PROVAIL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
PROVAIL (EIN 91-0593488)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-02-01
IRS object ID
201730329349301008
Schema version
2015v3.0
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)
Return2017-02-01T14:56:26-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910605875PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Peterson Sullivan LLP CPA'SBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1601 Union St Ste 2300AddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP981012345ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910593488EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ProvailBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPROVBusinessNameControlTxt
Phone2063637303PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112550 Aurora Ave NAddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98133ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Personmichael j hatzenbelerPersonNm
Person TitleCEOPersonTitleTxt
Phone2063637303PhoneNum
Signature2017-01-26SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMatthew R MatsonPreparerPersonNm
PTINP00775671PTIN
Phone2063827777PhoneNum
Preparation2017-01-26PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMichael J HatzenbelerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line112550 Aurora Ave NAddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98133ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,004,826GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROVAIL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1942FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionPROVAIL'S MISSION IS TO SUPPORT PEOPLE WITH DISABILITIES TO FULFILL THEIR LIFE CHOICES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee443TotalEmployeeCnt
Total Volunteers112TotalVolunteersCnt
Total Gross UBI$9,745TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$8,745NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,401,062PYContributionsGrantsAmt
CY Contributions Grants$10,753,326CYContributionsGrantsAmt
PY Program Service Revenue$442,804PYProgramServiceRevenueAmt
CY Program Service Revenue$325,518CYProgramServiceRevenueAmt
PY Investment Income$8,476PYInvestmentIncomeAmt
CY Investment Income-$2,676CYInvestmentIncomeAmt
PY Other Revenue$258,750PYOtherRevenueAmt
CY Other Revenue$280,214CYOtherRevenueAmt
PY Total Revenue$10,111,092PYTotalRevenueAmt
CY Total Revenue$11,356,382CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,258,115PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,694,231CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$455,219CYTotalFundraisingExpenseAmt
PY Other Expenses$1,434,227PYOtherExpensesAmt
CY Other Expenses$1,478,361CYOtherExpensesAmt
PY Total Expenses$9,692,342PYTotalExpensesAmt
CY Total Expenses$11,172,592CYTotalExpensesAmt
PY Revenues Less Expenses$418,750PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$183,790CYRevenuesLessExpensesAmt
Total Assets BOY$9,648,310TotalAssetsBOYAmt
Total Assets EOY$12,103,393TotalAssetsEOYAmt
Total Liabilities BOY$7,364,191TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,635,484TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,284,119NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,467,909NetAssetsOrFundBalancesEOYAmt
MissionPROVAIL'S MISSION IS TO SUPPORT PEOPLE WITH DISABILITIES TO FULFILL THEIR LIFE CHOICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,120,987ExpenseAmt
DescCOMMUNITY LIVING services - provides supported living services to adults with severe developmental disabilities. We provide 24-hour support, instruction, personal care and nursing services in accessible, community-based homes throughout the Greater Seattle Area. Approximately 64 clients are served.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,813,725ExpenseAmt
Revenue$409,832RevenueAmt
DescSupported Employment and Vocational Services - We work with individuals with disabilities to secure and retain competitive employment by helping with the process of identifying career goals, matching candidates to positions, training and orientation and ongoing support where needed. Approximate caseload is 376 clients.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$669,132ExpenseAmt
Revenue$206,398RevenueAmt
DescTHERAPEUTIC and Assistive Technology Services - Our services include Speech Therapy, Occupational Therapy and Assistive Technology. These services enable children and adults with disabilities or injuries to maximize their performance and productivity at home, work, school, and in leisure activities. Approximately 253 clients are served each year.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$9,603,844TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
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 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
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 MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee443EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
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 Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1James MacKellar-HertanBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2063637303PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112550 Aurora Ave NAddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98133ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Ken Toole
Chair1.001.00Yes (X)Yes (X)$0$0$0
Harris Clarke
1st Vice Chair1.001.00Yes (X)Yes (X)$0$0$0
Kevin Koppes
Secretary1.001.00Yes (X)Yes (X)$0$0$0
Judy Pickar
Treasurer1.001.00Yes (X)Yes (X)$0$0$0
Jim Chesemore
Director1.00Yes (X)$0$0$0
Doug Durbin
Director1.00Yes (X)$0$0$0
Mike Hughes
Director1.00Yes (X)$0$0$0
Denise Kajannoff
Director1.00Yes (X)$0$0$0
Chris King
Director1.00Yes (X)$0$0$0
Rob Rosson
Director1.00Yes (X)$0$0$0
Michael Hatzenbeler
CEO40.001.00Yes (X)$136,869$0$3,959
James MacKellar-Hertan
CFO40.001.00Yes (X)$105,717$0$3,959
Alexander Gibb
Director of Mfg. and Sales40.00$122,064$0$3,959Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$364,650TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$11,877TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$35,213FederatedCampaignsAmt
Fundraising$322,327FundraisingAmt
Government Grants$10,058,033GovernmentGrantsAmt
All Other Contributions$337,753AllOtherContributionsAmt
Noncash Contributions$96,565NoncashContributionsAmt
Total Contributions$10,753,326TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REHABILITATION & DENTAL900099$250,130$250,130
