ASHLEY HOUSE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ASHLEY HOUSE (EIN 94-3080307)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-12
IRS object ID
201242259349300014
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-12T18:56:26-00:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Michaela M Gould CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line130944 E Lake Morton Dr SEAddressLine1
CityKentCity
StateWAState
ZIP Code980429725ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN943080307EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Ashley HouseBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlASHLNameControl
Phone3608256525Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line140903 236th Ave SEAddressLine1
CityEnumclawCity
StateWAState
ZIP Code98022ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameStephen L FreebornName
TitlePresidentTitle
Date Signed2012-08-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMichaela GouldName
Phone2064598952Phone
Date Prepared2012-08-06DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonStephen L FreebornNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line133400 9th Ave S Ste 208AddressLine1
CityFederal WayCity
StateWAState
ZIP Code98003ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4337836GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.ashleyhousekids.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionAshley 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 Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees124TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year12358ContributionsGrantsPriorYear
Contributions Grants Current Year18882ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4871795ProgramServiceRevenuePriorYear
Program Service Revenue CY4020671ProgramServiceRevenueCY
Investment Income Prior Year193346InvestmentIncomePriorYear
Investment Income Current Year209711InvestmentIncomeCurrentYear
Other Revenue Prior Year1055OtherRevenuePriorYear
Other Revenue Current Year392OtherRevenueCurrentYear
Total Revenue Prior Year5078554TotalRevenuePriorYear
Total Revenue Current Year4249656TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year52362GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY153940GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4134533SalariesEtcPriorYear
Salaries Etc Current Year4133831SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year619412OtherExpensePriorYear
Other Expenses Current Year575522OtherExpensesCurrentYear
Total Expenses Prior Year4806307TotalExpensesPriorYear
Total Expenses Current Year4863293TotalExpensesCurrentYear
Revenues Less Expenses Prior Year272247RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-613637RevenuesLessExpensesCY
Total Assets BOY10921078TotalAssetsBOY
Total Assets EOY9948803TotalAssetsEOY
Total Liabilities BOY344178TotalLiabilitiesBOY
Total Liabilities EOY350472TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10576900NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9598331NetAssetsOrFundBalancesEOY
Mission DescriptionAshley 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4236679Expense
Revenue4021063Revenue
DescriptionAshley House provided transitional nursing care services, hospice services, case management and social sevices to 39 medically fragile children in 2011. Free services were provided to needy children in 2011 valued at approximately 153,940. 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 Expense4236679TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees124NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJennifer MannheimNamePerson
Telephone Number3608256525TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line140903 236th Ave SEAddressLine1
CityEnumclawCity
StateWAState
ZIP Code980228606ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorKey EmployeeKeyEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Bruce Brandler
Executive Director040.00XX143762010596
Michael Pugsley
Director of Program Services040.00X102901010596
Sandra Milligan
Director of Clinical Services040.00X101351010596
Stephen Freeborn
Board President001.00X000X
Barbara Hyland-Hill
Board Secretary001.00X000
Keith Mock
Board Treasurer001.00X000
Jennifer Mannheim
Board Member001.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org348014TotalReportableCompFromOrg
Total Other Compensation31788TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Federated Campaigns558FederatedCampaigns
All Other Contributions18324AllOtherContributions
Noncash Contributions667NoncashContributions
Total Contributions18882TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Insurance623000254867254867
Medicaid State Fee for Service payments62300037385993738599
Paid by resident, family, SSI6230002611126111
FDA WIC Vouchers- cash value62300010941094
FieldValueIRS element (for citing)
Total Program Service Revenue4020671TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column115847TotalRevenueColumn
Exclusion$115,847ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities182044Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities88180Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities93864Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column93864TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneousDescription
Business Code623000BusinessCode
Total Revenue Column392TotalRevenueColumn
Related Or Exempt Function Income392RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue392TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4249656TotalRevenueColumn
Related Or Exempt Function Income4021063RelatedOrExemptFunctionIncome
Exclusion$115,847ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total153940Total
Program Services153940ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total379802Total
Program Services225444ProgramServices
Management And General154358ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2795889Total
Program Services2607086ProgramServices
Management And General188803ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total604716Total
Program Services590157ProgramServices
Management And General14559ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total353424Total
Program Services305183ProgramServices
Management And General48241ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total86992Total
Management And General86992ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total16653Total
Management And General16653ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9900Total
Management And General9900ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total8560Total
Management And General8560ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2308Total
Management And General2308ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1303Total
Program Services259ProgramServices
Management And General1044ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total48486Total
Program Services36827ProgramServices
Management And General11659ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total27292Total
Management And General27292ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total108347Total
Program Services101429ProgramServices
Management And General6918ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total21209Total
Program Services19380ProgramServices
Management And General1829ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total15403Total
Program Services10811ProgramServices
Management And General4592ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total151346Total
Program Services131559ProgramServices
Management And General19787ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total99883Total
Program Services86069ProgramServices
Management And General13814ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Household, cleaning, childcare, furnishings,clothing toys91212898721340
Provision for doubtful accounts2460024600
Taxes Licenses650353631140
Assistance to Individuals-153940-153940

