2013-11-15T13:41:44-06:00 2012-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2012-01-01 910725802 HORIZON HOUSE HORI 2063823721 900 UNIVERSITY STREET SEATTLE WA 981012797 R MICHAEL OSTREM 2063823721 2013-11-15 1 SARA ELIZABETH J HYRE P00235495 4254544919 2013-11-14 2012 2016-03-07 17:11:31Z ROBERT Y ANDERSON 900 UNIVERSITY STREET SEATTLE WA 981012797 57343595 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 15 364 60 64794 43095 721245 671074 24828581 25910994 627425 1432740 247416 318878 26424667 28333686 672436 604934 0 0 12440996 13412664 0 18000 170388 12611099 13125407 25724531 27161005 700136 1172681 152949302 152938009 131304493 129169407 21644809 23768602 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 387 INDEPENDENT LIVING UNITS AND 90 SUPPORTED LIVING BEDS. 0 0 21380834 604934 25910994 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. 21380834 1 1 0 0 0 0 0 1 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 110 0 1 364 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 FLETCH WALLER 10.00 0.00 X X 0 0 0 KAREN LANE 10.00 0.00 X X 0 0 0 BOB CLINE 2.00 0.50 X X 0 0 0 RICHARD COUNTS 1.00 0.00 X X 0 0 0 BRUCE WALKER 7.00 0.00 X X 0 0 0 SARAH PATTERSON 1.00 0.00 X 0 0 0 MARGARET BURKE 0.50 0.50 X 0 0 0 JULIUS DEBRO 0.50 0.00 X 0 0 0 SUSAN DUFFY 1.00 0.00 X 0 0 0 NANCY EDQUIST 2.00 0.00 X 0 0 0 JIM FITZGERALD 1.00 0.00 X 0 0 0 DENISE KLEIN 5.00 2.00 X 0 0 0 EDWARD LANGE 2.00 0.00 X 0 0 0 KATHY TURNER 2.00 0.00 X 0 0 0 JANE PIEHL 3.00 0.00 X 0 0 0 ROBERT ANDERSON 65.00 1.00 X 250429 0 32953 CARL SIVER 40.00 0.00 X 143492 0 14959 LAURI WARFIELD-LARSON 40.00 2.00 X 131475 0 15984 TIM FRAZIER 40.00 0.00 X 129175 0 12497 JOAN CARUFEL 40.00 0.00 X 117436 0 9853 772007 0 86246 5 0 1 0 RUSHFORTH CONSTRUCTION COMPANY INC 6021 12TH STREET E SUITE 100 TACOMA WA 98424 CONSTRUCTION 4845690 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES MANAGEMENT 940429 GREVSTAND CONSTRUCTION LLC 3023 NE 50TH STREET SEATTLE WA 98105 CONSTRUCTION 416002 CROTHALL SERVICES GROUP 1500 LIBERTY RIDGE DRIVE SUITE 210 WAYNE PA 19087 FACILITIES MANAGEMENT 360165 HEARTWOOD BUILDERS INC 7022 21ST AVENUE NE SEATTLE WA 98115 CONSTRUCTION 311465 13 671074 11608 671074 RESIDENCE FEES 623990 9856664 9856664 HEALTH CARE PROGRAM 623990 7517476 7517476 ENTRANCE FEES 623990 6219262 6219262 DIETARY 722320 1251238 1224823 26415 OTHER ANCILLARY SRVCS 900099 1066354 1066354 25910994 1000771 1000771 114993 44241 70752 70752 38379 32373 28997778 399859 28505887 459781 491891 -59922 431969 431969 GROUP RETRO REFUND 900099 177662 177662 DSL SERVICE 900099 34352 34352 FORFEITURES - WAITLIST 900099 19814 19814 16298 16298 248126 28333686 25884579 64794 1713239 13568 13568 591366 591366 441833 66275 375558 10115352 7524671 2473194 117487 296916 249855 41317 5744 1431939 1298744 123606 9589 1126624 