HARBORS HOME HEALTH & HOSPICE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HARBORS HOME HEALTH & HOSPICE (EIN 91-1143445)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-04-26
IRS object ID
201701169349301305
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2017-04-26T19:40:06-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110700 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911143445EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HARBORS HOME HEALTH & HOSPICEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHARBBusinessNameControlTxt
Phone3605325454PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 7TH STREETAddressLine1Txt
CityHOQUIAMCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98550ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonARDITH SAVOYPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3605325454PhoneNum
Signature2017-04-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNION CPAPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-04-19IPDt
IP Tm08:44:40IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE8F928E9D0C866B10A8A9E52340F1A707FC238CDAtSubmissionCreationDeviceId
At Submission Filing Device IdE49AB45AF12B1BB25434C7612008407C4465D4D7AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerARDITH SAVOYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 7TH STREETAddressLine1Txt
CityHOQUIAMCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98550ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,416,880GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MYHHHH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO PROVIDE HOME HEALTH AND HOSPICE SERVICES TO THOSE WHO NEED ASSISTANCE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee78TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,132PYContributionsGrantsAmt
CY Contributions Grants$6,302CYContributionsGrantsAmt
PY Program Service Revenue$6,799,695PYProgramServiceRevenueAmt
CY Program Service Revenue$7,338,221CYProgramServiceRevenueAmt
PY Investment Income$100,467PYInvestmentIncomeAmt
CY Investment Income$57,084CYInvestmentIncomeAmt
PY Other Revenue$16,268PYOtherRevenueAmt
CY Other Revenue$8,560CYOtherRevenueAmt
PY Total Revenue$6,925,562PYTotalRevenueAmt
CY Total Revenue$7,410,167CYTotalRevenueAmt
PY Grants And Similar Paid$2,694PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,250CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,186,512PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,817,860CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,087,957PYOtherExpensesAmt
CY Other Expenses$2,249,645CYOtherExpensesAmt
PY Total Expenses$6,277,163PYTotalExpensesAmt
CY Total Expenses$7,071,755CYTotalExpensesAmt
PY Revenues Less Expenses$648,399PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$338,412CYRevenuesLessExpensesAmt
Total Assets BOY$5,043,927TotalAssetsBOYAmt
Total Assets EOY$5,554,363TotalAssetsEOYAmt
Total Liabilities BOY$784,420TotalLiabilitiesBOYAmt
Total Liabilities EOY$892,222TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,259,507NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,662,141NetAssetsOrFundBalancesEOYAmt
MissionTO 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,951,596ExpenseAmt
Grant$4,250GrantAmt
Revenue$7,338,221RevenueAmt
DescTHE ORGANIZATION PROVIDED SKILLED NURSING CARE, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, MEDICAL AND SOCIAL SERVICES, AND HOME HEALTH AID TO 1,513 PATIENTS IN THE GRAYS HARBOR AND PACIFIC COUNTY REGION DURING 2016. THE HOME HEALTH AIDS ALSO CONDUCTED MULTIPLE FOOT CLINICS THROUGHOUT GRAYS HARBOR AND PACIFIC COUNTIES THROUGHOUT THE YEAR.Desc
Total Program Service Expenses$4,951,596TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee78EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TOM MAYRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3605325454PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 7TH STREETAddressLine1Txt
CityHOQUIAMCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98550ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
LAURIE CLARY
PRESIDENT (THROUGH 1/26/16)1.00Yes (X)Yes (X)$0$0$0
ARDITH SAVOY
VICE PRESIDENT & PRESIDENT1.00Yes (X)Yes (X)$0$0$0
NORM SPRAGUE
DIRECTOR & VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
JERRY KELTNER
SECRETARY & TREASURER1.00Yes (X)Yes (X)$0$0$0
CAROL O'NEIL RN
DIRECTOR & SECRETARY1.00Yes (X)Yes (X)$0$0$0
DR DANIEL CANFIELD
DIRECTOR (THROUGH 2/1/16)1.00Yes (X)$0$0$0
GARY FRIEHAUF
DIRECTOR1.00Yes (X)$0$0$0
PETER HEGG
DIRECTOR1.00Yes (X)$0$0$0
MIKE MURPHY
DIRECTOR1.00Yes (X)$0$0$0
EDWARD QUIJADA
DIRECTOR1.00Yes (X)$0$0$0
LEIF TANGVALD
DIRECTOR1.00Yes (X)$0$0$0
JOEL STEPHENS
CEO40.00Yes (X)$114,061$0$38,962
THOMAS MAYR
CFO40.00Yes (X)$77,210$0$12,617
MARK SZTROIN
PHYSICAL THERAPIST60.00$199,216$0$35,531Yes (X)
RALPH CURRY
OCCUPATIONAL THERAPIST40.00$117,703$0$25,468Yes (X)
BRENT ROBERTS
PHYSICAL THERAPIST40.00$108,474$0$29,083Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$616,664TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$141,661TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$6,302AllOtherContributionsAmt
