2015-11-11T18:43:53-06:00 2014-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2014-01-01 910725802 HORIZON HOUSE HORI 2063823721 900 UNIVERSITY STREET SEATTLE WA 981012797 R MICHAEL OSTREM CHIEF FINANCIAL OFFICER 2063823721 2015-10-14 1 SARA ELIZABETH J HYRE P00235495 4254544919 2015-10-14 2014 2016-02-25 16:41:14Z ROBERT Y ANDERSON 900 UNIVERSITY STREET SEATTLE WA 981012797 68914096 0 X WWW.HORIZONHOUSE.ORG X 1960 WA HORIZON HOUSE IS A DYNAMIC AND DIVERSE SENIOR LIVING COMMUNITY DEDICATED TO DIGNIFIED AGING, LIFE FULFILLMENT AND SERVICE TO THE BROADER COMMUNITY. 15 15 372 60 92518 64650 967745 846207 27965623 28272819 1235044 1250359 339952 318870 30508364 30688255 789726 944833 0 0 14011696 14995453 44840 73656 264510 13374907 13676145 28221169 29690087 2287195 998168 156359940 154494017 131950176 129378549 24409764 25115468 X HORIZON HOUSE IS A DYNAMIC AND DIVERSE SENIOR LIVING COMMUNITY DEDICATED TO DIGNIFIED AGING, LIFE FULFILLMENT AND SERVICE TO THE BROADER COMMUNITY. WE PROVIDE SENIOR LIVING SERVICES FOR 386 INDEPENDENT LIVING UNITS AND 88 SUPPORTED LIVING BEDS. 0 0 25018186 944833 28239248 HORIZON HOUSE IS A CONTINUING CARE RETIREMENT COMMUNITY DEDICATED TO LIFE FULFILLMENT. WE PROMOTE INDEPENDENCE, COMMUNITY SERVICE, CREATIVITY, GROWTH AND SELF-DETERMINATION, WHILE RESPECTING THE DIGNITY OF THOSE LIVING AND WORKING WITHIN THE COMMUNITY. WE PROVIDE COMPREHENSIVE RESIDENTIAL NURSING CARE IN A HOME-LIKE ENVIRONMENT THROUGH OUR INNOVATIVE SUPPORTED LIVING PROGRAM. SPECIFICALLY DESIGNED TO MEET THE SOCIAL, MENTAL, SPIRITUAL, AND LONG TERM HEALTH CARE NEEDS OF THE RESIDENTS SERVED, THIS MODEL COMBINES WHAT IS COMMONLY REFERRED TO AS ASSISTED LIVING AND NURSING LEVELS OF CARE INTO A BROAD CONTINUUM OF SERVICES. MOVING INTO SUPPORTED LIVING MEANS A RESIDENT NEED ONLY MAKE ONE MOVE. AS SERVICES INCREASE, RESIDENTS STAY AT HOME IN THEIR SUPPORTED LIVING APARTMENT WHILE SERVICES ARE DELIVERED TO THEM AS NEEDED. HORIZON HOUSE IS CONSISTENTLY DILIGENT ABOUT ITS EXPENDITURES. DISCRETIONARY SPENDING IS KEPT TO A MINIMUM. RESIDENCE AND ENTRANCE FEES ARE ALSO ALLOCATED TOWARDS MAKING FUTURE IMPROVEMENTS TO THE BUILDINGS THAT HOUSE OUR RESIDENTS AND TO FUND OUR FUTURE SERVICE OBLIGATION. 25018186 1 1 0 0 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 134 0 1 372 1 1 1 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WA X CHRISTINE SEYMOUR 2063823721 900 UNIVERSITY STREET SEATTLE WA 981012797 KAREN LANE PRESIDENT 15.00 0.00 X X 0 0 0 JIM FITZGERALD VICE PRESIDENT 5.00 0.00 X X 0 0 0 ROBERT CLINE TREASURER 3.00 1.00 X X 0 0 0 SUSAN DUFFY SECRETARY 2.00 0.00 X X 0 0 0 FLETCH WALLER PAST PRESIDENT 5.00 0.00 X X 0 0 0 ANN BRAND TRUSTEE 3.00 0.00 X 0 0 0 MARGARET BURKE