997597 118850 10177 665039 665039 323427 323427 73748 73748 18000 18000 83841 83841 1219537 1070169 149368 105138 6454 98684 657317 517060 137610 2647 59441 59441 959108 959108 48580 41875 6705 864462 864462 5334079 5334079 326939 326939 BOND EXPENSES 1034608 1034608 FOOD SERVICE COSTS 838682 838682 RESIDENT/STAFF PROGRAMS 104367 104367 UNRELATED BUS INC TAXES 6464 6464 420630 230999 182887 6744 27161005 21380834 5609783 170388 3059500 3058270 6602501 3613969 490425 575553 956397 638414 43243 58804 211348 244943 156614456 46751373 107135394 109863083 32588172 33102218 138552 1862322 1644203 152949302 152938009 2253636 2268176 72929941 73193258 52284997 51139997 3835919 2567976 131304493 129169407 X 13903529 15111317 719533 1265328 7021747 7391957 21644809 23768602 152949302 152938009 X 1172681 604178 346934 X 0 1 X 1 0 X 1285034 479976 745470 721245 671074 3902799 22709045 23243222 23890348 24805160 25884579 120532354 75678 33627 47952 53965 50650 261872 24069757 23756825 24683770 25580370 26606303 124697025 11435 9135 16398 14717 93679 145364 0 11435 9135 16398 14717 93679 145364 124551661 1264495 1003763 1158087 1115380 1033144 5574869 1487 12539 13671 14861 36631 79189 1265982 1016302 1171758 1130241 1069775 5654058 133196 62392 139691 197476 532755 25335739 24906323 25917920 26850302 27873554 130883838 0.95160 0.94730 0.04320 0.04940 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: GROUP RETRO REFUND - 2009 AMOUNT: $ 116,971. 2010 AMOUNT: $ 56,242. 2011 AMOUNT: $ 129,969. 2012 AMOUNT: $ 177,662. FORFEITED DEPOSITS - 2009 AMOUNT: $ 16,225. 2010 AMOUNT: $ 6,150. 2011 AMOUNT: $ 9,722. 2012 AMOUNT: $ 19,814. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 82331 X 0 6641720 279952 970400 267151 7624921 6668545 437185 -256507 207503 6641720 5835251 152406 869432 188544 6668545 4359948 194410 1297522 16629 5835251 5434765 206076 -1280893 4359948 0.00000 0.87320 0.12680 0 1 1 1808978 1808978 139292266 42714676 96577590 7351098 4036697 3314401 8162114 8162114 109863083 FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 1919908 ASSET RETIREMENT OBLIGATION - ASBESTOS 450140 LONG TERM CARE INSURANCE INDEMNIFICATION 197928 2567976 28949849 604178 346934 951112 27998737 334949 334949 28333686 26826056 44241 44241 26781815 379190 379190 27161005 PART III, LINE 4: ART HAS ALWAYS BEEN IMPORTANT TO THE RESIDENTS OF HORIZON HOUSE. SEVERAL PIECES OF ARTWORK WERE PURCHASED TO CELEBRATE HORIZON HOUSE'S 50TH ANNIVERSARY. ADDITIONAL PIECES WERE PURCHASED TO ENHANCE NEWLY REMODELED DINING FACILITIES AND LOBBY AREAS. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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 SPLIT INTEREST AGREEMENTS 6,832. CHANGE IN VALUE OF INTEREST RATE CAP AND SWAP AGREEMENTS 340,102. PART XI, LINE 4B - OTHER ADJUSTMENTS: RESIDENT ASSISTANCE 379,190. RENT EXPENSE INCLUDED ON FORM 990, PART VIII, LINE 6B -44,241. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE INCLUDED ON FORM 990, PART VIII, LINE 6B 44,241. PART XII, LINE 4B - OTHER ADJUSTMENTS: RESIDENT ASSISTANCE 379,190. X X X X 1 THE ALFORD GROUP 1603 ORRINGTON AVENUE EVANSTON IL 60201 CONSULTING ON ENDOWMENT CAMPAIGN 0 0 18000 0 18000 WA EXPLANATION OF FUNDRAISING PAYMENTS SCHEDULE G, PART I, LINE 2B, COLUMN (V) HORIZON HOUSE MADE PAYMENTS OF $18,000 TO THE ALFORD GROUP FOR CONSULTING SERVICES ON AN ENDOWMENT CAMPAIGN THAT HAD NOT COMMENCED AS OF THE END OF 2012. 1 NORTHWEST CENTER FOR CREATIVE AGING 900 UNIVERSITY STREET SEATTLE WA 98101 272502055 501(C)(3) 10000 TO ENRICH LIVES OF SENIORS BY FINDING PURPOSE IN LIFE. 1 0 EMPLOYEE EMERGENCY GRANTS 2 1000 EDUCATIONAL ASSISTANCE 22 11396 2626 BOOK EDUCATIONAL ASSISTANCE RESIDENT ASSISTANCE 12 576344 BOOK RESIDENT ASSISTANCE PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 0 0 0 0 0 0 0 0 0 ROBERT ANDERSON 195702 0 45000 0 9727 0 15430 0 17523 0 283382 0 0 0 CARL SIVER 136744 0 2000 0 4748 0 8716 0 6243 0 158451 0 0 0 A WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 939783PU4 2005-10-01 56700000 RENOVATION AND EXPAND CAMPUS 0 0 0 A 4549872 56700000 1010128 55689873 2007 0 0 1 1 A 0 1 0 0 0.00010 0.00000 0.00010 0 0 0 A 0 0 0 0 1 1 KEYBANKMORGSTANLEY 7.000000000000 0 0 1 TRANSAMERICA OCCIDENTAL LIFE 4.171000000000 1 0 0 A 0 DESCRIPTION OF VOLUNTEER SERVICES FORM 990, PART I, LINE 6 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. ORGANIZATION MISSION STATEMENT FORM 990, PART III, LINE 1 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 (UCC) WHO ESTABLISHED A COMMITMENT TO SOCIAL JUSTICE, COMMUNITY OUTREACH AND SOCIAL ACCOUNTABILITY WHICH CONTINUES TO THIS DAY. HORIZON HOUSE IS AN ACCREDITED CONTINUING CARE RETIREMENT COMMUNITY WITH 387 INDEPENDENT LIVING APARTMENTS AND 90 SUPPORTED LIVING HEALTH CARE APARTMENTS. THERE ARE APPROXIMATELY 550 RESIDENTS OF HORIZON HOUSE AND A STAFF OF 300. COMPREHENSIVE HEALTH SERVICES INCLUDE; WELLNESS/EXERCISE, REHABILITATION THERAPY, MEDICAL CLINIC, 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 16-MEMBER BOARD OF TRUSTEES, INCLUDING ONE EX-OFFICIO MEMBER WITHOUT VOTING RIGHTS, ALL OF WHOM 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 2012 INCLUDE: - CHARITABLE CARE FOR RESIDENTS UNABLE TO PAY IN THE AMOUNT OF $576,344 ENABLING THEM TO REMAIN AT HORIZON HOUSE AND ELIMINATING THE NEED FOR GOVERNMENT ASSISTANCE AND SUBSIDIES. DISTRIBUTION OF $1,000 TO EMPLOYEES IN NEED OF ASSISTANCE AND $14,022 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, UCC AND OTHER SEATTLE NEIGHBORHOOD GROUPS ON AN ANNUAL BASIS. MEETING SPACE IS ALSO DONATED TO OTHER NON-PROFITS SUCH AS PUGET SOUND BLOOD CENTER, VIRGINIA MASON STROKE SUPPORT AND ELDERWISE FOR SPECIFIC