COMMUNITY HOME HEALTH HOSPICE: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HOME HEALTH HOSPICE (EIN 91-1399370)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-07-14
IRS object ID
201601969349300040
Schema version
2014v6.0
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)
Return2016-07-14T08:59:36-07:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Hansen Hunter & Co PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18930 SW Gemini DriveAddressLine1Txt
CityBeavertonCityNm
State AbbreviationORStateAbbreviationCd
ZIP97008ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911399370EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Community Home Health & HospiceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone3604258510PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2067AddressLine1Txt
CityLongviewCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98632ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGREGORY PANG MHAPersonNm
Person TitleCEOPersonTitleTxt
Signature2016-07-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCynthia J HeubergerPreparerPersonNm
PTINP00166783PTIN
Phone5032442134PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGREGORY PANG MHAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2067AddressLine1Txt
CityLONGVIEWCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98632ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$20,404,323GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHHH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionAs a community-based nonprofit agency since 1977, our mission is caring for people at home.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee366TotalEmployeeCnt
Total Volunteers229TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$569,339PYContributionsGrantsAmt
CY Contributions Grants$708,930CYContributionsGrantsAmt
PY Program Service Revenue$17,853,568PYProgramServiceRevenueAmt
CY Program Service Revenue$19,480,641CYProgramServiceRevenueAmt
PY Investment Income-$195,597PYInvestmentIncomeAmt
CY Investment Income$52,701CYInvestmentIncomeAmt
PY Other Revenue$162,839PYOtherRevenueAmt
CY Other Revenue$138,458CYOtherRevenueAmt
PY Total Revenue$18,390,149PYTotalRevenueAmt
CY Total Revenue$20,380,730CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,754,651PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,597,524CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$324,544CYTotalFundraisingExpenseAmt
PY Other Expenses$4,707,905PYOtherExpensesAmt
CY Other Expenses$5,093,930CYOtherExpensesAmt
PY Total Expenses$18,462,556PYTotalExpensesAmt
CY Total Expenses$20,691,454CYTotalExpensesAmt
PY Revenues Less Expenses-$72,407PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$310,724CYRevenuesLessExpensesAmt
Total Assets BOY$18,047,307TotalAssetsBOYAmt
Total Assets EOY$21,556,985TotalAssetsEOYAmt
Total Liabilities BOY$7,065,861TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,087,229TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,981,446NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,469,756NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAs a community-based nonprofit agency since 1977, our mission is caring for people at home.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,140,911ExpenseAmt
Revenue$9,770,930RevenueAmt
DescHOSPICE: SKILLED NURSING, SOCIAL SERVICES, THERAPY AND AIDE SERVICES FOR TERMINALLY ILL PATIENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,783,416ExpenseAmt
Revenue$8,129,815RevenueAmt
DescHOME HEALTH: SKILLED NURSING, THERAPY AND AIDE SERVICES FOR HOMEBOUND PATIENTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,219,159ExpenseAmt
Revenue$1,461,143RevenueAmt
DescHOME CARE: IN-HOME AIDE AND HOMEMAKER SERVICES PROVIDED.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$99,086TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$118,753TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$16,242,572TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee366EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJason MeunierPersonNm
Phone3604145439PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2067AddressLine1Txt
CityLONGVIEWCityNm
State AbbreviationWAStateAbbreviationCd
ZIP986328189ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Daniel A Spjut
President0.700.00Yes (X)Yes (X)$0$0$0
Corey E Balkan
Vice President0.700.00Yes (X)Yes (X)$0$0$0
Jaime L Boaglio
Sec/Treas0.700.00Yes (X)Yes (X)$0$0$0
Joseph R Amrine
Director0.700.00Yes (X)$0$0$0
Eric C Brudi
Director0.700.00Yes (X)$0$0$0
Tina Cygrymus
Director0.700.00Yes (X)$0$0$0
Allan E Erickson
Director0.700.00Yes (X)$0$0$0
Lee Nichols
Director0.700.00Yes (X)$0$0$0
Laird D Mcrae MD
Director0.700.00Yes (X)$0$0$0
John ENord
Director0.700.00Yes (X)$0$0$0
Gary A Reitsch
Director0.700.00Yes (X)$0$0$0
Barbara F Samples RN
Director0.700.00Yes (X)$0$0$0
Scott M Studley
Director0.700.00Yes (X)$0$0$0
Betty R Vilhauer
Director0.700.00Yes (X)$0$0$0
Bruce N Warrick
Director0.700.00Yes (X)$0$0$0
GREGORY PANG MHA
CEO40.000.00Yes (X)$139,752$0$14,522
RANDY DALTON
Clinical Director40.000.00$112,381$0$15,068Yes (X)
SANDRA BROEREN
MEDICAL DIRECTOR40.000.00$132,045$0$11,350Yes (X)
Sue Frieberg
VP Inpatient Svcs.40.000.00$109,824$0$15,549Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$494,002TotalReportableCompFromOrgAmt
Total Other Compensation$56,489TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Supplemental Health Care
PO Box 677896DallasTX752567896CONTRACT THERAPIST$151,403
Career Staff Unlimited
PO Box 301076DallasTX753031076Contract Therapist$147,120
Glen Patrizio MD
4355 West Ridge DriveHood RiverOR970317734Medical Director$138,203
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Fundraising$103,833FundraisingAmt
