2019-05-13T20:33:35-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2018-01-01 911143445 HARBORS HOME HEALTH & HOSPICE HARB 3605325454 201 7TH STREET HOQUIAM WA 98550 NORM SPRAGUE PRESIDENT 3605325454 2019-04-06 1 KURT BENNION CPA P01469618 4252506100 2019-04-06 67.137.57.251 2019-04-06 09:15:01 PD P A52F513B8D8172ADA5E5426B2D9DBB033DEB48E6 84BDE7AD4ADB62213C7E1A191A12ED9082B4B320 2018 2019-02-21 02:37:17Z NORM SPRAGUE 201 7TH STREET HOQUIAM WA 98550 8353277 0 X WWW.MYHHHH.ORG X 1981 WA TO PROVIDE HOME HEALTH AND HOSPICE SERVICES TO THOSE WHO NEED ASSISTANCE. 6 6 82 17 0 0 12134 197861 8022169 7418436 92084 113728 14036 38700 8140423 7768725 2063 3500 0 0 5266248 5273597 0 0 0 2616865 2144214 7885176 7421311 255247 347414 5893394 6077765 895456 889499 4997938 5188266 TO PROVIDE HOME HEALTH AND HOSPICE SERVICES TO PERSONS IN GRAYS HARBOR AND PACIFIC COUNTIES WHO NEED ASSISTANCE TO REMAIN ACTIVE AND INDEPENDENT WITHIN THEIR OWN HOME. 0 0 5060488 3500 7418436 THE ORGANIZATION PROVIDED SKILLED NURSING CARE, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, MEDICAL AND SOCIAL SERVICES, AND HOME HEALTH AID TO 1,233 PATIENTS IN THE GRAYS HARBOR AND PACIFIC COUNTY REGION DURING 2018. THE HOME HEALTH AIDS ALSO CONDUCTED MULTIPLE FOOT CLINICS THROUGHOUT GRAYS HARBOR AND PACIFIC COUNTIES THROUGHOUT THE YEAR. 272 HOSPICE PATIENTS WERE SERVED DURING THE YEAR IN GRAYS HARBOR AND PACIFIC COUNTY. 5060488 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 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 82 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X TOM MAYR 3605325454 201 7TH STREET HOQUIAM WA 98550 NORM SPRAGUE PRESIDENT 1.00 X X 0 0 0 ARDITH SAVOY VICE PRES. (THROUGH JANUARY 2018) 1.00 X X 0 0 0 DARLENE GREENAWALT RN DIRECTOR & VICE PRESIDENT 1.00 X X 0 0 0 JERRY KELTNER TREASURER (THROUGH JULY 2018) 1.00 X X 0 0 0 GARY FRIEHAUF DIRECTOR & TREASURER 1.00 X X 0 0 0 CAROL O'NEIL RN SECRETARY 1.00 X X 0 0 0 PETER HEGG DIRECTOR (THROUGH AUGUST 2018) 1.00 X 0 0 0 MIKE MURPHY DIRECTOR 1.00 X 0 0 0 EDWARD QUIJADA DIRECTOR 1.00 X 0 0 0 LEIF TANGVALD DIRECTOR (THROUGH JUNE 2018) 1.00 X 0 0 0 JOEL STEPHENS CEO 40.00 X 115030 0 29588 THOMAS MAYR CFO 32.00 X 85760 0 20078 MARK SZTROIN PHYSICAL THERAPIST 60.00 X 206770 0 39345 MICHAEL BARAN SPEECH PATHOLOGIST 40.00 X 171792 0 26932 BRENT ROBERTS PHYSICAL THERAPIST 40.00 X 112871 0 25746 RALPH CURRY OCCUPATIONAL THERAPIST 40.00 X 104101 0 26997 796324 0 168686 5 0 1 0 0 197861 197861 PATIENT REVENUE 621610 7399686 7399686 MANAGEMENT FEE 561000 18750 18750 7418436 101791 101791 7200 0 7200 7200 7200 596489 584552 11937 11937 11937 MISCELLANEOUS INCOME 900099 31500 31500 31500 7768725 7418436 0 152428 3500 3500 250456 250456 3236919 2314117 922802 219636 148660 70976 1277624 898374 379250 288962 195583 93379 13621 13621 21222 21222 11977 11977 332092 248358 83734 27264 18454 8810 177617 100396 77221 261905 177269 84636 218386 142942 75444 234111 234111 58431 39549 18882 244858 165731 79127 75293 50961 24332 MEDICAL SUPPLIES 416453 301701 114752 DUES AND SUBSCRIPTIONS 30704 20782 9922 OTHER EXPENSES 20280 20280 7421311 5060488 2360823 0 609540 433444 768036 657155 32954 131993 1885596 597934 1456463 1287662 3026401 3567511 5893394 6077765 830894 844205 64562 45294 895456 889499 X 4997938 5188266 4997938 5188266 5893394 6077765 347414 -157086 0 X 0 1 X 1 0 X 66311 9132 6302 12134 197861 291740 5094998 6799695 7338221 8022169 7418436 34673519 5161309 6808827 7344523 8034303 7616297 34965259 0 70401 70401 70401 70401 34894858 74556 86673 71617 98077 108991 439914 74556 86673 71617 98077 108991 439914 1289 80 740 31500 33609 5237154 6895580 7416880 8132380 7756788 35438782 0.98470 0.98590 0.01240 0.01380 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME 0 0 0 0 0 0 0 0 1 1728 1728 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF MULTIPLE ORGANIZATIONS: NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE, AND NATIONAL HOSPICE & PALLIATIVE CARE ASSOCIATION. THE AMOUNT REPORTED IS THE PORTION OF THE ORGANIZATION'S DUES THAT ARE SPENT ON LOBBYING ACTIVITIES. 