2023-10-30T14:51:36-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-01-01 911620786 KIN ON HEALTH CARE CENTER KINO 2067213630 4416 S BRANDON STREET SEATLE WA 981182341 KETTY HSIEH CEO 2067213630 2023-10-27 1 KETTY HSIEH 999009999 0 KURT BENNION CPA P01469618 4252506100 2023-10-27 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KETTY HSIEH 4416 S BRANDON STREET SEATLE WA 981182341 19574116 0 X WWW.KINON.ORG X 1985 WA KIN ON HONORS AND SUPPORTS OUR ELDERS AND FAMILIES BY OFFERING CULTURALLY ASIAN AND LINGUISTICALLY APPROPRIATE HEALTHCARE SERVICES IN A HEALTHY LIVING COMMUNITY. 20 20 358 156 0 0 4180820 2902374 12703145 16206265 609837 348986 -39000 84957 17454802 19542582 0 0 0 0 12088669 14910773 0 0 324945 3473463 4047597 15562132 18958370 1892670 584212 33662547 31669461 5522556 5652826 28139991 26016635 X KIN ON HONORS AND SUPPORTS OUR ELDERS AND FAMILIES BY OFFERING CULTURALLY ASIAN AND LINGUISTICALLY APPROPRIATE HEALTHCARE SERVICES IN A HEALTHY LIVING COMMUNITY. 1 0 11516275 0 11116711 RESIDENTIAL SERVICES: KIN ON PROVIDES CULTURALLY APPROPRIATE CARE FOR THE RESIDENTS IN ITS 100-BED NURSING HOME, 25-BED ASSISTED LIVING BUILDING, AND SIX-ROOM ADULT FAMILY HOME. 4283766 0 4061337 HOME CARE PROGRAM: THE PURPOSE OF THE PROGRAM IS TO PROVIDE IN-HOME SERVICES TO THE PHYSICALLY CHALLENGED AND CHRONICALLY ILL CLIENTS. SERVICES PROVIDED INCLUDE ASSISTANCE IN BATHING, DRESSING, TRANSFER, PERSONAL HYGIENE, AMBULATION, TOILETING, MEAL PREPARATION, LAUNDRY AND HOUSEKEEPING. APPROXIMATELY 135 CLIENTS WERE SERVED EACH MONTH IN 2022. 2206560 0 1028217 COMMUNITY WELLNESS AND SOCIAL SERVICE: THIS COMMUNITY BASED PROGRAM HAS TWO MAIN COMPONENTS. HEALTHY LIVING PROGRAM INCLUDES EVIDENCE-BASED WORKSHOPS, EDUCATIONAL SEMINARS LED BY VOLUNTEER MEDICAL PROFESSIONALS, AND SOCIAL ACTIVITIES SUCH AS ARTS AND CRAFT, LINE DANCING, MAH-JONG, ETC. SOCIAL SERVICE PROGRAM INCLUDES ASSESSMENT, CARE PLAN DEVELOPMENT, MONITORING OF SERVICE PROGRESS AND QUALITY, COORDINATE HEALTH CARE WITH CLIENT'S PHYSICIAN, ARRANGE MEDICATION DELIVERY AND MONITORING, INFORMATION AND REFERRAL, AND OUTREACH TO COMMUNITY TO IDENTIFY CAREGIVERS IN NEED OF SUPPORT SERVICES. THESE COMMUNITY-BASED PROGRAMS SERVED OVER 300 PARTICIPANTS IN 2022. 18006601 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 11 0 1 358 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 20 20 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X CHERILYN SYMONS 2067213630 4416 S BRANDON STREET SEATLE WA 981182341 KETTY HSIEH DIRECTOR THROUGH FEB 2022) & CEO (AS OF JUNE 2022) 40.00 X X 155232 0 3250 ROSE WONG LPM 56.80 X 130324 0 10596 EVANGELINE REALUBIN NURSE/NAC 73.30 X 129129 0 11298 TRINH LUONG NURSE/LPN 50.00 X 114653 0 10126 BRENDA LAU NURSE/RN 42.90 X 109813 0 9842 JIMMY FLORES NURSE/RN 44.50 X 100810 0 10746 HUEY YEH FINANCIAL DIRECTOR (MAY TO DEC 2022) 40.00 X 104844 0 4928 CHARLES DO FINANCIAL DIRECTOR (THROUGH MAY 2022) 40.00 X 71045 0 2776 SAM WAN DIRECTOR THROUGH FEB 2022) & INTERIM CEO (FEB TO MAY 2022) 40.00 X X 57909 0 0 MIN CHANG CEO (THROUGH FEBRUARY 2022) 40.00 X 53075 0 0 SHERWIN TSAO PRESIDENT 1.00 X X 0 0 0 HANNAH WONG FIRST VICE PRESIDENT 1.00 X X 0 0 0 WENDY ZHENG SECOND VICE PRESIDENT 1.00 X X 0 0 0 DENNIS LAM SECRETARY 1.00 X X 0 0 0 DAVID LEE TREASURER 1.00 X X 0 0 0 STELLA LEONG IMMEDIATE PAST PRESIDENT 1.00 X X 0 0 0 CHRISTIN CHOU