TRUSTEE 12.00 1.00 X 0 0 0 RICHARD COUNTS TRUSTEE 2.00 0.00 X 0 0 0 JULIUS DEBRO TRUSTEE 8.00 0.00 X 0 0 0 TOM GARLAND TRUSTEE 5.00 0.00 X 0 0 0 NED LANGE TRUSTEE 3.00 0.00 X 0 0 0 DAVID OKIMOTO TRUSTEE 2.00 0.00 X 0 0 0 KATHLEEN PAUL TRUSTEE 1.00 0.00 X 0 0 0 KATHY TURNER PNWC REP 4.00 0.00 X 0 0 0 BILL ANDERSEN TRUSTEE 2.00 0.00 X 0 0 0 ROBERT ANDERSON CEO 65.00 1.00 X 289962 0 17242 R MICHAEL OSTREM CFO 45.00 1.00 X 151211 0 31703 EDWARD MAWE COO 50.00 0.00 X 153198 0 10036 LAURI WARFIELD-LARSON HEALTH SERVICES OFFICER 48.00 2.00 X 140208 0 18258 JACKIE CLAESSENS MARKETING OFFICER 45.00 0.00 X 116095 0 11698 BRAD D'EMIDIO DIRECTOR OF BLDG SERVICES 45.00 0.00 X 103749 0 9630 JULIE JORGENSEN DIRECTOR OF NURSING 45.00 0.00 X 103393 0 21776 1057816 0 120343 7 0 1 0 GREVSTAND CONSTRUCTION 3023 NE 50TH STREET SEATTLE WA 98105 CONSTRUCTION 720431 NORTHWEST ABATEMENT SERVICES PO BOX 39220 LAKEWOOD WA 98496 CONSTRUCTION/ABATEMENT 431860 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 DINING SERVICES MANAGEMENT 317896 LINCOLN CONSTRUCTION PO BOX 730 SPANAWAY WA 98387 CONSTRUCTION 262566 CROTHALL SERVICES GROUP 1500 LIBERTY RIDGE DRIVE SUITE 210 WAYNE PA 19087 FACILITIES MANAGEMENT 248121 11 30000 816207 35906 846207 RESIDENCE FEES 623990 10611261 10611261 HEALTH CARE PROGRAM 623990 8508158 8508158 ENTRANCE FEES 623990 6341446 6341446 DIETARY 722320 1638224 1604653 33571 OTHER ANCILLARY SRVCS 900099 1173730 1173730 28272819 1363773 1363773 134581 43878 90703 90703 58947 31756 37868055 200494 37940560 241403 -72505 -40909 -113414 -113414 GROUP RETRO REFUND 900099 160970 160970 DSL SERVICE 900099 41696 41696 FORFEITURES - WAITLIST 900099 23300 23300 2201 2201 228167 30688255 28239248 92518 1510282 155704 155704 789129 789129 490118 73518 416600 11184430 9843278 1196852 144300 350060 300103 43185 6772 1813660 1573417 225885 14358 1157185 1042553 103323 11309 581662 581662 24165 24165 66516 66516 73656 73656 125829 125829 1069031 861231 204281 3519 141830 1649 140181 897832 654248 234042 9542 167742 167742 1030387 1030387 54529 45519 9010 119790 33457 85279 1054 343980 343980 6221003 6221003 334114 334114 BOND EXPENSES 1389756 1389756 FOOD SERVICE COSTS 978451 978451 RESIDENT/STAFF PROGRAMS 22905 22905 UNRELATED BUS INC TAXES 11129 11129 95494 95494 29690087 25018186 4407391 264510 7023967 5224566 8054656 5474758 873834 832014 386843 347660 60860 52263 293801 266364 163223387 56506457 107478096 106716930 30280077 33900498 324183 320264 1583623 1358700 156359940 154494017 2805506 3150362 77410500 76628249 49929997 48549978 1804173 1049960 131950176 129378549 X 14278622 14833782 2317611 2131842 7813531 8149844 24409764 25115468 156359940 154494017 X 998168 -923360 630896 X 0 1 X 1 0 