Lifelong

Legal name: Lifelong Health for All

Nonprofit profile at a glance

EIN
911215715
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Seattle, WA, US
Phone
(206) 957-1600
Rating
84
Verdict
STRONG
Rating confidence
Moderate
Sector
AIDS

Official website

Reported finances

Revenue
$36,175,032
Expenses
$35,786,811
Assets
$8,732,753
Liabilities
$2,468,641

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

13 people listed

Executive titles in this filing

  • SHEILA NISHIMOTO (PRESIDENT)
  • JESSE TODHUNTER (VICE PRESIDENT)
  • ERICA SESSLE (CEO)

Highest reported compensation

  • ERICA SESSLE (CEO): $321,010 total reported compensation
  • ALENA ANDERSON (CFO/COO): $203,121 total reported compensation
  • MARSHALL CURTIS (CHIEF STRATEGY & COMPLIANCE OFFICER): $167,972 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Lifelong fights for health care, housing and food as basic human rights, and provides comprehensive support services to people living with serious illness and poverty in the Puget Sound region.

What it reported doing in 2024

Medical case management: in 2024, lifelong's case managers supported the health of 1,825 HIV positive clients by connecting them to health care resources. Medical case managers conduct a comprehensive assessment of 14 life domains, including mental health, substance abuse, healthcare coverage, housing, employment, financial, relationships, medical, spiritual, and psychosocial needs. Upon completion of the assessment, medical case managers work with clients to resolve any barriers to medication adherence and to fulfill other basic needs. Many clients in medical case management require additional support and services. The high acuity response team (hart) team responds to these needs by providing peer support, quick response, and psychosocial support services to our highest acuity clients. These clients generally suffer chemical dependency, serious mental health challenges, and homelessness. This program is the lowest ratio for case manager to client to provide intensive case management support. We served 3 clients in the hart program in 2024.oral health: the oral health program at lifelong is the first successful dental program in the tga in more than a decade. The program works as the administering agency, responsible for recruiting oral health providers, facilitating the contract process with public health, scheduling initial appointments with clients, receiving, reviewing and approving claims, and developing, implementing and enforcing program policies and procedures. The program served 1,145 HIV+ clients and facilitated payment for almost 3,017 dental appointments in 2024aging and disability services: aging and disability services provides medicaid case management services to aged and/or disabled clients through a thorough assessment to determine and authorize care-giving hours that enable the beneficiaries to remain in the residence of their choice and avoid living in a nursing facility. In 2024, the program served 1,365 clients in king county.employment program: the lifelong employment program serves clients enrolled in the housing program at lifelong. Lifelong is a worksource affiliate and partners with several key agencies to provide training, referral, and job search assistance. The program had a staff of one person and served 27 clients in 2024.

Operating model

Revenue model
Grant-funded. 94% of the money available for current operations came from government grants.
Distribution model
Hybrid. The nonprofit split its reported program spending across 42% for direct work, and 58% for grants.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 86
  • Transparency & Controls: 75
  • Accountability: 100
  • Sustainability: 33
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 87.5%; rating input score 88
  • Program expense ratio: 85.3%; rating input score 85
  • Fundraising efficiency: $63.35 raised per $1 spent on fundraising; rating input score 79; 79th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 72nd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 1.1%; rating input score 38; 38th percentile among comparable filings
  • Total-asset coverage ratio: 0.24; rating input score 6; 6th percentile among comparable filings
  • Liabilities to assets ratio: 0.28; rating input score 48; 48th percentile among comparable filings
  • Officer compensation ratio: 3.5%; rating input score 64; 64th percentile among comparable filings

Growth

  • Program expense growth: 3.9% per year; rating input score 100; 33rd percentile among comparable filings
  • Revenue growth: 1.7% per year; rating input score 100; 16th percentile among comparable filings
  • Asset growth: 6.6% per year; rating input score 100; 46th percentile among comparable filings

Details

  • What they do: 5 programs and campaigns described on the official site · 2 operating locations identified
  • Where the money goes: 87.5% of revenue deployed · 85.3% of spending went to programs
  • Governance: 6 of 6 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $30.5M in reported program spending
  • Leadership: top reported pay $321K · 13 people listed · 1 of 6 pay-setting controls reported
  • Highest-paid contractors: 2 contractors listed · $377K reported
  • Consistency: 40 of 40 current checks pass
  • Schedules: 10 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 13 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 7 filed money-flow records
  • Related organizations: 1 filed related-organization link
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Sustainability: Operating margin scored 38/100.
  • High — Sustainability: Total-asset coverage ratio scored 6/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 48/100.