All Other Contributions$605,097AllOtherContributionsAmt
Total Contributions$708,930TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPICE621610$9,770,930$9,770,930
HOME HEALTH621610$8,129,815$8,129,815
HOME CARE621610$1,461,143$1,461,143
PALLIATIVE CARE621610$118,753$118,753
FieldValueIRS element (for citing)
Total Program Service Revenue$19,480,641TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,701TotalRevenueColumnAmt
Exclusion$50,701ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$2,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,000TotalRevenueColumnAmt
Exclusion$2,000ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$27,000FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$103,833ContriRptFundraisingEventAmt
Fundraising Direct Expenses$23,593FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,407TotalRevenueColumnAmt
Exclusion$3,407ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescTHRIFT SHOPDesc
Business453310BusinessCd
Total Revenue Column$135,051TotalRevenueColumnAmt
Exclusion$135,051ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$135,051OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,380,730TotalRevenueColumnAmt
Related Or Exempt Func Income$19,480,641RelatedOrExemptFuncIncomeAmt
Exclusion$191,159ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$154,274TotalAmt
Management And General$152,941ManagementAndGeneralAmt
Fundraising$1,333FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,764,396TotalAmt
Program Services$10,408,197ProgramServicesAmt
Management And General$2,144,974ManagementAndGeneralAmt
Fundraising$211,225FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$227,974TotalAmt
Program Services$187,497ProgramServicesAmt
Management And General$35,437ManagementAndGeneralAmt
Fundraising$5,040FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,212,269TotalAmt
Program Services$987,233ProgramServicesAmt
Management And General$207,909ManagementAndGeneralAmt
Fundraising$17,127FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,238,611TotalAmt
Program Services$1,000,093ProgramServicesAmt
Management And General$219,533ManagementAndGeneralAmt
Fundraising$18,985FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,266TotalAmt
Management And General$4,266ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$35,900TotalAmt
Management And General$35,900ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,501,433TotalAmt
Program Services$998,905ProgramServicesAmt
Management And General$493,737ManagementAndGeneralAmt
Fundraising$8,791FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$68,009TotalAmt
Management And General$46,403ManagementAndGeneralAmt
Fundraising$21,606FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,169TotalAmt
Management And General$4,169ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$354,420TotalAmt
Program Services$247,649ProgramServicesAmt
Management And General$103,706ManagementAndGeneralAmt
Fundraising$3,065FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$38,035TotalAmt
Program Services$788ProgramServicesAmt
Management And General$37,022ManagementAndGeneralAmt
Fundraising$225FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$188,236TotalAmt
Program Services$131,529ProgramServicesAmt
Management And General$55,079ManagementAndGeneralAmt
Fundraising$1,628FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$455,460TotalAmt
Program Services$318,251ProgramServicesAmt
Management And General$133,271ManagementAndGeneralAmt
Fundraising$3,938FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$72,879TotalAmt
Program Services$50,924ProgramServicesAmt
Management And General$21,325ManagementAndGeneralAmt
Fundraising$630FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$1,064,000$992,535$69,576$1,889
AUTO$612,696$609,200$3,496
EQUIPMENT RENTAL & maintenance$137,725$137,725
LICENSES & Fees$109,523$109,523

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$447,179TotalAmt
Program Services$172,046ProgramServicesAmt
Management And General$249,567ManagementAndGeneralAmt
Fundraising$25,566FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,691,454TotalAmt
Program Services$16,242,572ProgramServicesAmt
Management And General$4,124,338ManagementAndGeneralAmt
Fundraising$324,544FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,220,613BOYAmt
EOY$780,079EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,666,167BOYAmt
EOY$1,226,146EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$38,272BOYAmt
EOY$87,240EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,493,958BOYAmt
EOY$2,549,359EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$43,882BOYAmt
EOY$78,767EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$103,826BOYAmt
EOY$84,349EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,977,048LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,866,045LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,005,539BOYAmt
EOY$7,111,003EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,904,811BOYAmt
EOY$2,890,650EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$219,521BOYAmt
EOY$208,551EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,350,718BOYAmt
EOY$6,540,841EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,047,307BOYAmt
EOY$21,556,985EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,490,408BOYAmt
EOY$1,546,921EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$330,483BOYAmt
EOY$394,170EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,241,367BOYAmt
EOY$9,146,138EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,603BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,065,861BOYAmt
EOY$11,087,229EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,237,321BOYAmt
EOY$8,724,328EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$332,160BOYAmt