X 745470 721245 671074 967745 846207 3951741 23890348 24805160 25884579 27935527 28239248 130754862 47952 53965 50650 60391 43897 256855 24683770 25580370 26606303 28963663 29129352 134963458 16398 14717 93679 12550 35850 173194 0 16398 14717 93679 12550 35850 173194 134790264 1158087 1115380 1033144 898743 1395529 5600883 13671 14861 36631 43997 53487 162647 1171758 1130241 1069775 942740 1449016 5763530 62392 139691 197476 202932 184270 786761 25917920 26850302 27873554 30109335 30762638 141513749 0.95250 0.95420 0.04070 0.03930 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: GROUP RETRO REFUND - 2010 AMOUNT: $ 56,242. 2011 AMOUNT: $ 129,969. 2012 AMOUNT: $ 177,662. 2013 AMOUNT: $ 189,219. 2014 AMOUNT: $ 160,970. FORFEITED DEPOSITS - 2010 AMOUNT: $ 6,150. 2011 AMOUNT: $ 9,722. 2012 AMOUNT: $ 19,814. 2013 AMOUNT: $ 13,713. 2014 AMOUNT: $ 23,300. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 136311 X 0 8834652 353335 171775 347462 9012300 7624921 153211 1626801 570281 8834652 6641720 279952 970400 267151 7624921 6668545 437185 -256507 207503 6641720 5835251 152406 869432 188544 6668545 0.00000 0.79500 0.20500 0 0 1797620 1797620 147481338 51130459 96350879 8065487 5375998 2689489 5878942 5878942 106716930 FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 564405 ASSET RETIREMENT OBLIGATION - ASBESTOS 407644 LONG TERM CARE INSURANCE INDEMNIFICATION 77911 1049960 31422828 -923360 1975796 1052436 30370392 317863 317863 30688255 30605431 1277085 1277085 29328346 361741 361741 29690087 PART III, LINE 4: ARTWORK IS PURCHASED FROM TIME TO TIME TO ENHANCE THE COMMON AREAS ON CAMPUS FOR RESIDENT ENJOYMENT. PART V, LINE 4: THE ENDOWMENT FUND IS BROKEN DOWN INTO THREE FUNDS, BASED ON DONOR INTENT. THE THREE AREAS OF USE ARE THE RESIDENT ASSISTANCE FUND, THE ENTRANCE ASSISTANCE FUND AND THE QUALITY OF RESIDENT LIFE FUND. THE RESIDENT ASSISTANCE FUND IS USED TO SUPPORT RESIDENTS WHO HAVE EXHAUSTED THEIR FINANCIAL RESOURCES BUT CONTINUE TO LIVE AT HORIZON HOUSE. THE ENTRANCE ASSISTANCE FUND IS USED TO HELP RESIDENTS WHO QUALIFY FOR ENTRANCE INTO HORIZON HOUSE BUT DO NOT HAVE THE ABILITY TO PAY THE ENTIRE ENTRANCE FEE AMOUNT. THE QUALITY OF RESIDENT LIFE FUND IS USED FOR THE AREA OF GREATEST NEED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF INTEREST RATE CAP AND SWAP AGREEMENTS 678,741. INCOME FROM SUBSIDIARIES 1,344,900. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS -47,845. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENT EXPENSE INCLUDED ON FORM 990, PART VIII, LINE 6B -43,878. RESIDENCE ASSISTANCE 361,741. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE INCLUDED ON FORM 990, PART VIII, LINE 6B 43,878. EXPENSES FROM SUBSIDIARIES 1,233,207. PART XII, LINE 4B - OTHER ADJUSTMENTS: RESIDENCE ASSISTANCE 361,741. X X X 1 RUTH ANNE FORD 12545 3RD AVENUE NW SEATTLE WA 98117 SUPPORT FOR ENDOWMENT CAMPAIGN 0 311585 30617 280968 THE ALFORD GROUP 2033 6TH AVENUE 700 SEATTLE WA 98121 COACHING AND COUNSEL FOR ENDOWMENT CAMPAIGN 0 261447 43039 218408 573032 73656 499376 WA 1 FIRST HILL IMPROVEMENT ASSN 1425 BROADWAY 281 SEATTLE WA 98122 916054454 501(C)(4) 5000 0 N/A N/A SUPPORT TO FHIA FOR REDEVELOPMENT EFFORTS FREEWAY PARK NEIGHBORHOOD ASSOCIATION 1415 35TH AVENUE SEATTLE WA 98122 911644211 501(C)(3) 12500 0 N/A N/A FUNDING FOR PROGRAMMING, COMMUNITY ENGAGEMENT AND ACTIVE MEMBERSHIP PLYMOUTH HOUSING 92113 3RD AVENUE SEATTLE WA 98121 911122621 501(C)(3) 5000 0 N/A N/A SUPPORT FOR SENIORS LIVING AT SIMONS HOUSE SENIOR GIVING PROJECT 12249 ARROW POINT LOOP BAINBRIDGE WA 98110 463095019 501(C)(3) 91924 0 N/A N/A FISCAL SPONSORSHIP NW CENTER FOR CREATIVE AGING 900 UNIVERSITY STREET SEATTLE WA 98101 272502055 501(C)(3) 20000 0 N/A N/A PROGRAMS FOR SENIORS ELDERWISE 900 UNIVERSITY STREET SEATTLE WA 98101 911809539 501(C)(3) 9600 0 N/A N/A PROVIDING ACTIVITIES FOR SENIORS 5 1 EDUCATIONAL ASSISTANCE 19 9568 9903 BOOK TUITION AND BOOKS FOR EMPLOYEE EDUCATION EMERGENCY ASSISTANCE 3 1273 0 RESIDENT ASSISTANCE 11 0 768385 BOOK CREDITS TO MONTHLY STATEMENTS PART I, LINE 2: HORIZON HOUSE PROVIDES GRANT FUNDS TO RESIDENTS, EMPLOYEES AND OTHER ORGANIZATIONS. RESIDENTS MUST APPLY FOR GRANTS ANNUALLY. THESE APPLICATIONS ARE APPROVED BY OUR CEO. EMPLOYEES MAY APPLY FOR EDUCATIONAL ASSISTANCE WITH PROOF OF ENROLLMENT, AND THESE GRANTS ARE APPROVED BY THE HUMAN RESOURCES DIRECTOR. THE HR DIRECTOR SCREENS ALL EMPLOYEE EMERGENCY APPLICATIONS AND GRANTS ARE APPROVED WITH CONSENT FROM THE EMPLOYEE EMERGENCY FUND COMMITTEE. LARGE GRANTS TO OTHER ORGANIZATIONS ARE APPROVED BY THE BOARD OF DIRECTORS AS PART OF THE COMMUNITY RELATIONS BUDGET. SMALLER GRANTS ARE GIVEN TO OTHER ORGANIZATIONS IN MEMORY OF DECEASED RESIDENTS. X X X X X 0 0 0 0 0 0 0 0 0 ROBERT ANDERSON CEO 187480 0 67380 0 35102 0 63 0 17179 0 307204 0 0 0 R MICHAEL OSTREM CFO 141211 0 10000 0 0 0 6848 0 24855 0 182914 0 0 0 EDWARD MAWE COO 151698 0 1500 0 0 0 6150 0 3886 0 163234 0 0 0 LAURI WARFIELD-LARSON HEALTH SERVICES OFFICER 132208 0 8000 0 0 0 3278 0 14980 0 158466 0 0 0 A WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 939783PU4 2014-04-01 61000000 RENOVATION AND EXPAND CAMPUS 0 0 0 A 850466 61529721 529721 48549978 11599556 2007 1 0 1 1 A 0 0 0 0 0.00010 0.00010 0.00020 0 0 1 A 0 1 0 0 1 1 WA FEDERAL 3.850000000000 0 0 0 0 1 A 1 X 5 35906 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART I, LINE 6: DESCRIPTION OF VOLUNTEER SERVICES THE NUMBER OF VOLUNTEERS INCLUDES