COMMUNITY HOME HEALTH HOSPICE: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HOME HEALTH HOSPICE (EIN 91-1399370)
- Tax period
- 2018-10-01 to 2019-09-30
- Filed
- 2020-08-13
- IRS object ID
- 202002269349302290
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-08-13T14:39:52-07:00 | ReturnTs |
| Tax Period End | 2019-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 930891763 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HANSEN HUNTER & COMPANY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7080 SW FIR LOOP SUITE 100 | AddressLine1Txt |
| City | TIGARD | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97223 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911399370 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Home Health & Hospice | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 3604258510 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2067 | AddressLine1Txt |
| City | Longview | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98632 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREGORY PANG MHA | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2020-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Cynthia J Heuberger | PreparerPersonNm |
| PTIN | P00166783 | PTIN |
| Phone | 5032442134 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GREGORY PANG MHA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2067 | AddressLine1Txt |
| City | Longview | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 986328189 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,928,346 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHHH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | As a community-based nonprofit agency since 1977, our mission is caring for people at home. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 400 | TotalEmployeeCnt |
| Total Volunteers | 101 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,137,722 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,178,781 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,643,575 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,680,801 | CYProgramServiceRevenueAmt |
| PY Investment Income | $48,828 | PYInvestmentIncomeAmt |
| CY Investment Income | $68,764 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$36 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $25,830,089 | PYTotalRevenueAmt |
| CY Total Revenue | $23,928,346 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,394,590 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,508,100 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $351,192 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,378,412 | PYOtherExpensesAmt |
| CY Other Expenses | $6,158,899 | CYOtherExpensesAmt |
| PY Total Expenses | $24,773,002 | PYTotalExpensesAmt |
| CY Total Expenses | $24,666,999 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,057,087 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$738,653 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,560,612 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,344,063 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,336,294 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,846,807 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,224,318 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,497,256 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | As a community-based nonprofit agency since 1977, our mission is caring for people at home. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,901,730 | ExpenseAmt |
| Revenue | $11,567,915 | RevenueAmt |
| Desc | HOSPICE: SKILLED NURSING, SOCIAL SERVICES, THERAPY AND AIDE SERVICES FOR TERMINALLY ILL PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,719,242 | ExpenseAmt |
| Revenue | $9,018,176 | RevenueAmt |
| Desc | HOME HEALTH: SKILLED NURSING, THERAPY AND AIDE SERVICES FOR HOMEBOUND PATIENTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,522,332 | ExpenseAmt |
| Revenue | $1,778,498 | RevenueAmt |
| Desc | HOME CARE: IN-HOME AIDE AND HOMEMAKER SERVICES PROVIDED. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $270,668 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $316,212 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $19,413,972 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 70 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 400 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jason Meunier | PersonNm |
| Phone | 3604145439 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2067 | AddressLine1Txt |
| City | LONGVIEW | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 986328189 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Daniel A Spjut | |||||||||
| President | 0.70 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Corey E Balkan | |||||||||
| Vice President | 0.70 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jaime L Boaglio | |||||||||
| Sec/Treas | 0.70 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Joseph R Amrine | |||||||||
| Director | 0.70 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Eric C Brudi | |||||||||
| Director | 0.70 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Tina Cygrymus | |||||||||
| Director | 0.70 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Allan E Erickson | |||||||||
| Director | 0.70 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Meredith Long | |||||||||
| Director | 0.70 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John ENord | |||||||||
| Director | 0.70 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Gerry A Reitsch | |||||||||
| Director | 0.70 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Barbara F Samples RN | |||||||||
| Director | 0.70 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Scott M Studley | |||||||||
| Director | 0.70 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Joy Erickson | |||||||||
| Director | 0.70 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Bruce N Warrick | |||||||||
| Director | 0.70 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GREGORY PANG MHA | |||||||||
| CEO | 40.00 | 0.00 | Yes (X) | $167,558 | $0 | $33,830 | |||
| Peggy Knowles | |||||||||
| ARNP | 40.00 | 0.00 | $156,808 | $0 | $21,715 | Yes (X) | |||
| Frank Rinella | |||||||||
| CMO | 40.00 | 0.00 | $228,423 | $0 | $9,032 | Yes (X) | |||
| Charlotte White | |||||||||
| ARNP | 40.00 | 0.00 | $133,258 | $0 | $6,224 | Yes (X) | |||
| Randy Dalton | |||||||||
| Clinical Director | 40.00 | 0.00 | $140,720 | $0 | $20,794 | Yes (X) | |||