traumatic brain injury program900099$75,388$75,388
FieldValueIRS element (for citing)
Total Program Service Revenue$325,518TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,213TotalRevenueColumnAmt
Exclusion$2,213ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$49,639RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$34,813RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$14,826RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,826TotalRevenueColumnAmt
Unrelated Business Revenue$9,745UnrelatedBusinessRevenueAmt
Exclusion$5,081ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$4,889OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$4,889OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,889TotalRevenueColumnAmt
Exclusion-$4,889ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$92,174FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$322,327ContriRptFundraisingEventAmt
Fundraising Direct Expenses$143,683FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$51,509TotalRevenueColumnAmt
Exclusion-$51,509ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$3,728,942GrossSalesOfInventoryAmt
Cost Of Goods Sold$3,465,059CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$263,883TotalRevenueColumnAmt
Related Or Exempt Func Income$263,883RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Employment Training900099$26,829$26,829
Lease Deposit Refund900099$20,000$20,000
Miscellaneous900099$5,717$5,717

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$468TotalRevenueColumnAmt
Exclusion$468ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$53,014OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,356,382TotalRevenueColumnAmt
Related Or Exempt Func Income$616,230RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$9,745UnrelatedBusinessRevenueAmt
Exclusion-$22,919ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$297,996TotalAmt
Program Services$265,300ProgramServicesAmt
Management And General$21,724ManagementAndGeneralAmt
Fundraising$10,972FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,908,138TotalAmt
Program Services$7,030,386ProgramServicesAmt
Management And General$581,898ManagementAndGeneralAmt
Fundraising$295,854FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$633,454TotalAmt
Program Services$591,027ProgramServicesAmt
Management And General$31,703ManagementAndGeneralAmt
Fundraising$10,724FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$854,643TotalAmt
Program Services$786,397ProgramServicesAmt
Management And General$44,474ManagementAndGeneralAmt
Fundraising$23,772FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,661TotalAmt
Management And General$1,661ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$40,710TotalAmt
Program Services$33,692ProgramServicesAmt
Management And General$7,018ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$265,500TotalAmt
Program Services$147,797ProgramServicesAmt
Management And General$106,738ManagementAndGeneralAmt
Fundraising$10,965FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$61,413TotalAmt
Program Services$5,195ProgramServicesAmt
Management And General$1,976ManagementAndGeneralAmt
Fundraising$54,242FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$189,810TotalAmt
Program Services$155,869ProgramServicesAmt
Management And General$24,371ManagementAndGeneralAmt
Fundraising$9,570FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$127,062TotalAmt
Program Services$87,411ProgramServicesAmt
Management And General$36,927ManagementAndGeneralAmt
Fundraising$2,724FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$142,091TotalAmt
Program Services$138,052ProgramServicesAmt
Management And General$1,961ManagementAndGeneralAmt
Fundraising$2,078FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$49,711TotalAmt
Program Services$40,308ProgramServicesAmt
Management And General$6,948ManagementAndGeneralAmt
Fundraising$2,455FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$174,002TotalAmt
Program Services$93,521ProgramServicesAmt
Management And General$73,527ManagementAndGeneralAmt
Fundraising$6,954FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$89,492TotalAmt
Program Services$47,373ProgramServicesAmt
Management And General$40,164ManagementAndGeneralAmt
Fundraising$1,955FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$75,516TotalAmt
Program Services$50,258ProgramServicesAmt
Management And General$24,360ManagementAndGeneralAmt
Fundraising$898FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
GENERAL AND ADMINISTRAT$104,744$44,463$41,186$19,095
DUES & SUBSCRIPTIONS$71,326$11,729$58,499$1,098
Bad Debt$53,833$51,970$1,863
TAXES, LICENSES AND FEE$31,490$23,096$8,394

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,172,592TotalAmt
Program Services$9,603,844ProgramServicesAmt
Management And General$1,113,529ManagementAndGeneralAmt
Fundraising$455,219FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$103,374BOYAmt
EOY$72,877EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,509,386BOYAmt
EOY$1,491,402EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,544,256BOYAmt
EOY$1,689,819EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$298,295BOYAmt
EOY$442,560EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$59,444BOYAmt
EOY$91,687EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,778,510LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,606,089LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,021,710BOYAmt
EOY$8,172,421EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$87,663BOYAmt
EOY$87,663EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$24,182BOYAmt
EOY$54,964EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,648,310BOYAmt
EOY$12,103,393EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,006,330BOYAmt
EOY$1,487,342EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$134,786BOYAmt
EOY$537EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,210,700BOYAmt
EOY$8,147,605EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,375BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,364,191BOYAmt
EOY$9,635,484EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,125,779BOYAmt
EOY$2,285,618EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$158,340BOYAmt
EOY$182,291EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,284,119BOYAmt
EOY$2,467,909EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,648,310BOYAmt
