COMMUNITY HOME HEALTH HOSPICE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HOME HEALTH HOSPICE (EIN 91-1399370)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-07-08
- IRS object ID
- 201421899349300047
- Schema version
- 2012v2.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-07-08T12:55:30-07:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hansen Hunter & Co PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8930 SW Gemini Drive | AddressLine1 |
| City | Beaverton | City |
| State | OR | State |
| ZIP Code | 97008 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911399370 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Home Health & Hospice | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 3604258510 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2067 | AddressLine1 |
| City | Longview | City |
| State | WA | State |
| ZIP Code | 98632 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GREGORY PANG MHA | Name |
| Title | CEO | Title |
| Date Signed | 2014-07-08 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Cynthia J Heuberger | Name |
| PTIN | P00166783 | PTIN |
| Phone | 5032442134 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GREGORY PANG MHA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2067 | AddressLine1 |
| City | LONGVIEW | City |
| State | WA | State |
| ZIP Code | 98632 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 18842118 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CHHH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1988 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | As a community-based nonprofit agency since 1977, our mission is caring for people at home. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 318 | TotalNbrEmployees |
| Total Nbr Volunteers | 200 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 466731 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 764211 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 17112196 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 17898578 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 38569 | InvestmentIncomePriorYear |
| Investment Income Current Year | 39678 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 248400 | OtherRevenuePriorYear |
| Other Revenue Current Year | 121757 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 17865896 | TotalRevenuePriorYear |
| Total Revenue Current Year | 18824224 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 13034003 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13406162 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 213275 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4919312 | OtherExpensePriorYear |
| Other Expenses Current Year | 4929960 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 17953315 | TotalExpensesPriorYear |
| Total Expenses Current Year | 18336122 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -87419 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 488102 | RevenuesLessExpensesCY |
| Total Assets BOY | 14430052 | TotalAssetsBOY |
| Total Assets EOY | 15585139 | TotalAssetsEOY |
| Total Liabilities BOY | 4099019 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4723926 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 10331033 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 10861213 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | As a community-based nonprofit agency since 1977, our mission is caring for people at home. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 7474166 | Expense |
| Revenue | 9346076 | Revenue |
| Description | HOSPICE: SKILLED NURSING, SOCIAL SERVICES, THERAPY AND AIDE SERVICES FOR TERMINALLY ILL PATIENTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5401461 | Expense |
| Revenue | 6754260 | Revenue |
| Description | HOME HEALTH: SKILLED NURSING, THERAPY AND AIDE SERVICES FOR HOMEBOUND PATIENTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 907712 | Expense |
| Revenue | 1135049 | Revenue |
| Description | HOME CARE: IN-HOME AIDE AND HOMEMAKER SERVICES PROVIDED. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 530363 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 663193 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 14313702 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 18 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 318 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Elizabeth Stork | NamePerson |
| Telephone Number | 3604145439 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2067 | AddressLine1 |
| City | LONGVIEW | City |
| State | WA | State |
| ZIP Code | 986328189 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JOHN NORD | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| BRUCE WARRICK | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| JAIME BOAGLIO | ||||||||
| SEC/TREAS | 1.00 | 0.00 | X | 0 | 0 | 0 | X | |
| SCOTT STUDLEY | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| BARBARA SAMPLES RN | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| GERRY REITSCH | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| ERIC BRUDI | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| LAIRD MCRAE MD | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| ALLAN ERICKSON | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| COREY BALKAN | ||||||||
| Vice President | 1.00 | 0.00 | X | 0 | 0 | 0 | X | |
| JOSEPH AMRINE | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| BETTY VILHAUER | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| DANIEL SPJUT | ||||||||
| President | 1.00 | 0.00 | X | 0 | 0 | 0 | X | |
| GREGORY PANG MHA | ||||||||
| CEO | 40.00 | 0.00 | 135000 | 0 | 5873 | X | ||
| RANDY DALTON | ||||||||
| Clinical Director | 40.00 | 0.00 | 111307 | 0 | 12020 | X | ||
| SANDRA BROEREN | ||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | 269067 | 0 | 19266 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 515374 | TotalReportableCompFromOrg |
| Total Other Compensation | 37159 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| AMN HEALTHCARE | |||||
| PO BOX 281939 | ATLANTA | GA | 30384 | CONTRACT THERAPIST | 262258 |
| UP N RUNNING PHYSICAL THERAPY | |||||
| 128 WALNUT ACRES ROAD | KELSO | WA | 98626 | CONTRACT THERAPIST | 124182 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Fundraising Events | 34715 | FundraisingEvents |