| Maria Joell | |||||||||
| HHRN | 40.00 | 0.00 | $125,905 | $0 | $27,062 | Yes (X) | |||
| Elizabeth Waters | |||||||||
| HSRN | 40.00 | 0.00 | $127,777 | $0 | $18,801 | Yes (X) | |||
| Amity Farmer | |||||||||
| HSRN | 40.00 | 0.00 | $122,354 | $0 | $21,786 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,202,803 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $159,244 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN | |||||
| PO BOX 34178 | SEATTLE | WA | 981241178 | Contract Therapist | $1,152,093 |
| Optum Hospice Pharmacy Services | |||||
| PO BOX 847222 | LOS ANGELES | CA | 90084 | Contract Pharmacy | $674,672 |
| JH Kelly | |||||
| Dept LA 23976 | Pasadena | CA | 91185 | Building contractor | $408,294 |
| HOMECARE HOMEBASE | |||||
| PO BOX 678637 | Dallas | TX | 752678637 | Database Software | $322,546 |
| Cardinal Health At Home | |||||
| PO BOX 635864 | CINCINNATI | OH | 452635864 | Contract Therapist | $276,066 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $134,559 | GovernmentGrantsAmt |
| All Other Contributions | $1,044,222 | AllOtherContributionsAmt |
| Noncash Contributions | $31,400 | NoncashContributionsAmt |
| Total Contributions | $1,178,781 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOME CARE | 621610 | $1,778,498 | $1,778,498 |
| HOME HEALTH | 621610 | $9,018,176 | $9,018,176 |
| HOSPICE | 621610 | $11,567,915 | $11,567,915 |
| PALLIATIVE CARE | 621610 | $316,212 | $316,212 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,680,801 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,014 | TotalRevenueColumnAmt |
| Exclusion | $68,014 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $750 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $750 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $750 | TotalRevenueColumnAmt |
| Exclusion | $750 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,928,346 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,680,801 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $68,764 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $617,366 | TotalAmt |
| Management And General | $577,088 | ManagementAndGeneralAmt |
| Fundraising | $40,278 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,893,614 | TotalAmt |
| Program Services | $12,491,992 | ProgramServicesAmt |
| Management And General | $2,189,355 | ManagementAndGeneralAmt |
| Fundraising | $212,267 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,082 | TotalAmt |
| Program Services | $253,234 | ProgramServicesAmt |
| Management And General | $10,045 | ManagementAndGeneralAmt |
| Fundraising | $3,803 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,291,560 | TotalAmt |
| Program Services | $1,058,823 | ProgramServicesAmt |
| Management And General | $213,390 | ManagementAndGeneralAmt |
| Fundraising | $19,347 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,438,478 | TotalAmt |
| Program Services | $1,165,841 | ProgramServicesAmt |
| Management And General | $255,916 | ManagementAndGeneralAmt |
| Fundraising | $16,721 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,165 | TotalAmt |
| Management And General | $13,165 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,845 | TotalAmt |
| Management And General | $109,845 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,094 | TotalAmt |
| Management And General | $19,094 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,914,833 | TotalAmt |
| Program Services | $1,368,252 | ProgramServicesAmt |
| Management And General | $533,790 | ManagementAndGeneralAmt |
| Fundraising | $12,791 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,678 | TotalAmt |
| Management And General | $11,794 | ManagementAndGeneralAmt |
| Fundraising | $884 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,983 | TotalAmt |
| Management And General | $7,983 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,312 | TotalAmt |
| Program Services | $150,449 | ProgramServicesAmt |
| Management And General | $63,002 | ManagementAndGeneralAmt |
| Fundraising | $1,861 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,667 | TotalAmt |
| Program Services | $2,299 | ProgramServicesAmt |
| Management And General | $48,118 | ManagementAndGeneralAmt |
| Fundraising | $8,250 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,532 | TotalAmt |
| Program Services | $273,582 | ProgramServicesAmt |
| Management And General | $114,565 | ManagementAndGeneralAmt |
| Fundraising | $3,385 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $735,994 | TotalAmt |
| Program Services | $514,273 | ProgramServicesAmt |
| Management And General | $215,357 | ManagementAndGeneralAmt |
| Fundraising | $6,364 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,004 | TotalAmt |
| Program Services | $88,045 | ProgramServicesAmt |
| Management And General | $36,870 | ManagementAndGeneralAmt |
| Fundraising | $1,089 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $1,128,769 | $1,053,024 | $74,607 | $1,138 |
| AUTO | $616,385 | $606,000 | $10,385 | |
| TELEPHONE | $198,668 | $198,668 | ||
| EQUIPMENT RENTAL & maintenance | $128,655 | $128,655 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,315 | TotalAmt |
| Program Services | $259,503 | ProgramServicesAmt |
| Management And General | $209,183 | ManagementAndGeneralAmt |
| Fundraising | $12,629 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,666,999 | TotalAmt |
| Program Services | $19,413,972 | ProgramServicesAmt |
| Management And General | $4,901,835 | ManagementAndGeneralAmt |
| Fundraising | $351,192 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $837,108 | BOYAmt |
| EOY | $479,160 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $832,597 | BOYAmt |
| EOY | $551,701 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,145 | BOYAmt |
| EOY | $7,048 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,351,142 | BOYAmt |
| EOY | $2,617,201 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,791 | BOYAmt |
| EOY | $168,965 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,766 | BOYAmt |
| EOY | $117,700 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,539,595 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,968,813 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,247,603 | BOYAmt |
| EOY | $13,570,782 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,023,546 | BOYAmt |
| EOY | $2,801,592 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,914 | BOYAmt |