EOY$12,103,393EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$183,790ReconcilationRevenueExpnssAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,834,091CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,197,533CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,457,873CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,401,062CurrentTaxYearMinus1YearAmt
Current Tax Year$10,753,326CurrentTaxYearAmt
Total$45,643,885TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,834,091CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,197,533CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,457,873CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,401,062CurrentTaxYearMinus1YearAmt
Current Tax Year$10,753,326CurrentTaxYearAmt
Total$45,643,885TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$45,643,885PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,421CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$768CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$640CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,476CurrentTaxYearMinus1YearAmt
Current Tax Year$2,213CurrentTaxYearAmt
Total$7,518TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$77,489CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$158,892CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,303CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$50,237CurrentTaxYearMinus1YearAmt
Current Tax Year$26,185CurrentTaxYearAmt
Total$445,106TotalAmt
FieldValueIRS element (for citing)
Total Support$46,096,509TotalSupportAmt
Gross Receipts Rltd Activities$3,957,929GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99020PublicSupportCY170Pct
Public Support PY1700.98970PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part II, Line 10, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS Laundry Income lease deposit refundExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,263,030OtherCostOrOtherBasisAmt
Book Value$3,263,030BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,012,417OtherCostOrOtherBasisAmt
Depreciation$845,806DepreciationAmt
Book Value$2,166,611BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,082,675OtherCostOrOtherBasisAmt
Depreciation$760,283DepreciationAmt
Book Value$322,392BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,420,388OtherCostOrOtherBasisAmt
Book Value$2,420,388BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,172,421TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf TournamentEvent1Nm
Gross Receipts Event1$327,926GrossReceiptsEvent1Amt
Charitable Contri Event1$250,878CharitableContriEvent1Amt
Gross Revenue Event1$77,048GrossRevenueEvent1Amt
Rent Facility Costs Event1$56,067RentFacilityCostsEvent1Amt
Food And Beverage Event1$24,505FoodAndBeverageEvent1Amt
Entertainment Event1$3,600EntertainmentEvent1Amt
Other Direct Expenses Event1$24,170OtherDirectExpensesEvent1Amt
Event2LuncheonEvent2Nm
Gross Receipts Event2$74,790GrossReceiptsEvent2Amt
Charitable Contri Event2$61,750CharitableContriEvent2Amt
Gross Revenue Event2$13,040GrossRevenueEvent2Amt
Rent Facility Costs Event2$9,020RentFacilityCostsEvent2Amt
Food And Beverage Event2$13,040FoodAndBeverageEvent2Amt
Entertainment Event2$100EntertainmentEvent2Amt
Other Direct Expenses Event2$5,204OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$11,785GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$9,699CharitableContriOtherEventsAmt
Gross Revenue Other Events$2,086GrossRevenueOtherEventsAmt
Food And Beverage Other Events$750FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$7,227OthDirectExpnssOtherEventsAmt
Gross Receipts Total$414,501GrossReceiptsTotalAmt
Charitable Contributions Tot$322,327CharitableContributionsTotAmt
Gross Revenue Total Events$92,174GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$65,087RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$38,295FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,700EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$36,601OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$143,683DirectExpenseSummaryEventsAmt
Net Income Summary-$51,509NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
Personpatricia toolePersonNm
FieldValueIRS element (for citing)
Relationship Descriptionspouse of a board memberRelationshipDescriptionTxt
Transaction$32,419TransactionAmt
TransactionPatricia is employed by Provail as an occupational therapist.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescAuction ItemsDesc
Contribution133ContributionCnt
Noncash Contributions Rpt F990$96,565NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The organization will provide a draft copy of the Form 990 to the governing board approximately two weeks prior to it being filed and request any questions or comments be directed to the CFO. The organization will provide a draft copy of the Form 990 to the management of the organization approximately two weeks prior to it being filed and request any questions or comments be directed to the CFO.
Form 990, Part VI, Section B, line 12cEach Board member is asked to review and sign the conflict of interest policy on an annual basis and also fill out a questionnaire as part of the preparation for the 990 dealing with independence. We have had no conflicts to deal with.
Form 990, Part VI, Section B, line 15aThe Executive Committee of the Board undertakes the evaluation and compensation setting for the CEO. They completed the evaluation portion getting input from the BOD and employees supervised by the CEO. They also reviewed salaries at comparable agencies by pulling 990's for them. Minutes of these meetings were kept. Using both the evaluation and the comparable salary information they set the salary for the CEO. We have no other employees who meet the definition of key employee.
Form 990, Part VI, Section C, line 19These are available upon request.
Form 990, Part IV, Line 12bAffiliated Group Members list of all members of the group this return will cover: Provail 12550 Aurora Ave. N Seattle, WA 98133 EIN 91-0593488 List of all member of the group this return will not cover: Auburn Community Living 12550 Aurora Ave. N Seattle, WA 98133 EIN 91-1814582 Eastside Community Living 12550 Aurora Ave. N Seattle, WA 98133 EIN 94-3206977

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Provail - Affiliates
12550 aurora ave nseattleWA98133912146011Community HousingWA501(c)(3)7ProvailYes (1)
auburn community living
12550 aurora ave nseattleWA98133911814582Community HousingWA501(c)(3)7ProvailYes (1)
eastside community living
12550 aurora ave nseattleWA98133943206977Community HousingWA501(c)(3)7ProvailYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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