Total Contributions$6,302TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621610$7,219,731$7,219,731
MANAGEMENT FEE561000$118,490$118,490
FieldValueIRS element (for citing)
Total Program Service Revenue$7,338,221TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,797TotalRevenueColumnAmt
Exclusion$63,797ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$7,820RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,820RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,820TotalRevenueColumnAmt
Exclusion$7,820ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,713SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$6,713SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,713TotalRevenueColumnAmt
Exclusion-$6,713ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$740TotalRevenueColumnAmt
Exclusion$740ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$740OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,410,167TotalRevenueColumnAmt
Related Or Exempt Func Income$7,338,221RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$65,644ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,250TotalAmt
Program Services$4,250ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$242,850TotalAmt
Management And General$242,850ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,869,218TotalAmt
Program Services$2,051,777ProgramServicesAmt
Management And General$817,441ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$169,282TotalAmt
Program Services$127,334ProgramServicesAmt
Management And General$41,948ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,277,359TotalAmt
Program Services$917,538ProgramServicesAmt
Management And General$359,821ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$259,151TotalAmt
Program Services$180,734ProgramServicesAmt
Management And General$78,417ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$135TotalAmt
Management And General$135ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$28,698TotalAmt
Management And General$28,698ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$10,477TotalAmt
Management And General$10,477ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$237,779TotalAmt
Program Services$185,937ProgramServicesAmt
Management And General$51,842ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$31,318TotalAmt
Program Services$21,841ProgramServicesAmt
Management And General$9,477ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$173,459TotalAmt
Program Services$95,089ProgramServicesAmt
Management And General$78,370ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$233,419TotalAmt
Program Services$162,788ProgramServicesAmt
Management And General$70,631ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$282,172TotalAmt
Program Services$191,337ProgramServicesAmt
Management And General$90,835ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$297,564TotalAmt
Program Services$297,564ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$75,353TotalAmt
Program Services$52,552ProgramServicesAmt
Management And General$22,801ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$214,855TotalAmt
Program Services$149,842ProgramServicesAmt
Management And General$65,013ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$48,929TotalAmt
Program Services$34,124ProgramServicesAmt
Management And General$14,805ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$388,792$297,028$91,764
DUES AND SUBSCRIPTIONS$84,224$58,738$25,486
BAD DEBT EXPENSE$82,772$82,772
OTHER COSTS$59,699$40,351$19,348

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,071,755TotalAmt
Program Services$4,951,596ProgramServicesAmt
Management And General$2,120,159ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$469,006BOYAmt
EOY$427,341EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$740,076BOYAmt
EOY$832,579EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,500BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$91,793BOYAmt
EOY$60,030EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,377,695LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,034,794LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$278,827BOYAmt
EOY$342,901EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,453,725BOYAmt
EOY$3,891,512EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,043,927BOYAmt
EOY$5,554,363EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$704,332BOYAmt
EOY$844,509EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$80,088BOYAmt
EOY$47,713EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$784,420BOYAmt
EOY$892,222EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,259,507BOYAmt
EOY$4,662,141EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,259,507BOYAmt
EOY$4,662,141EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,043,927BOYAmt
EOY$5,554,363EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$338,412ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$64,221NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,715CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,062CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,311CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,132CurrentTaxYearMinus1YearAmt
