2018-04-07T19:17:26-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2017-01-01 911143445 HARBORS HOME HEALTH & HOSPICE HARB 3605325454 201 7TH STREET HOQUIAM WA 98550 NORM SPRAGUE PRESIDENT 3605325454 2018-04-04 1 KURT BENNION CPA P01469618 4252506100 2018-04-04 2017 2022-09-23 18:48:47Z NORM SPRAGUE 201 7TH STREET HOQUIAM WA 98550 9158458 0 X WWW.MYHHHH.ORG X 1981 WA TO PROVIDE HOME HEALTH AND HOSPICE SERVICES TO THOSE WHO NEED ASSISTANCE. 9 9 86 26 0 0 6302 12134 7338221 8022169 57084 92084 8560 14036 7410167 8140423 4250 2063 0 0 4817860 5266248 0 0 0 2249645 2616865 7071755 7885176 338412 255247 5554363 5893394 892222 895456 4662141 4997938 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 5606000 2063 8022169 THE ORGANIZATION PROVIDED SKILLED NURSING CARE, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, MEDICAL AND SOCIAL SERVICES, AND HOME HEALTH AID TO 1,342 PATIENTS IN THE GRAYS HARBOR AND PACIFIC COUNTY REGION DURING 2017. THE HOME HEALTH AIDS ALSO CONDUCTED MULTIPLE FOOT CLINICS THROUGHOUT GRAYS HARBOR AND PACIFIC COUNTIES THROUGHOUT THE YEAR. 318 HOSPICE PATIENTS WERE SERVED DURING THE YEAR IN GRAYS HARBOR AND PACIFIC COUNTY. 5606000 1 0 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 86 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X TOM MAYR 3605325454 201 7TH STREET HOQUIAM WA 98550 NORM SPRAGUE VICE PRESIDENT & PRESIDENT 1.00 X X 0 0 0 ARDITH SAVOY PRESIDENT & VICE PRESIDENT 1.00 X X 0 0 0 JERRY KELTNER TREASURER 1.00 X X 0 0 0 CAROL O'NEIL RN SECRETARY 1.00 X X 0 0 0 GARY FRIEHAUF DIRECTOR 1.00 X 0 0 0 PETER HEGG DIRECTOR 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 1.00 X 0 0 0 JOEL STEPHENS CEO 40.00 X 126189 0 39094 THOMAS MAYR CFO 40.00 X 81658 0 22400 MARK SZTROIN PHYSICAL THERAPIST 60.00 X 244343 0 42513 MICHAEL BARAN SPEECH PATHOLOGIST 40.00 X 182868 0 12801 BRENT ROBERTS PHYSICAL THERAPIST 40.00 X 126189 0 25560 RALPH CURRY OCCUPATIONAL THERAPIST 40.00 X 123850 0 28969 CYNTHIA MINZEY CHIEF OPERATIONS OFFICER 40.00 X 100193 0 34666 985290 0 206003 6 0 1 0 HOME HEALTH STRATEGIC MANAGEMENT LLC 1000 W ST JOSEPH 100 LANSING MI 48915 HEALTHCARE CONDULTING SERVICES 131362 1 12134 12134 PATIENT REVENUE 621610 7904858 7904858 MANAGEMENT FEE 561000 117311 117311 8022169 84041 84041 14036 0 14036 14036 14036 1026078 1018035 8043 8043 8043 8140423 8022169 0 106120 2063 2063 269341 269341 3176678 2325894 850784 184691 141837 42854 1345537 991292 354245 290001 206449 83552 4529 4529 21284 21284 11641 11641 371746 283018 88728 33089 23556 9533 201636 109397 92239 343342 244421 98921 243784 163555 80229 268265 268265 55071 39204 15867 228452 162633 65819 71732 51065 20667 MEDICAL SUPPLIES 468908 367957 100951 OTHER COSTS 188715 133750 54965 BAD DEBT EXPENSE 59456 59456 DUES AND SUBSCRIPTIONS 45215 32188 13027 7885176 5606000 2279176 0 427341 609540 832579 768036 60030 32954 1986876 530413 342901 1456463 3891512 3026401 5554363 5893394 844509 830894 47713 64562 892222 895456 X 4662141 4997938 4662141 4997938 5554363 5893394 255247 80550 0 X 0 1 X 1 0 X 15062 66311 9132 6302 12134 108941 4413437 5094998 6799695 7338221 8022169 31668520 4428499 5161309 6808827 7344523 8034303 31777461 0 0 0 31777461 115401 74556 86673 71617 98077 446324 115401 74556 86673 71617 98077 446324 4536 1289 80 740 6645 4548436 5237154 6895580 7416880 8132380 32230430 0.98590 0.98310 0.01380 0.01670 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME 0 0 0 0 0 0 0 0 1 100 100 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF MULTIPLE ORGANIZATIONS: WA STATE HOSPICE & PALLIATIVE CARE ASSOCIATION, 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 24647 627041 12259 4364 7895 1197929 501402 696527 1456463 X 8018529 80550 80550 7937979 11641 190803 202444 8140423 7682732 0 7682732 11641 190803 202444 7885176 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 2014 ARE CLOSED TO EXAMINATION. PART XI, LINE 4B - OTHER ADJUSTMENTS: PSP RENT AND MAINTENANCE FEES 14,036. PSP ADMIN CONTRACTED SERVICES 117,311. BAD DEBT EXPENSE 59,456. PART XII, LINE 4B - OTHER ADJUSTMENTS: PSP RENT AND MAINTENANCE FEES 14,036. PSP ADMIN CONTRACTED SERVICES 117,311. BAD DEBT EXPENSE 59,456. X X X 0 0 0 0 0 0 0 0 0 JOEL STEPHENS CEO 126189 0 0 0 0 0 8833 0 30261 0 165283 0 0 0 MARK SZTROIN PHYSICAL THERAPIST 244343 0 0 0 0 0 17104 0 25409 0 286856 0 0 0 MICHAEL BARAN SPEECH PATHOLOGIST 182868 0 0 0 0 0 12801 0 0 0 195669 0 0 0 BRENT ROBERTS PHYSICAL THERAPIST 126189 0 0 0 0 0 7764 0 17796 0 151749 0 0 0 RALPH CURRY OCCUPATIONAL THERAPIST 123850 0 0 0 0 0 8670 0 20299 0 152819 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 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 15 EXEMPT SALARIES ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THEY SPECIFICALLY REVIEW THE COMPENSATION OF THE ADMINISTRATORS, FINANCIAL MANAGERS AND INFORMATION SERVICES AND PERIODICALLY SEEK SALARY SURVEY INFORMATION WHEN SETTING THESE SALARIES. THIS PROCESS WAS LAST PERFORMED IN 2017. 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.