ASHLEY HOUSE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ASHLEY HOUSE (EIN 94-3080307)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-08-07
IRS object ID: 201302209349300000
Schema version: 2012v2.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule I
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-07T09:05:42-00:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	943080307	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Ashley House	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ASHL	NameControl
Phone	3608256525	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	40903 236th Ave SE	AddressLine1
City	Enumclaw	City
State	WA	State
ZIP Code	98022	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Stephen L Freeborn	Name
Title	President	Title
Date Signed	2013-08-07	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Michaela Gould	Name
Phone	2064598952	Phone
Date Prepared	2013-08-07	DatePrepared
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Stephen L Freeborn	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	33400 9th Ave S Ste 208	AddressLine1
City	Federal Way	City
State	WA	State
ZIP Code	98003	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	5159843	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.ashleyhousekids.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1989	YearFormation
State Legal Domicile	WA	StateLegalDomicile
Activity Or Mission Description	Ashley House is dedicated to helping families build a new life together with their medically fragile children. We provide high quality, cost effective health care in home-like settings to children who are medically fragile.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	98	TotalNbrEmployees
Total Nbr Volunteers	4	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	18882	ContributionsGrantsPriorYear
Contributions Grants Current Year	52202	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	4020671	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3308107	ProgramServiceRevenueCY
Investment Income Prior Year	209711	InvestmentIncomePriorYear
Investment Income Current Year	544207	InvestmentIncomeCurrentYear
Other Revenue Prior Year	392	OtherRevenuePriorYear
Other Revenue Current Year	2059	OtherRevenueCurrentYear
Total Revenue Prior Year	4249656	TotalRevenuePriorYear
Total Revenue Current Year	3906575	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	153940	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4133831	SalariesEtcPriorYear
Salaries Etc Current Year	3917937	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	575522	OtherExpensePriorYear
Other Expenses Current Year	641402	OtherExpensesCurrentYear
Total Expenses Prior Year	4863293	TotalExpensesPriorYear
Total Expenses Current Year	4559339	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-613637	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-652764	RevenuesLessExpensesCY
Total Assets BOY	9948803	TotalAssetsBOY
Total Assets EOY	9307564	TotalAssetsEOY
Total Liabilities BOY	350472	TotalLiabilitiesBOY
Total Liabilities EOY	346766	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	9598331	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	8960798	NetAssetsOrFundBalancesEOY
Mission Description	Ashley House is dedicated to helping families build a new life together with their medically fragile children. We provide high quality, cost effective health care in home-like settings to children who are medically fragile.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	3815129	Expense
Description	Ashley House provided transitional nursing care services, hospice services, case management and social sevices to 33 medically fragile children in 2012. Free services were provided to needy children in 2012 valued at approximately 138,886. Ashley House provides these services in five group homes, in family-like settings. The homes are staffted 24 hours a day with nurses and CNAs. Additional staff are utilized to take children to medical appointments, and on outings. Our specific objective is to enable children to be returned to their own home, or to seek adoption or foster care. Hence, we are a setting for transitional care until permanency is obtained.	Description
Total Program Service Expense	3815129	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	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	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	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	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	3	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	98	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
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
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	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	WA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Ken Maaz	NamePerson
Telephone Number	3608256525	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	40903 236th Ave SE	AddressLine1
City	Enumclaw	City
State	WA	State
ZIP Code	980228606	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	FormerFormer	Highest Compensated EmployeeHighestCompensatedEmployee
Stephen Freeborn
Board President	002.00	X	X	0	0	0
Barbara Hyland-Hill
Board Secretary	002.00	X	X	0	0	0
Keith Mock
Board Treasurer	002.00	X	X	0	0	0
Jennifer Mannheim
Board Member	010.00	X		39637	0	0
Beth Ellen Davis
Board Member	002.00	X		0	0	0
Thomas Vertitis
Board Member	002.00	X		0	0	0
Cindy Rush Grady
Board Member	002.00	X		0	0	0
Ken Maaz
Executive Director	040.00		X	34807	0	3417	X
Michaela Gould
Controller	036.00		X	105210	0	10761	X
Bruce Brandler
Former Executive Director				143247	0	13960	X	X
Sandra Milligan
Director of Clinical Services	040.00			107455	0	10761			X
Michael Pugsley
Director of Program Services	040.00			102834	0	10761			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	533190	TotalReportableCompFromOrg
Total Other Compensation	49660	TotalOtherCompensation
Number Individuals GT100 K	4	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Federated Campaigns	567	FederatedCampaigns
All Other Contributions	51635	AllOtherContributions
Total Contributions	52202	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Insurance	623000	58147	58147
Medicaid State Fee for Service payments	623000	3221770	3221770
Paid by resident, family, SSI	623000	28190	28190