| EOY | $29,914 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,560,612 | BOYAmt |
| EOY | $20,344,063 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,925,628 | BOYAmt |
| EOY | $1,681,502 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $345,959 | BOYAmt |
| EOY | $346,443 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,064,707 | BOYAmt |
| EOY | $7,818,862 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,336,294 | BOYAmt |
| EOY | $9,846,807 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,723,020 | BOYAmt |
| EOY | $8,559,255 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $935,151 | BOYAmt |
| EOY | $333,342 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,566,147 | BOYAmt |
| EOY | $1,604,659 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,224,318 | BOYAmt |
| EOY | $10,497,256 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,560,612 | BOYAmt |
| EOY | $20,344,063 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$738,653 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $11,591 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Rallies Demonstrations | Yes (true) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $750 | RalliesDemonstrationsAmt |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $750 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | Greg Pang attended Legislative Day in Olympia, WA and met with a number of State Congresspeople or their staffs to discuss industry issues. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,708,133 | BeginningYearBalanceAmt |
| Contributions | $540,275 | ContributionsAmt |
| Investment Earnings Or Losses | $61,261 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,218,127 | OtherExpendituresAmt |
| End Year Balance | $3,091,542 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,723,617 | BeginningYearBalanceAmt |
| Contributions | $1,547,708 | ContributionsAmt |
| Investment Earnings Or Losses | $65,208 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,628,400 | OtherExpendituresAmt |
| End Year Balance | $3,708,133 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,894,997 | BeginningYearBalanceAmt |
| Contributions | $428,356 | ContributionsAmt |
| Investment Earnings Or Losses | $161,396 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $761,132 | OtherExpendituresAmt |
| End Year Balance | $3,723,617 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,232,202 | BeginningYearBalanceAmt |
| Contributions | $1,060,378 | ContributionsAmt |
| Investment Earnings Or Losses | $189,708 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $587,291 | OtherExpendituresAmt |
| End Year Balance | $3,894,997 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,751,746 | BeginningYearBalanceAmt |
| Contributions | $100,336 | ContributionsAmt |
| Investment Earnings Or Losses | -$148,265 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $471,615 | OtherExpendituresAmt |
| End Year Balance | $3,232,202 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.37630 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.51900 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.10470 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,433,457 | OtherCostOrOtherBasisAmt |
| Book Value | $2,433,457 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,218,009 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,045,218 | DepreciationAmt |
| Book Value | $10,172,791 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,105,874 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,657,352 | DepreciationAmt |
| Book Value | $448,522 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $782,255 | OtherCostOrOtherBasisAmt |
| Depreciation | $266,243 | DepreciationAmt |
| Book Value | $516,012 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,570,782 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $23,917,721 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $11,591 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $11,591 | RevenueNotReportedAmt |
| Revenue Subtotal | $23,906,130 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $19,094 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $3,122 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $22,216 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $23,928,346 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $24,644,783 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $24,644,783 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $19,094 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $3,122 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $22,216 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $24,666,999 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S | Expenses grouped with revenue $3122 |
| Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S | Expenses grouped with revenue $3122 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|
| Frank Rinella | |||||
| CMO | $228,423 | $7,800 | $1,232 | $237,455 | |
| GREGORY PANG MHA | |||||
| CEO | $167,558 | $25,452 | $8,378 | $201,388 | |
| Maria Joell | |||||
| HHRN | $97,689 | $20,813 | $6,249 | $152,967 | $28,216 |
| Peggy Knowles | |||||
| ARNP | $156,808 | $12,291 | $9,424 | $178,523 | |
| Randy Dalton | |||||
| Clinical Director | $140,720 | $12,665 | $8,129 | $161,514 | |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | Covered Bridge, Monument Rock | 1 | $14,000 | FMV |
| Yes (X) | Lobby Area Wood Trim, Cabinets | 1 | $8,400 | FMV |
| Yes (X) | Bio Planter for Seasons of Hop | 1 | $9,000 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: PALLIATIVE CARE: TREATMENT OF THE DISCOMFORT, SYMPTOMS, AND STRESS OF SERIOUS ILLNESS. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | THE FINANCE COMMITTEE REVIEWS THE FORM AT A FINANCE COMMITTEE MEETING. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS IMMEDIATELY. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | COMPENSATION IS DETERMINED BY EXAMINING THE APPLICANT'S CURRENT AND HISTORICAL EARNINGS TO SEE IF THE EXPENSE WILL FIT IN THE ORGANIZATION'S COST STRUCTURE, AS WELL AS WITHIN THE REALM OF OTHER SIMILARLY EXPERIENCED EMPLOYEES IN COMPARABLE POSITIONS. FINALLY, EVERY THREE OR FOUR YEARS WE DO A MARKET ANALYSIS OF OUR INDUSTRY'S SALARIES FOR OUR GEOGRAPHICAL AREA WITH HOSPITAL & HEALTHCARE COMPENSATION SERVICE. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S PLACE OF BUSINESS. |
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