264817 Cost Payments to landlord/utilities Food 225 2893 5142 Cost Food and Meals for Program Participants Medical 100 537 708229 Cost Payments for Medical Care Transportation 300 24032 32098 Cost Transportation Passes and Assistance Education 2750 19270 88042 Cost Payments to school/tutors & assistance Cultural/Recreation 300 4167 45290 Cost Payments for Youth Recreation Activities Refugee Services 1700 537420 491567 Cost Payments to Landlords/Utilities and Assistance Senior & Disabled Visitation 45 0 121771 Cost Volunteer Reimbursements for Visitation Other Assistance 1 697 423 Cost Miscellaneous Part I, Line 2: Program staff monitors grantee funds through routine reporting to grantors, monitoring program performance, and oversight through our quality management processes. X X X X 0 0 0 0 0 0 0 0 0 David Duea President & CEO 206505 0 0 0 0 0 8275 0 4504 0 219284 0 0 0 Dennis McGaughy COO (Thru 06/18) 144213 0 0 0 0 0 16717 0 16205 0 177135 0 0 0 A Washington State Housing Finance Commission 911874730 2012-08-01 3450000 Refunding of old bonds and expansion of Community Services Building 0 0 0 A 500653 3450000 52762 776000 2605000 2012 1 0 1 1 A 0 1 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 1 A 1 Part III, Line 2 LCSNW has lease arrangements with several public charities that occupy space in the bond financed property. LSCNW inquires annually as to whether any unrelated business activity occurs in the space. X 2 4823132 Fair Market Value X Food, goods 1000 438111 Fair Market Value X Auction Items 212 40845 Fair Market Value X Prizes 2 4200 Fair Market Value 0 0 1 1 Part I, Column (b): The number in column (b) represents the number of items received for auction items and the number of contributions for prizes, food and other goods. Part I, Line 32b: LCSNW refers people with vehicle donations to a third party processor. Form 99, Part I, Line 6: Volunteers are an essential part of LCSNW, providing over 150,000 hours of service per year and helping LCSNW maintain a valuable community connection. Form 990, Part VI, Section A, line 3 Kay Reed, CFO, left the organization right at the turn of the fiscal year (July 7, 2017). Jerry Heemstra from CFO Selections came on board in the Fall of 2017 and served in that role until a new CFO was hired. Form 990, Part VI, Section A, line 6 The corporation has five members with voting rights. The membership consists of the following entities or their successors in interest: (a) Northwest District of the Lutheran Church Missouri Synod; (b) Oregon Synod of the Evangelical Lutheran Church in America; (c) Northwest Washington Synod of the Evangelical Lutheran Church in America; (d) Southwestern Washington Synod of the Evangelical Lutheran Church in America; and (e) Eastern Washington-Idaho Synod of the Evangelical Lutheran Church in America. Form 990, Part VI, Section A, line 7a The bishop or president of the five members serves as ex-officio, non-voting member of the board, and each appoints one representative to the Board of Directors. If an appointed position becomes vacant, the member who appointed the representative will appoint a new director. Also, a member may remove any director appointed by such member. Form 990, Part VI, Section B, line 11b Management reviewed the Form 990 and provided the Board of Directors with a copy before filing the form with the IRS. Form 990, Part VI, Section B, line 12c The Board of Directors annually signs and reaffirms the Board Code of Conduct, which includes a section on conflict of interest. All employees are also covered by the agency's Conflict of Interest Policy. If a conflict of interest is identified, the President/CEO evaluates the conflict. In the event a board member or employee is found to have a conflict of interest, the board member or employee must recuse himself/herself from discussing or voting on the issue. Form 990, Part VI, Section B, line 15 In this fiscal year, the organization went through a major compensation review at all levels of the organization at all locations. The organization contracted with a third party agency to conduct the compensation review based on market data available and comparisons to other organizations with comprabale size and operating in similar industries. The Board reviewed and approved the CEO's compensation based on the third party's recommendations. Human Resources reviewed and approved the copmensation for all the other officers. The compensation review for all officers was performed in April 2018. Form 990, Part VI, Section C, line 19 The agency includes summarized year-end financial information in its annual report, which is mailed to donors and is also available on the Agency's website. Governing documents and the conflict of interest policy can be made available to the public upon request. Form 990, Part XI, line 9: Uncollectible pledges -27,285. Lutheran Community Services Northwest Foundation 4040 South 188th Street Suite 300 SeaTac WA 98188 931065698 Support LCSNW OR 501(c)(3) Line 1 Lutheran Community Services NW 1 Christ Clinic-Christ Kitchen 4040 South 188th Street Suite 300 SeaTac WA 98188 911435174 Support LCSNW WA 501(c)(3) Line 10 Lutheran Community Services NW 1 1 0 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 Lutheran Community Services Northwest Foundation C 75089 Trial Balance/Book Christ Clinic-Christ Kitchen A 1 Trial Balance/Book Christ Clinic-Christ Kitchen C 712838 Trial Balance/Book