Field	Value	IRS element (for citing)
Total Program Service Revenue	3308107	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	127573	TotalRevenueColumn
Exclusion	$127,573	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1669902	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1249128	Securities
Other	4140	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	420774	Securities
Other	-4140	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	416634	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Miscellaneous	Description
Business Code	623000	BusinessCode
Total Revenue Column	2059	TotalRevenueColumn
Related Or Exempt Function Income	2059	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	2059	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3906575	TotalRevenueColumn
Related Or Exempt Function Income	3310166	RelatedOrExemptFunctionIncome
Exclusion	$127,573	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	582850	Total
Program Services	231811	ProgramServices
Management And General	351039	ManagementAndGeneral

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	2409133	Total
Program Services	2297248	ProgramServices
Management And General	111885	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	572328	Total
Program Services	559926	ProgramServices
Management And General	12402	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	353626	Total
Program Services	298122	ProgramServices
Management And General	55504	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	86528	Total
Management And General	86528	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	16105	Total
Management And General	16105	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	10000	Total
Management And General	10000	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Fees For Services Prof Fundraising		FeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	10508	Total
Management And General	10508	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2518	Total
Management And General	2518	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1969	Total
Program Services	1179	ProgramServices
Management And General	790	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	43218	Total
Program Services	30863	ProgramServices
Management And General	12355	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	24934	Total
Management And General	24934	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	99914	Total
Program Services	94187	ProgramServices
Management And General	5727	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	18831	Total
Program Services	15273	ProgramServices
Management And General	3558	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	4080	Total
Program Services	2323	ProgramServices
Management And General	1757	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	141722	Total
Program Services	123728	ProgramServices
Management And General	17994	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	90953	Total
Program Services	77182	ProgramServices
Management And General	13771	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Household, cleaning, childcare, furnishings,clothing toys	73595	72327	1268
Provision for doubtful accounts	4803	4803
Taxes Licenses	4319	3274	1045

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	7405	Total
Program Services	2883	ProgramServices
Management And General	4522	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	4559339	Total
Program Services	3815129	ProgramServices
Management And General	744210	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	631	BOY
EOY	765	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3293233	BOY
EOY	2237522	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	414925	BOY
EOY	337781	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	115819	BOY
EOY	92668	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	3077871	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1831830	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1291510	BOY
EOY	1246041	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	4832685	BOY
EOY	5392787	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	9948803	BOY
EOY	9307564	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	350472	BOY
EOY	346766	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	350472	BOY
EOY	346766	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9598331	BOY
EOY	8925798	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	35000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	9598331	BOY
EOY	8960798	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	9948803	BOY
EOY	9307564	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-652764	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	15231	ReconciliationUnrealizedInvest
Reconcilation Invest Expenses	10508	ReconcilationInvestExpenses
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)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2
Public Support Total170	0	PublicSupportTotal170
Public Support Pertcentage170	0.00000	PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	14002	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	46235	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	12358	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	18882	CurrentTaxYearMinus1Year
Current Tax Year	52202	CurrentTaxYear
Total	143679	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3952566	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4466465	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4871795	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4020671	CurrentTaxYearMinus1Year
Current Tax Year	3308107	CurrentTaxYear
Total	20619604	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3966568	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4512700	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4884153	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4039553	CurrentTaxYearMinus1Year
Current Tax Year	3360309	CurrentTaxYear
Total	20763283	Total