LONG TERM VOLUNTEERS, ONE DAY VOLUNTEERS AND VOLUNTEERS THAT COME FOR SPECIAL PROJECTS. VOLUNTEERS HELP TRANSPORT RESIDENTS TO DAILY ACTIVITIES AND SPECIAL OUTINGS, BRING IN PETS TO VISIT RESIDENTS, PROVIDE MUSICAL PROGRAMS AND PROVIDE HELP WITH SPECIAL CRAFT PROJECTS. THE NUMBER OF VOLUNTEERS ALSO INCLUDES THE UNCOMPENSATED BOARD MEMBERS. FORM 990, PART III, LINE 1 2014 HORIZON HOUSE STATEMENT OF SOCIAL ACCOUNTABILITY HORIZON HOUSE HAS A LONG-STANDING COMMITMENT TO SOCIAL ACCOUNTABILITY. BOTH RESIDENTS AND STAFF AND THE ENTIRE ORGANIZATION GIVE THEIR TIME AND FINANCIAL SUPPORT TO THOSE IN NEED. THIS SUPPORT IS OFFERED TO THOSE BOTH LIVING IN HORIZON HOUSE AND IN THE BROADER COMMUNITY. THE MISSION OF HORIZON HOUSE IS TO BE A DYNAMIC RETIREMENT COMMUNITY DEDICATED TO DIGNIFIED AGING, LIFE FULFILLMENT AND SERVICE TO THE BROADER COMMUNITY. HISTORY AND BACKGROUND HORIZON HOUSE, A NOT-FOR-PROFIT RETIREMENT COMMUNITY WAS FOUNDED IN 1961, BECOMING THE FIRST RETIREMENT COMMUNITY IN DOWNTOWN SEATTLE. FOUNDING MEMBERS WERE CIVIC LEADERS AND MEMBERS OF THE UNITED CHURCH OF CHRIST WHO ESTABLISHED A COMMITMENT TO SOCIAL JUSTICE, COMMUNITY OUTREACH AND SOCIAL ACCOUNTABILITY WHICH CONTINUES TO THIS DAY. HORIZON HOUSE IS A CONTINUING CARE RETIREMENT COMMUNITY WITH 386 INDEPENDENT LIVING APARTMENTS AND 88 SUPPORTED LIVING HEALTH CARE APARTMENTS. THERE ARE APPROXIMATELY 560 RESIDENTS AT HORIZON HOUSE AND A STAFF OF 310. COMPREHENSIVE HEALTH SERVICES INCLUDE; WELLNESS/EXERCISE, REHABILITATION THERAPY, MEDICAL AND DENTAL CLINIC, HOME CARE, NURSING CARE AND ADULT DAY SERVICES IN ADDITION TO EDUCATIONAL CLASSES AND MANY SOCIAL AND CULTURAL EVENTS. HORIZON HOUSE GOVERNANCE HORIZON HOUSE IS GOVERNED BY A 15 MEMBER BOARD OF TRUSTEES WHO SERVE WITHOUT COMPENSATION. THE BOARD IS COMPRISED OF MEN AND WOMEN WITH PROFESSIONAL EXPERTISE IN THE LEADERSHIP AND OPERATIONAL AREAS OF HORIZON HOUSE. A FIVE MEMBER EXECUTIVE TEAM IS RESPONSIBLE FOR THE ADMINISTRATIVE LEADERSHIP OF HORIZON HOUSE. EXAMPLES OF COMMUNITY OUTREACH AND SOCIAL ACCOUNTABILITY SOME HIGHLIGHTS FROM 2014 INCLUDE: - CHARITABLE CARE FOR RESIDENTS UNABLE TO PAY IN THE AMOUNT OF $768,385 ENABLING THEM TO REMAIN AT HORIZON HOUSE AND ELIMINATING THE NEED FOR GOVERNMENT ASSISTANCE AND SUBSIDIES. DISTRIBUTION OF $1,273 TO EMPLOYEES IN NEED OF ASSISTANCE AND $19,471 TO EMPLOYEES FOR EDUCATIONAL PURPOSES. THESE DISTRIBUTIONS ARE FUNDED BY OUR GENEROUS DONORS CONSISTING OF RESIDENTS, FAMILIES, VENDORS AND STAFF. - SPACE DONATED TO NON-PROFIT GROUPS SUCH AS PARKINSONS SUPPORT, PARKINSONS BOARD OF DIRECTORS, THE LEAGUE OF WOMEN VOTERS, PUGETARIANS - UNITED CHURCH OF CHRIST AND OTHER SEATTLE NEIGHBORHOOD GROUPS ON AN ANNUAL BASIS. MEETING SPACE IS ALSO