2012-08-12T18:56:26-00:00 2011-12-31 Michaela M Gould CPA 30944 E Lake Morton Dr SE Kent WA 980429725 990 2011-01-01 943080307 Ashley House ASHL 3608256525 40903 236th Ave SE Enumclaw WA 98022 Stephen L Freeborn 2012-08-12 true Michaela Gould 2064598952 2012-08-06 X 2011 2016-02-24 21:20:13Z Stephen L Freeborn 33400 9th Ave S Ste 208 Federal Way WA 98003 4337836 false X www.ashleyhousekids.com X 1989 WA 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. 4 4 124 0 12358 18882 4871795 4020671 193346 209711 1055 392 5078554 4249656 52362 153940 0 4134533 4133831 0 0 619412 575522 4806307 4863293 272247 -613637 10921078 9948803 344178 350472 10576900 9598331 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. false false 4236679 4021063 Ashley 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. 4236679 true true false false false false false false false true false false false false false true false false false false false false false false false false false true true false false false false false false false false false false false false false false false false false false true 2 0 true 124 true false false false false false false false false false false X 4 4 false false false false false false false true true false false true true true true true true true true false WA X X Jennifer Mannheim 3608256525 40903 236th Ave SE Enumclaw WA 980228606 Bruce Brandler 040.00 X X 143762 0 10596 Michael Pugsley 040.00 X 102901 0 10596 Sandra Milligan 040.00 X 101351 0 10596 Stephen Freeborn 001.00 X X 0 0 0 Barbara Hyland-Hill 001.00 X 0 0 0 Keith Mock 001.00 X 0 0 0 Jennifer Mannheim 001.00 X 0 0 0 348014 31788 3 false true false 558 18324 667 18882 Insurance 623000 254867 254867 Medicaid State Fee for Service payments 623000 3738599 3738599 Paid by resident, family, SSI 623000 26111 26111 FDA WIC Vouchers- cash value 623000 1094 1094 4020671 115847 115847 182044 88180 93864 93864 Miscellaneous 623000 392 392 392 4249656 4021063 115847 0 153940 153940 0 0 379802 225444 154358 0 2795889 2607086 188803 0 604716 590157 14559 353424 305183 48241 86992 86992 16653 16653 9900 9900 0 8560 8560 2308 2308 1303 259 1044 48486 36827 11659 27292 27292 0 108347 101429 6918 21209 19380 1829 0 15403 10811 4592 0 0 151346 131559 19787 99883 86069 13814 Household, cleaning, childcare, furnishings,clothing toys 91212 89872 1340 Provision for doubtful accounts 24600 24600 Taxes Licenses 6503 5363 1140 Assistance to Individuals -153940 -153940 9465 2640 6825 4863293 4236679 626614 0 318 631 3732766 3293233 573791 414925 108116 115819 2980760 1689250 1429354 1291510 5076733 4832685 10921078 9948803 344178 350472 344178 350472 X 10576900 9598331 10576900 9598331 10921078 9948803 -613637 -364932 X false true true X false X 0 0.00000 31157 14002 46235 12358 18882 122634 3808647 3952566 4466465 4871795 4020671 21120144 3839804 3966568 4512700 4884153 4039553 21242778 21242778 278093 244716 158117 135863 115847 932636 0 278093 244716 158117 135863 115847 932636 0 5022 7757 2207 1055 392 16433 4122919 4219041 4673024 5021071 4155792 22191847 0.95720 0.95080 0.04200 0.04830 X Part III Line 12 Other Income CPR classes medical records reports rebates RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false 308931 308931 1886047 1075453 810594 690690 547671 143019 95092 66126 28966 1291510 4249656 4863293 -613637 -364932 -364932 -978569 3884724 -364932 -364932 4249656 4249656 4863293 4863293 4863293 true Group Home Room Board- Free Care 6 153940 FMV Room Board provided at no charge III 1 Funds 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. X true true X X X X false false false false false false false false false Bruce Brandler 124223 19539 10596 154358 I 1a Executive Director received gross-up payments for reimbursement of medical costs in excess of plan coverage, due to initial limitations of coverage. Form 990 Part VI 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 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 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. 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.