| All Other Contributions | 729496 | AllOtherContributions |
| Total Contributions | 764211 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PALLIATIVE CARE | 621610 | 663193 | 663193 |
| HOME CARE | 621610 | 1135049 | 1135049 |
| HOME HEALTH | 621610 | 6754260 | 6754260 |
| HOSPICE | 621610 | 9346076 | 9346076 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 17898578 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40202 | TotalRevenueColumn |
| Exclusion | $40,202 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 524 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -524 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -524 | TotalRevenueColumn |
| Exclusion | -$524 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 21836 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 34715 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 17370 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4466 | TotalRevenueColumn |
| Exclusion | $4,466 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | THRIFT SHOP | Description |
| Business Code | 453310 | BusinessCode |
| Total Revenue Column | 117291 | TotalRevenueColumn |
| Exclusion | $117,291 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 117291 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18824224 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17898578 | RelatedOrExemptFunctionIncome |
| Exclusion | $161,435 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140873 | Total |
| Management And General | 139656 | ManagementAndGeneral |
| Fundraising | 1217 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10955128 | Total |
| Program Services | 8987227 | ProgramServices |
| Management And General | 1837806 | ManagementAndGeneral |
| Fundraising | 130095 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 248897 | Total |
| Program Services | 204952 | ProgramServices |
| Management And General | 39590 | ManagementAndGeneral |
| Fundraising | 4355 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 971095 | Total |
| Program Services | 786485 | ProgramServices |
| Management And General | 172170 | ManagementAndGeneral |
| Fundraising | 12440 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1090169 | Total |
| Program Services | 885602 | ProgramServices |
| Management And General | 194401 | ManagementAndGeneral |
| Fundraising | 10166 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1150 | Total |
| Management And General | 1150 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38525 | Total |
| Management And General | 38525 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1482830 | Total |
| Program Services | 1045851 | ProgramServices |
| Management And General | 429472 | ManagementAndGeneral |
| Fundraising | 7507 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68963 | Total |
| Management And General | 59656 | ManagementAndGeneral |
| Fundraising | 9307 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28857 | Total |
| Management And General | 28857 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 283642 | Total |
| Program Services | 198186 | ProgramServices |
| Management And General | 83005 | ManagementAndGeneral |
| Fundraising | 2451 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69387 | Total |
| Program Services | 8061 | ProgramServices |
| Management And General | 60663 | ManagementAndGeneral |
| Fundraising | 663 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172943 | Total |
| Program Services | 120839 | ProgramServices |
| Management And General | 50610 | ManagementAndGeneral |
| Fundraising | 1494 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 370656 | Total |
| Program Services | 258985 | ProgramServices |
| Management And General | 108469 | ManagementAndGeneral |
| Fundraising | 3202 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103439 | Total |
| Program Services | 72275 | ProgramServices |
| Management And General | 30270 | ManagementAndGeneral |
| Fundraising | 894 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices | FundraisingFundraising |
|---|---|---|---|---|
| TELEPHONE | 240989 | 240989 | ||
| MISCELLANEOUS | 262738 | 191983 | 68276 | 2479 |
| AUTO | 567219 | 566895 | 324 | |
| SUPPLIES | 925972 | 56784 | 867652 | 1536 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 312650 | Total |
| Program Services | 242416 | ProgramServices |
| Management And General | 45089 | ManagementAndGeneral |
| Fundraising | 25145 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18336122 | Total |
| Program Services | 14313702 | ProgramServices |
| Management And General | 3809145 | ManagementAndGeneral |
| Fundraising | 213275 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1396880 | BOY |
| EOY | 2789154 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20029 | BOY |
| EOY | 20016 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2762768 | BOY |
| EOY | 2567138 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42775 | BOY |
| EOY | 50304 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213647 | BOY |
| EOY | 99537 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9411025 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4110495 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5568767 | BOY |
| EOY | 5300530 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1946894 | BOY |
| EOY | 2186980 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 43579 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2478292 | BOY |
| EOY | 2527901 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14430052 | BOY |
| EOY | 15585139 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1653742 | BOY |
| EOY | 1380153 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 286040 | BOY |
| EOY | 309390 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2159237 | BOY |
| EOY | 3033229 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1154 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4099019 | BOY |
| EOY | 4723926 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8460742 | BOY |
| EOY | 8824610 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 481871 | BOY |
| EOY | 639327 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1388420 | BOY |
| EOY | 1397276 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10331033 | BOY |