DONATED TO OTHER NON-PROFITS SUCH AS THE FIRST HILL IMPROVEMENT ASSOCIATION, VIRGINIA MASON STROKE SUPPORT AND ELDERWISE FOR SPECIFIC MEETINGS AND EVENTS FOR A VALUE OF OVER $48,427. SPACE AND SUPPORT SERVICES DONATED TO THE NORTHWEST CENTER FOR CREATIVE AGING AND ELDERWISE AMOUNT TO AN ANNUAL CONTRIBUTION OF $61,260 FOR A TOTAL DONATED SPACE AND GOODS VALUE OF $156,915. - DONATIONS TO COMMUNITY NOT-FOR-PROFIT GROUPS IN HONOR OF DECEASED HORIZON HOUSE RESIDENTS FOR A TOTAL OF $2,450. - HORIZON HOUSE IS A MEMBER OF VARIOUS NON-PROFIT ASSOCIATIONS INCLUDING THE COUNCIL OF HEALTH & HUMAN SERVICES MINISTRIES OF THE UNITED CHURCH OF CHRIST, LEADINGAGE, FIRST HILL IMPROVEMENT ASSOCIATION, NORTHWEST CENTER FOR CREATIVE AGING AND THE JIM ELLIS FREEWAY PARK ASSOCIATION. A COMMUNITY GRANTS PROGRAM PROVIDES FUNDING TO ORGANIZATIONS THAT SUPPORT PROGRAMS AND SERVICES TO OLDER ADULTS - GRANTS AND DONATIONS FOR THEIR CHARITABLE WORK IN THE BROADER COMMUNITY IN THE TOTAL AMOUNT OF $153,254. - DONATIONS OF STAFF TIME TO SUCH NON-PROFITS AS UNIVERSITY OF WASHINGTON BOARD FELLOWS PROGRAM (20), HORIZON HOME CARE (240). NWCCA (120), JIM ELLIS FREEWAY PARK ASSOCIATION (140), FIRST HILL IMPROVEMENT ASSOCIATION (190), NORTHWEST CENTER FOR CREATIVE AGING (120), LEADINGAGE (130), KCTS CHANNEL 9 TV (200) UNITED WAY (50) AND OTHERS. - VOLUNTEER HOURS DONATED BY HORIZON HOUSE RESIDENTS TO COMMUNITY NON-PROFITS INCLUDE LANG SIMONS PLYMOUTH HOUSING (329 HOURS), SEWING AND KNITTING FOR HARBORVIEW AND PLYMOUTH HOUSING (1,260 HOURS) AND FRIENDS OF THE LIBRARY BOOK CART (120 HOURS). IN 2014 HORIZON HOUSE DONATED $789,129 IN CHARITABLE DOLLARS (RESIDENT CARE, EMPLOYEE ASSISTANCE AND EDUCATIONAL GRANTS), $155,704 (COMMUNITY GRANTS TO ORGANIZATIONS, MEMORIAL GIFTS, DONATIONS TO NON-PROFITS) FOR A TOTAL OF $944,833. VOLUNTEER HOURS TOTALED 3,475 (2,199 RESIDENT VOLUNTEER HOURS AND 1,276 STAFF VOLUNTEER HOURS). FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF THE PACIFIC NORTHWEST CONFERENCE OF THE UNITED CHURCH OF CHRIST ELECTS 14 MEMBERS OF THE HORIZON HOUSE BOARD OF DIRECTORS FROM A LIST OF NOMINEES SUBMITTED BY THE HORIZON HOUSE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 INFORMATION IS PROVIDED BY HORIZON HOUSE TO THE ORGANIZATION'S EXTERNAL CPAS TO PREPARE THE FORM 990. MANAGEMENT REVIEWS AND RECOMMENDS FILING OF THE RETURN TO THE AUDIT COMMITTEE. THE AUDIT COMMITTEE REVIEWS AND APPROVES THE FORM 990 ON BEHALF OF THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES RECEIVE A FULL COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER OF THE BOARD OF DIRECTORS IS REQUIRED PRIOR TO THE FEBRUARY BOARD MEETING EACH YEAR TO COMPLETE A CONFIDENTIAL QUESTIONNAIRE AS TO CONFLICTS OF