Current Tax Year$6,302CurrentTaxYearAmt
Total$137,522TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,301,397CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,413,437CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,094,998CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,799,695CurrentTaxYearMinus1YearAmt
Current Tax Year$7,338,221CurrentTaxYearAmt
Total$28,947,748TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,342,112CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,428,499CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,161,309CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,808,827CurrentTaxYearMinus1YearAmt
Current Tax Year$7,344,523CurrentTaxYearAmt
Total$29,085,270TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$29,085,270PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$145,260CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$115,401CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$74,556CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$86,673CurrentTaxYearMinus1YearAmt
Current Tax Year$71,617CurrentTaxYearAmt
Total$493,507TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$145,260CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$115,401CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$74,556CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$86,673CurrentTaxYearMinus1YearAmt
Current Tax Year$71,617CurrentTaxYearAmt
Total$493,507TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$4,536CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,289CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$80CurrentTaxYearMinus1YearAmt
Current Tax Year$740CurrentTaxYearAmt
Total$6,645TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,487,372CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,548,436CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,237,154CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,895,580CurrentTaxYearMinus1YearAmt
Current Tax Year$7,416,880CurrentTaxYearAmt
Total$29,585,422TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98310PublicSupportCY509Pct
Public Support PY5090.97750PublicSupportPY509Pct
Investment Income CY0.01670InvestmentIncomeCYPct
Investment Income PY0.02130InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOMEFormAndLineReferenceDesc
ExplanationMANAGEMENT FEE MISCELLANEOUS INCOMEExplanationTxt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,342OtherActivitiesAmt
Total Lobbying Expenditures$3,342TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS A MEMBER OF MULTIPLE ORGANIZATIONS: WA STATE HOSPICE & PALLIATIVE CARE ASSOCIATION, NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE, NATIONAL HOSPICE & PALLIATIVE CARE ASSOCIATION, HOME CARE ASSOCIATION OF WASHINGTON. THE AMOUNT REPORTED IS THE PORTION OF THE ORGANIZATION'S DUES THAT ARE SPENT ON LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,662OtherCostOrOtherBasisAmt
Depreciation$17,989DepreciationAmt
Book Value$17,673BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,342,033OtherCostOrOtherBasisAmt
Depreciation$1,016,805DepreciationAmt
Book Value$325,228BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$342,901TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,254,829TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$64,221NetUnrealizedGainsInvstAmt
Revenue Not Reported$64,221RevenueNotReportedAmt
Revenue Subtotal$7,190,608RevenueSubtotalAmt
Investment Expenses Not Incld$10,477InvestmentExpensesNotIncldAmt
Other Revenues Not Included$209,082OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$219,559RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,410,167TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,852,196TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,852,196ExpensesSubtotalAmt
Investment Expenses Not Incld2$10,477InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$209,082OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$219,559ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,071,755TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2013 ARE CLOSED TO EXAMINATION.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PSP RENT & MAINTENANCE FEES 7,820. PSP ADMIN CONTRACTED SERVICES 118,490. BAD DEBT EXPENSE 82,772.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PSP RENT AND MAINTENANCE FEES 7,820. PSP ADMIN CONTRACT SERVICES 118,490. BAD DEBT EXPENSE 82,772.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOEL STEPHENS
CEO$114,061$0$0$0$0$0$7,894$0$31,068$0$153,023$0$0$0
MARK SZTROIN
PHYSICAL THERAPIST$199,216$0$0$0$0$0$13,945$0$21,586$0$234,747$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE 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 11BFORM 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 12CTHE 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 15EXEMPT 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 2016.
FORM 990, PART VI, SECTION C, LINE 19THE 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.

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