125000 125000 651688 57559 594129 12259 6857 5402 1057784 533518 524266 38865 38865 1287662 X 7615256 -157086 41544 -115542 7730798 11977 25950 37927 7768725 7424928 41544 41544 7383384 11977 25950 37927 7421311 PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION IS CLASSIFIED AS A PUBLIC CHARITY. ACCORDINGLY, THERE IS NO PROVISION FOR FEDERAL INCOME TAXES ON THE FINANCIAL STATEMENTS. THE ORGANIZATION FILES FEDERAL FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, AND HAS ADOPTED NO POSITIONS THAT ARE NOT HIGHLY LIKELY TO BE SUSTAINED IF EXAMINED BY RELEVANT AUTHORITIES. TAX YEARS ENDING PRIOR TO 2015 ARE CLOSED TO EXAMINATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 41,544. PART XI, LINE 4B - OTHER ADJUSTMENTS: PSP RENT AND MAINTENANCE FEES 7,200. PSP ADMIN CONTRACTED SERVICES 18,750. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 41,544. PART XII, LINE 4B - OTHER ADJUSTMENTS: PSP RENT AND MAINTENANCE FEES 7,200. PSP ADMIN CONTRACTED SERVICES 18,750. X X X 0 0 0 0 0 0 0 0 0 MARK SZTROIN PHYSICAL THERAPIST 199820 0 6950 0 0 0 0 0 39345 0 246115 0 0 0 MICHAEL BARAN SPEECH PATHOLOGIST 171592 0 200 0 0 0 0 0 26932 0 198724 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS COMPOSED OF THE OFFICERS OF THE BOARD. THE MEETINGS OF THE EXECUTIVE COMMITTEE ARE HELD AS NECESSARY TO FACILITATE THE BUSINESS OF THE CORPORATION AND RECOMMEND ACTIONS TO THE BOARD. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S BYLAWS WERE AMENDED IN NOVEMBER 2018 TO MAKE THE FOLLOWING SIGNIFICANT CHANGES: 1. DECREASE THE MINIMUM NUMBER OF BOARD MEMBERS FROM 7 TO 5; 2. LIMIT BOARD MEMBERS TO THREE CONSECUTIVE 3-YEAR TERMS; 3. CLARIFY THE PROCESS FOR ELECTING NEW BOARD MEMBERS IF AN INDIVIDUAL LEAVES THE BOARD BEFORE THEIR TERM ENDS; 4. ALLOW BOARD MEMBERS TO PARTICIPATE IN MEETINGS BY TELEPHONE; 5. DEFINE A QUORUM FOR BOARD MEETINGS; 6. ELIMINATE ALL STANDING COMMITTEES AND GIVE THE BOARD THE POWER TO CREATE OR DISSOLVE COMMITTEES AS IT SEES APPROPRIATE; 7. ESTABLISH TERM LIMITS FOR BOARD OFFICERS; AND 8. CLARIFY THE ELECTION PROCESS FOR BOARD OFFICERS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WAS PREPARED BY A CERTIFIED PUBLIC ACCOUNTING FIRM AND REVIEWED BY THE ADMINISTRATOR, FINANCIAL MANAGER, AND DISTRIBUTED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS ITS BOARD MEMBERS AND EMPLOYEES CONTINUOUSLY TO ENSURE THAT CONFLICTS OF INTEREST ARE AVOIDED. THIS MANIFESTS ITSELF IN BOARD VOTES WHERE MEMBERS WITH POSSIBLE CONFLICTS OF INTEREST ABSTAIN FROM CERTAIN VOTES. EMPLOYEES ARE NOT ALLOWED TO MAINTAIN EMPLOYMENT WHERE A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S SALARY IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THEY PERIODICALLY SEEK SALARY SURVEY INFORMATION WHEN SETTING THIS SALARY. THE PROCESS WAS LAST PERFORMED IN 2018. THE CFO'S SALARY IS REVIEWED AND APPROVED BY THE CEO AND H.R. DIRECTOR. THEY PERIODICALLY SEEK SALARY SURVEY INFORMATION WHEN SETTING THIS SALARY. THE PROCESS WAS LAST PERFORMED IN 2018. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT OPEN TO THE PUBLIC. ONLY THE FORMS 990 AND 1023 ARE MADE AVAILABLE TO THE PUBLIC.