INTEREST, TO BE SUBMITTED TO LEGAL COUNSEL OF HORIZON HOUSE, WHO SHALL REVIEW WITH THE PRESIDENT ANY CONFLICTS OF INTEREST THAT ARE DISCLOSED. ANY BOARD MEMBER HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER WILL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND SHALL BE EXCUSED FROM THE MEETING FOR THE PERIOD DURING WHICH A VOTE IS BEING TAKEN ON SUCH MATTER. ALSO, PRIOR TO THE FEBRUARY MEETING OF THE BOARD OF TRUSTEES EACH YEAR, THE CHIEF EXECUTIVE OFFICER SHALL SEND TO MEMBERS OF THE EXECUTIVE TEAM AND KEY MANAGEMENT EMPLOYEES A COPY OF THE CONFLICT OF INTEREST POLICY, TOGETHER WITH AN EXPLANATION AND A QUESTIONNAIRE TO BE COMPLETED AND RETURNED TO LEGAL COUNSEL OF HORIZON HOUSE, WHO SHALL REVIEW WITH THE CHIEF EXECUTIVE OFFICER AND THE PRESIDENT OF THE BOARD ANY CONFLICTS OF INTEREST THAT ARE DISCLOSED. THE ANSWERS SHALL BE SUMMARIZED IN A CONFIDENTIAL REPORT TO THE PRESIDENT OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15A A CONSULTANT IS HIRED BY THE BOARD TO SURVEY THE RETIREMENT LIVING EXECUTIVE COMPENSATION MARKET AND COORDINATE A PERFORMANCE REVIEW PROCESS ON COMPENSATION ON BEHALF OF THE BOARD. THE DATA IS CONSOLIDATED AND PRESENTED TO THE BOARD ALONG WITH COMPENSATION, INCENTIVES AND BENEFITS INFORMATION. THE BOARD MAKES COMPENSATION DECISIONS BASED ON THE CONSULTANT'S RECOMMENDATIONS. THE CFO, COO AND HEALTH SERVICES OFFICER'S COMPENSATION PACKAGES ARE EVALUATED BY THE CEO WITH ADVICE AND ANALYSIS FROM THE HUMAN RESOURCES DEPARTMENT. THE LAST COMPENSATION REVIEW WAS ON FEBRUARY 20, 2015. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC INSPECTION COPIES OF FORM 990, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. THE FINAL AUDIT REPORT IS MADE AVAILABLE THROUGH THE ORGANIZATION'S LIBRARY (FOR REVIEW BY RESIDENTS). IT IS ALSO AVAILABLE UPON REQUEST BY RESIDENTS AND OTHERS OUTSIDE THE ORGANIZATION. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS -47,845. CHANGE IN VALUE OF INTEREST RATE CAP AND SWAP AGREEMENTS 678,741. PACIFIC NORTHWEST CONFERENCE OF THE UNITED CHURCH OF CHRIST 325 B 125TH STREET SEATTLE WA 98133 CHURCH WA 501(C)(3) LINE 1 N/A 0 1 HORIZON HOME CARE 900 UNIVERSITY STREET UNIT 2-R SEATTLE WA 98101 455380588 HOME CARE WA HORIZON HOUSE C 1344900 350961 1.00000 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 HORIZON HOME CARE A 28533 FAIR MARKET VALUE FORM 990, SCHEDULE R, PART V, LINE 1A HORIZON HOME CARE PAYS RENT TO HORIZON HOUSE. PER SECTION 512(B)(13)(B)(I) THE RENT IS NOT UNRELATED BUSINESS INCOME TO HORIZON HOUSE BECAUSE IF THE SERVICES OF HORIZON HOME CARE WERE PROVIDED IN-HOUSE BY HORIZON HOUSE IT WOULD NOT GENERATE UNRELATED BUSINESS INCOME AS THESE SERVICES ARE DIRECTLY RELATED TO ITS EXEMPT PURPOSE.