MEETINGS AND EVENTS FOR A VALUE OF OVER $8,225. SPACE AND SUPPORT SERVICES DONATED TO THE NORTHWEST CENTER FOR CREATIVE AGING (NWCCA) AMOUNT TO AN ANNUAL CONTRIBUTION OF $74,192 FOR A TOTAL DONATED SPACE VALUE OF $82,417. - DONATIONS TO COMMUNITY NOT-FOR-PROFIT GROUPS IN HONOR OF DECEASED HORIZON HOUSE RESIDENTS, $1,050. - 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, NORTHWEST CENTER FOR CREATIVE AGING AND THE JIM ELLIS FREEWAY PARK ASSOCIATION TO WHICH OVER $12,518 HAS BEEN DONATED FOR THEIR CHARITABLE WORK IN THE BROADER COMMUNITY. - DONATIONS OF STAFF TIME TO SUCH NON-PROFITS AS UNIVERSITY OF WASHINGTON FELLOWS (20 HOURS), DOWNTOWN SEATTLE ASSOCIATION (12 HOURS), HOSPICE (50 HOURS), NWCCA (120 HOURS), JIM ELLIS FREEWAY PARK ASSOCIATION (140 HOURS), FIRST HILL IMPROVEMENT ASSOCIATION (44 HOURS), HORIZON HOME CARE (120 HOURS), VIRGINIA MASON CITIZENS' ADVISORY COMMITTEE (60 HOURS), LEADINGAGE (130 HOURS), KCTS CHANNEL 9 TV (200 HOURS), UNITED WAY (40 HOURS) AND OTHERS. - VOLUNTEER HOURS DONATED BY HORIZON HOUSE RESIDENTS TO COMMUNITY NON-PROFITS INCLUDE, LANG SIMONS PLYMOUTH HOUSING (152 HOURS), SEWING AND KNITTING FOR HARBORVIEW AND PLYMOUTH HOUSING (1,100 HOURS), AND FRIENDS OF THE LIBRARY BOOK CART (100 HOURS). IN 2012 HORIZON HOUSE DONATED $604,934 IN CHARITABLE DOLLARS (RESIDENT CARE, EMPLOYEE ASSISTANCE AND EDUCATIONAL GRANTS, DONATIONS TO NON-PROFITS AND COMMUNITY GROUPS), $8,225 WORTH OF MEETING SPACE FOR COMMUNITY NON-PROFIT GROUPS, $74,192 SPACE AND SUPPORT SERVICES FOR TWO NON-PROFITS AT HORIZON HOUSE, FOR A TOTAL OF $687,351. VOLUNTEER HOURS TOTALED 2,288 (936 HOURS OF STAFF TIME AND 1,352 HOURS OF RESIDENT TIME). FORM 990, PART VI, SECTION A, LINE 7A THE PACIFIC NORTHWEST CONFERENCE OF THE UNITED CHURCH OF CHRIST HAS THE POWER TO ELECT 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 WILL RECEIVE A FULL COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND SENIOR MANAGEMENT ARE REQUIRED ANNUALLY TO SUBMIT A LETTER DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST TO OUR ATTORNEY. ANY CONFLICT OF INTEREST IS REVIEWED BY HORIZON HOUSE LEGAL COUNSEL AND APPROPRIATE ACTION IS DETERMINED BY LEGAL COUNSEL AND THE BOARD PRESIDENT. IT MAY INVOLVE RECUSING ONESELF FROM VOTING OR NOT PARTICIPATING IN A DISCUSSION OR DECISION. OR THE CONFLICT MAY BE DETERMINED TO NOT BE MATERIAL IN WHICH CASE IT IS DOCUMENTED AS SUCH. 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. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 6,832. CHANGE IN VALUE OF INTEREST RATE CAP AND SWAP AGREEMENTS 340,102. 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 -128775 12445 1.00000 1 1 0 0 1 0 0 0 0 0 1 0 0 0 1 1 1 0 1 0 HORIZON HOME CARE A 27009 FAIR MARKET VALUE HORIZON HOME CARE D 138595 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 THEIR EXEMPT PURPOSE.