Field	Value	IRS element (for citing)
Public Support Total509	20763283	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	244716	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	158117	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	135863	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	115847	CurrentTaxYearMinus1Year
Current Tax Year	127573	CurrentTaxYear
Total	782116	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Total	0	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	244716	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	158117	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	135863	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	115847	CurrentTaxYearMinus1Year
Current Tax Year	127573	CurrentTaxYear
Total	782116	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7757	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2207	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1055	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	392	CurrentTaxYearMinus1Year
Current Tax Year	2059	CurrentTaxYear
Total	13470	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4219041	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4673024	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5021071	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4155792	CurrentTaxYearMinus1Year
Current Tax Year	3489941	CurrentTaxYear
Total	21558869	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.96310	PublicSupportPercentage509
Prior Year Support Percentage	0.95720	PriorYearSupportPercentage
Investment Income Percentage	0.03630	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.04200	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509
Facts And Circumstances Test	Part III Line 12 Other Income CPR classes medical records reports rebates	FactsAndCircumstancesTest
General Explanation	Part III Line 12 Other Income CPR classes medical records reports rebates	GeneralExplanation

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)
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	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Not Described In501c3	false	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Included On FS	false	IncludedOnFS

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	308931	OtherCostOrOtherBasis
Book Value	308931	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1943865	OtherCostOrOtherBasis
Depreciation	1177243	Depreciation
Book Value	777411	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	694605	OtherCostOrOtherBasis
Depreciation	613442	Depreciation
Book Value	100210	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	130470	OtherCostOrOtherBasis
Depreciation	70981	Depreciation
Book Value	59489	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1246041	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Federal income taxes	Description

Field	Value	IRS element (for citing)
Tot Revenue Etc Audited Fincl Stmt	3921806	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	15231	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	15231	RevenueNotRptdF990
Revenue Subtotal	3906575	RevenueSubtotal
Total Revenue Per Form990	3906575	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	4559339	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	4559339	ExpensesSubtotal
Total Expenses Per Form990	4559339	TotalExpensesPerForm990

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Group Home Room Board- Uncompensated Care	TypeOfGrant
Number Of Recipients	6	NumberOfRecipients
Amount Of Non Cash Assistance	138886	AmountOfNonCashAssistance
Method Of Valuation	FMV	MethodOfValuation
Description Of Non Cash Assistance	Room board provided at no charge	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	III	Identifier
Return Reference	1	ReturnReference
Explanation	Funds are not given to any individual. The FMV of room board is included as a grant to individuals when Ashley House does not receive any reimbursement for those services.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	true	SubstantiationRequired
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	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

Form990 Schedule J Part II Form990ScheduleJPartII

Field	Value	IRS element (for citing)
Name Person	Bruce Brandler	NamePerson
Title	Former Executive Director	Title
Base Compensation Filing Org	10518	BaseCompensationFilingOrg
Other Compensation Filing Org	132729	OtherCompensationFilingOrg
Nontaxable Benefits Filing Org	13960	NontaxableBenefitsFilingOrg
Total Compensation Filing Org	157207	TotalCompensationFilingOrg

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	I	Identifier
Return Reference	4a	ReturnReference
Explanation	Former Executive Director received severance pay in accordance with the terms of his wriiten employment contract.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

ExplanationExplanation
Form 990 Part IV Section B Line 11b The 990 review is listed on the yearly Board of Directors Compliance Calendar to remind all board members of the review. Form 990 is prepared after the completion of the independent financial audit. A complete copy of the 990 is individually provided to all board members who review the return prior to filing. Any questions or concerns are compiled by the board treasurer , who then contacts the return preparer and/or auditors as necessary. After the board has reviewed and accepted the return, by vote at a regularly scheduled board meeting, it is signed by the board president and filed with the IRS.
Form 990 Part VI Section B Line 12c The Board Compliance Calendar lists as an item to be completed in the first quarter of the year, review the Conflict of Interest Policy. It requires all Board members to annually sign a conflict of interest statement. The policy also requires a duty to disclose any actual or possible conflict of interest. It outlines procedures for the Board to follow in determining whether a coflict of interest exists and procedures for addressing any conflict of interest that may arise. Additionally, independent financial auditors annually review and test the organizations records for possible conflicts of interest.
Form 990 Part VI Section B Line 15a 15b A Board committee conducts an annual performance and compensation review for the Executive Director. The committee also obtains comperable salary information from independent third-party sources and determines any recommendation for salary adjustment. A written employment contract is used to document all terms of the Executive Directors employment. The Executive Director completes performance reviews and obtains comparable salary information for all key employees. The full board reviews and approves compensation packages for both the Executive Director and key employees.
Form 990 Part VI Section C Line 19 Disclosure of governing documents, financial statements and conflict of interest policy are not generally made available to the public, but are provided on a request basis.