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9465Total
Program Services2640ProgramServices
Management And General6825ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4863293Total
Program Services4236679ProgramServices
Management And General626614ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY318BOY
EOY631EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3732766BOY
EOY3293233EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY573791BOY
EOY414925EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY108116BOY
EOY115819EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2980760LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1689250LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1429354BOY
EOY1291510EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5076733BOY
EOY4832685EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10921078BOY
EOY9948803EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY344178BOY
EOY350472EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY344178BOY
EOY350472EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10576900BOY
EOY9598331EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10576900BOY
EOY9598331EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10921078BOY
EOY9948803EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-613637ReconcilationRevenueExpenses
Reconcilation Other Changes-364932ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31157CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14002CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46235CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12358CurrentTaxYearMinus1Year
Current Tax Year18882CurrentTaxYear
Total122634Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3808647CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3952566CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4466465CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4871795CurrentTaxYearMinus1Year
Current Tax Year4020671CurrentTaxYear
Total21120144Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3839804CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3966568CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4512700CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4884153CurrentTaxYearMinus1Year
Current Tax Year4039553CurrentTaxYear
Total21242778Total
FieldValueIRS element (for citing)
Public Support Total50921242778PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years278093CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years244716CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years158117CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year135863CurrentTaxYearMinus1Year
Current Tax Year115847CurrentTaxYear
Total932636Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years278093CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years244716CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years158117CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year135863CurrentTaxYearMinus1Year
Current Tax Year115847CurrentTaxYear
Total932636Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5022CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7757CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2207CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1055CurrentTaxYearMinus1Year
Current Tax Year392CurrentTaxYear
Total16433Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4122919CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4219041CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4673024CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5021071CurrentTaxYearMinus1Year
Current Tax Year4155792CurrentTaxYear
Total22191847Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95720PublicSupportPercentage509
Prior Year Support Percentage0.95080PriorYearSupportPercentage
Investment Income Percentage0.04200InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.04830PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestPart III Line 12 Other Income CPR classes medical records reports rebatesFactsAndCircumstancesTest

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis308931OtherCostOrOtherBasis
Book Value308931BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1886047OtherCostOrOtherBasis
Depreciation1075453Depreciation
Book Value810594BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis690690OtherCostOrOtherBasis
Depreciation547671Depreciation
Book Value143019BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis95092OtherCostOrOtherBasis
Depreciation66126Depreciation
Book Value28966BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1291510TotalOfBookValueLandBuildings
Total Revenue4249656TotalRevenue
Total Expenses4863293TotalExpenses
Excess Or Deficit For Year-613637ExcessOrDeficitForYear
Net Unrealized GL On Investments-364932NetUnrealizedGLOnInvestments
Total Adjustments-364932TotalAdjustments
Excess Or Deficit Per FS-978569ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3884724TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-364932NetUnrealizedGainsInvestments
Revenue Not Rptd F990-364932RevenueNotRptdF990
Revenue Subtotal4249656RevenueSubtotal
Total Revenue Per Form9904249656TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4863293TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4863293ExpensesSubtotal
Total Expenses Per Form9904863293TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantGroup Home Room Board- Free CareTypeOfGrant
Number Of Recipients6NumberOfRecipients
Amount Of Non Cash Assistance153940AmountOfNonCashAssistance
Method Of ValuationFMVMethodOfValuation
Description Of Non Cash AssistanceRoom Board provided at no chargeDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierIIIIdentifier
Return Reference1ReturnReference
ExplanationFunds are not given to any individual. The FMV of room and board is included as a grant to individuals when Ashley House does not receive any reimbursement for those services.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonBruce BrandlerNamePerson
Base Compensation Filing Org124223BaseCompensationFilingOrg
Other Compensation Filing Org19539OtherCompensationFilingOrg
Nontaxable Benefits Filing Org10596NontaxableBenefitsFilingOrg
Total Compensation Filing Org154358TotalCompensationFilingOrg

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierIIdentifier
Return Reference1aReturnReference
ExplanationExecutive Director received gross-up payments for reimbursement of medical costs in excess of plan coverage, due to initial limitations of coverage.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part VI11The 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 VI12cThe Board Compliance Calendar lists as a first quarter of the year item the review of 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 conflict of interest exisits, and procedures for addressing any conflict of interestthat may arise. Additionally, independent financial auditors annually review and test the organizations records for possible conflicts of interest.
Form 990 Part VI19Disclosure of governing documents, financial statements and conflict of interest policy are not generally made available to the public, but are provided on a case by case basis.
Form 990 Part VI Section B Line 11 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 a first quarter of the year item the review of 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 conflict of interest exisits, and procedures for addressing any conflict of interestthat may arise. Additionally, independent financial auditors annually review and test the organizations records for possible conflicts of interest. 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 case by case basis.

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