EOY$423,036EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,411,965BOYAmt
EOY$1,322,392EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,981,446BOYAmt
EOY$10,469,756EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,047,307BOYAmt
EOY$21,556,985EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$310,724ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$200,966NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$1,000RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$1,000TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationGreg Pang and Marykay Morelli 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

FieldValueIRS element (for citing)
Beginning Year Balance$4,182,516BeginningYearBalanceAmt
Contributions$502,873ContributionsAmt
Investment Earnings Or Losses-$150,265InvestmentEarningsOrLossesAmt
Other Expenditures$402,537OtherExpendituresAmt
End Year Balance$4,132,587EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,304,241BeginningYearBalanceAmt
Contributions$342,268ContributionsAmt
Investment Earnings Or Losses$177,270InvestmentEarningsOrLossesAmt
Other Expenditures$641,263OtherExpendituresAmt
End Year Balance$4,182,516EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,073,139BeginningYearBalanceAmt
Contributions$167,793ContributionsAmt
Investment Earnings Or Losses$81,756InvestmentEarningsOrLossesAmt
Other Expenditures$18,447OtherExpendituresAmt
End Year Balance$4,304,241EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,957,097BeginningYearBalanceAmt
Contributions$157,737ContributionsAmt
Investment Earnings Or Losses$273,551InvestmentEarningsOrLossesAmt
Other Expenditures$315,246OtherExpendituresAmt
End Year Balance$4,073,139EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,058,046BeginningYearBalanceAmt
Contributions$59,037ContributionsAmt
Investment Earnings Or Losses-$49,563InvestmentEarningsOrLossesAmt
Other Expenditures$110,423OtherExpendituresAmt
End Year Balance$3,957,097EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.54910BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.34150PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.10940TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$496,321InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,433,456OtherCostOrOtherBasisAmt
Book Value$2,929,777BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,842,179OtherCostOrOtherBasisAmt
Depreciation$3,263,874DepreciationAmt
Book Value$2,578,305BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,644,272OtherCostOrOtherBasisAmt
Depreciation$1,473,852DepreciationAmt
Book Value$1,170,420BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$560,820OtherCostOrOtherBasisAmt
Depreciation$128,319DepreciationAmt
Book Value$432,501BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,111,003TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescCIPDesc
Book Value$6,540,841BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,540,841TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$20,174,812TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$200,966NetUnrealizedGainsInvstAmt
Revenue Not Reported-$200,966RevenueNotReportedAmt
Revenue Subtotal$20,375,778RevenueSubtotalAmt
Other Revenues Not Included$4,952OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$4,952RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$20,380,730TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,686,502TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$20,686,502ExpensesSubtotalAmt
Other Expenses Not Included$4,952OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,952ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$20,691,454TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SExpenses grouped with revenue $4952
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SExpenses grouped with revenue $4952

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HOME AT LAST GALAEvent1Nm
Gross Receipts Event1$130,833GrossReceiptsEvent1Amt
Charitable Contri Event1$103,833CharitableContriEvent1Amt
Gross Revenue Event1$27,000GrossRevenueEvent1Amt
Rent Facility Costs Event1$5,366RentFacilityCostsEvent1Amt
Food And Beverage Event1$14,233FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$3,994OtherDirectExpensesEvent1Amt
Gross Receipts Total$130,833GrossReceiptsTotalAmt
Charitable Contributions Tot$103,833CharitableContributionsTotAmt
Gross Revenue Total Events$27,000GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$5,366RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$14,233FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$3,994OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$23,593DirectExpenseSummaryEventsAmt
Net Income Summary$3,407NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonGREGORY PANG MHAPersonNm
TitleCEOTitleTxt
Base Compensation Filing Org$139,752BaseCompensationFilingOrgAmt
Deferred Compensation Flng Org$5,721DeferredCompensationFlngOrgAmt
Nontaxable Benefits Filing Org$8,801NontaxableBenefitsFilingOrgAmt
Total Compensation Filing Org$154,274TotalCompensationFilingOrgAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: PALLIATIVE CARE: TREATMENT OF THE DISCOMFORT, SYMPTOMS, AND STRESS OF SERIOUS ILLNESS.
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE FINANCE COMMITTEE REVIEWS THE FORM AT A FINANCE COMMITTEE MEETING.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD 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 EmployeesCOMPENSATION IS BASED ON ANALYSIS PROVIDED BY ECONOMIC RESEARCH INSTITUTE OF SALARIES AND JOB DESCRIPTIONS WITHIN THE GEOGRAPHICAL AREA AND INDUSTRY.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S PLACE OF BUSINESS.

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