DIRECTOR 1.00 X 0 0 0 GARRET DONG DIRECTOR 1.00 X 0 0 0 DENNIS ENG DIRECTOR 1.00 X 0 0 0 KONNIE KONG DIRECTOR 1.00 X 0 0 0 NELLA KWAN DIRECTOR 1.00 X 0 0 0 ROSA LEUNG DIRECTOR 1.00 X 0 0 0 TIM LOUIE DIRECTOR 1.00 X 0 0 0 CHUN NG DIRECTOR (THROUGH DECEMBER 2022) 1.00 X 0 0 0 DENNIS SU DIRECTOR 1.00 X 0 0 0 CLEMENT SUN MD DIRECTOR 1.00 X 0 0 0 LO YU SUN DIRECTOR 1.00 X 0 0 0 JACK WANG MD DIRECTOR 1.00 X 0 0 0 MARCELLA WING DIRECTOR 1.00 X 0 0 0 CLARA CHEUNG YEE DIRECTOR 1.00 X 0 0 0 WARRANT YEE DIRECTOR 1.00 X 0 0 0 1026834 0 63562 8 0 1 0 INFINITY REHAB 8100 SW NYBERG STREET SUITE 200 TUALATIN OR 97062 REHABILITATION SERVICES 195729 CLIFTONLARSONALLEN LLP PO BOX 31001-2443 PASADENA CA 911102443 FINANCIAL & AUDIT SERVICES 119050 2 136173 10000 2756201 19114 2902374 SKILLED NURSING SERVICES 623000 11116711 11116711 COMMUNITY CARE SERVICES 624100 4061337 4061337 SUPPORTIVE HOUSING SERVICES 621610 1028217 1028217 16206265 348986 348986 2250 136173 31534 -29284 -29284 MISCELLANEOUS INCOME 900099 114241 114241 114241 19542582 16206265 0 433943 453059 86081 339795 27183 11182646 10951595 27763 203288 111865 91632 19224 1009 2329475 2290385 18630 20460 833728 792409 25764 15555 26700 25281 376 1043 25075 23743 353 979 73471 73471 537913 512530 6730 18653 16980 16980 58970 38719 20251 408675 408675 36442 36442 101853 101853 777595 777595 190752 188082 2670 MISCELLANEOUS EXPENSES 580239 514544 55851 9844 RESIDENT SUPPLIES 492805 471194 17521 4090 FOOD 336487 335668 819 MAINTENANCE & REPAIRS 228357 223793 4564 155283 119400 21095 14788 18958370 18006601 626824 324945 3543404 2546216 168153 1084162 1400425 1904856 164314 121446 130249 136267 23841397 8750110 15740937 15091287 12504824 10572276 10241 212951 33662547 31669461 1584765 1694255 8500 8500 241 17 3929050 3950054 5522556 5652826 X 28139991 26016635 28139991 26016635 33662547 31669461 584212 -2707568 0 X 0 1 X 1 1 1 X 683757 1364830 1514879 4180820 2902374 10646660 12443243 13659810 14757104 12703145 16206265 69769567 13127000 15024640 16271983 16883965 19108639 80416227 47560 47560 0 47560 47560 80368667 645470 367996 231842 602231 348986 2196525 645470 367996 231842 602231 348986 2196525 156080 119624 170135 86366 116491 648696 13928550 15512260 16673960 17572562 19574116 83261448 0.96530 0.96070 0.02640 0.03200 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME FUNDRAISING EVENT REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1208556 1208556 19471750 6263731 13208019 118674 61950 56724 2809718 2241295 568423 232699 183134 49565 15091287 X 19225130 31534 31534 19193596 73471 275515 348986 19542582 18916433 31534 31534 18884899 73471 73471 18958370 PART IV, LINE 2B: THE ORGANIZATION HOLDS RESIDENTS' FUNDS IN TRUST. RESIDENTS CAN ACCESS THEIR FUNDS DURING NORMAL BUSINESS HOURS, EVERY DAY OF THE WEEK. FUNDS ARE HELD IN AN INTEREST-BEARING ACCOUNT. PART X, LINE 2: THE CENTER HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED ACTIVITES. NO TAX PROVISION HAS BEEN MADE IN THE ACCOMPANYING STATEMENTS OF ACTIVITIES AND CHANGES IN NET ASSETS. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 31,534. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST & DIVIDEND INCOME 275,515. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 31,534. VIRTUAL GALA 119843 117593 2250 16103 56 15234 VIRTUAL 5K 18580 18580 141 138423 136173 2250 16103 56 15375 31534 -29284 X X X 1 0 0 0 0 0 0 0 0 KETTY HSIEH DIRECTOR THROUGH FEB 2022) & CEO (AS OF JUNE 2022) 125232 0 30000 0 0 0 0 0 3250 0 158482 0 0 0 PART I, LINE 4A IN 2022, HUEY YEH RECEIVED A SEVERANCE PAYMENT OF $5,192. FORM 990, PART III, LINE 2 DURING 2022, KIN ON BEGAN PROVIDING HEALTH HOME SERVICES, FOCUSING ON THE NEEDS OF ELDERLY INDIVIDUALS WITH LANGUAGE BARRIERS. FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD, THE CHAIRS OF THE OTHER STANDING COMMITTEES, AND, IF APPLICABLE, THE CO-CHAIRS OF THE OTHER STANDING COMMITTEES. THE EXECUTIVE COMMITTEE HAS ALL OF THE AUTHORITY OF THE BOARD TO ACT ON BEHALF OF THE ORGANIZATION AND TO MANAGE THE OPERATIONS AND AFFAIRS OF THE ORGANIZATION, EXCEPT THAT THE EXECUTIVE COMMITTEE DOES NOT HAVE AUTHORITY TO: 1. AMEND, ALTER OR REPEAL THE BYLAWS; 2. ELECT, APPOINT OR REMOVE ANY MEMBER OF THE EXECUTIVE COMMITTEE; 3. ELECT, APPOINT OR REMOVE ANY BOARD MEMBER OR OFFICER; 4. ADOPT A PLAN OF MERGER OR A PLAN OF CONSOLIDATION WITH ANOTHER ORGANIZATION; 5. AMEND THE ARTICLES OF INCORPORATION; 6. AUTHORIZE THE LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS NOT IN THE ORDINARY COURSE OF BUSINESS; 7. AUTHORIZE THE ORGANIZATION'S VOLUNTARY DISSOLUTION OR REVOKE PROCEEDINGS THEREFOR; 8. ADOPT A PLAN OF DISTRIBUTION OF THE ORGNAIZATION'S ASSETS; OR 9. AMEND, ALTER OR REPEAL ANY RESOLUTION ADOPTED BY THE BOARD THAT, BY ITS TERMS, PROVIDES THAT SUCH RESOLUTION CANNOT BE AMENDED, ALTERED OR REPEALED BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 2 DENNIS LAM AND ROSA LEUNG, BOARD MEMBERS, HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B UNDER THE FIDUCIARY DUTIES OF OFFICERS, THE FORM 990 WAS REVIEWED BY THE FINANCE DIRECTOR, THE CEO AND THE BOARD TREASURER. BEFORE FILING, A DRAFT OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. EACH COVERED INDIVIDUAL IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM WHEN JOINING THE ORGANIZATION AND ANNUALLY THEREAFTER. UNDER THE CONFLICT OF INTEREST POLICY, EACH COVERED INDIVIDUAL MUST DISCLOSE ANY CONFLICTS OF INTEREST RELATED TO A TRANSACTION BEFORE ANY ACTION IS TAKEN WITH RESPECT TO THE TRANSACTION. IF IT ISN'T CLEAR WHETHER A CONFLICT EXISTS, THE EXECUTIVE COMMITTEE MAKES THE DETERMINATION. THE CONFLICTED INDIVIDUAL IS NOT ALLOWED TO BE PRESENT FOR ANY DISCUSSIONS OR VOTES RELATED TO THE TRANSACTION. THE ORGANIZATION MAY INVESTIGATE ALTERNATIVE TRANSACTIONS THAT WOULD NOT INVOLVE A CONFLICT OF INTEREST. IF THE EXECUTIVE COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A COVERED INDIVIDUAL HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT INFORMS THE INDIVIDUAL OF THE BASIS FOR SUCH BELIEF AND AFFORDS THEM AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE INDIVIDUAL'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE EXECUTIVE COMMITTEE DETERMINES THE INDIVIDUAL HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT TAKES APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION IS EVALUATED AND DETERMINED BY THE BOARD OF DIRECTORS. THE CEO'S COMPENSATION WAS DETERMINED BASED ON COMPENSATION PAID FOR THE SAME POSITION AT SIMILAR ORGANIZATIONS IN OUR LOCAL MARKET. THE COMPENSATION REVIEW PROCESS LAST INCLUDED COMPARABILITY DATA, REVIEW AND APPROVAL BY INDEPENDENT PERSONS, AND CONTEMPORANEOUS SUBSTANTIATION IN 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.