| EOY | 10861213 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14430052 | BOY |
| EOY | 15585139 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 488102 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 42078 | ReconciliationUnrealizedInvest |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Rallies Demonstrations | $1,500 | RalliesDemonstrationsAmount |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 1500 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i | Identifier |
| Return Reference | Part II-B, Line 1i - Other Activities Description | ReturnReference |
| Explanation | One of the organization's employees attended the National Hospice and Palliative Care Organization (NHPCO) conference in Washington DC and connected with legislators. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4073139 | BeginningOfYearBalance |
| Contributions | 167793 | Contributions |
| Investment Earnings Or Losses | 81756 | InvestmentEarningsOrLosses |
| Other Expenditures | 18447 | OtherExpenditures |
| End Of Year Balance | 4304241 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3957097 | BeginningOfYearBalance |
| Contributions | 157737 | Contributions |
| Investment Earnings Or Losses | 273551 | InvestmentEarningsOrLosses |
| Other Expenditures | 315246 | OtherExpenditures |
| End Of Year Balance | 4073139 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4058046 | BeginningOfYearBalance |
| Contributions | 59037 | Contributions |
| Investment Earnings Or Losses | -49563 | InvestmentEarningsOrLosses |
| Other Expenditures | 110423 | OtherExpenditures |
| End Of Year Balance | 3957097 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3635079 | BeginningOfYearBalance |
| Contributions | 429310 | Contributions |
| Investment Earnings Or Losses | 244365 | InvestmentEarningsOrLosses |
| Other Expenditures | 250708 | OtherExpenditures |
| End Of Year Balance | 4058046 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3455358 | BeginningOfYearBalance |
| Contributions | 134604 | Contributions |
| Investment Earnings Or Losses | 45686 | InvestmentEarningsOrLosses |
| Other Expenditures | 569 | OtherExpenditures |
| End Of Year Balance | 3635079 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.49940 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.15530 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.34530 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1285144 | OtherCostOrOtherBasis |
| Book Value | 1285144 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6037179 | OtherCostOrOtherBasis |
| Depreciation | 2941283 | Depreciation |
| Book Value | 3095896 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2088702 | OtherCostOrOtherBasis |
| Depreciation | 1169212 | Depreciation |
| Book Value | 919490 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5300530 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CIP | Description |
| Book Value | 2527901 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2527901 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Security Deposits | Description |
| Amount | $1,154 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1154 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 18867139 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 42078 | NetUnrealizedGainsInvestments |
| Other Revenues | 837 | OtherRevenues |
| Revenue Not Rptd F990 | 42915 | RevenueNotRptdF990 |
| Revenue Subtotal | 18824224 | RevenueSubtotal |
| Total Revenue Per Form990 | 18824224 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 18336959 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 837 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 837 | ExpensesNotRptdF990 |
| Expenses Subtotal | 18336122 | ExpensesSubtotal |
| Total Expenses Per Form990 | 18336122 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part XII, Line 2d | Part XII, Line 2d: Other expenses and losses per audited F/S | Fundraiser expenses grouped with revenue $837 |
| Part XI, Line 2d | Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 | Fundraiser expenses grouped with revenue $837 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Email Solicitations | X | EmailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | false | AgreementRefFundraising |
| Licensed States | WA | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | HOME AT LAST GALA | NameOfEvent1 |
| Gross Receipts Event1 | 56551 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 34715 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 21836 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 5300 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 11803 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 267 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 56551 | GrossReceiptsTotal |
| Charitable Contributions Total | 34715 | CharitableContributionsTotal |
| Gross Revenue Total Events | 21836 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 5300 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 11803 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 267 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 17370 | DirectExpenseSummaryEvents |
| Net Income Summary | 4466 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SANDRA BROEREN | NamePerson |
| Title | MEDICAL DIRECTOR | Title |
| Base Compensation Filing Org | 269067 | BaseCompensationFilingOrg |
| Deferred Comp Filing Org | 7192 | DeferredCompFilingOrg |
| Nontaxable Benefits Filing Org | 12074 | NontaxableBenefitsFilingOrg |
| Total Compensation Filing Org | 288333 | TotalCompensationFilingOrg |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 19 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S PLACE OF BUSINESS. |
| Form 990, Part VI, Line 15b | Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | COMPENSATION 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 12c | Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS IMMEDIATELY. |
| Form 990, Part VI, Line 11b | Form 990, Part VI, Line 11b: Form 990 Review Process | THE FINANCE COMMITTEE REVIEWS THE FORM AT A FINANCE COMMITTEE MEETING. |
| Form 990, Part III, Line 4d | Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: PALLIATIVE CARE: TREATMENT OF THE DISCOMFORT, SYMPTOMS, AND STRESS OF SERIOUS ILLNESS. |
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