ASHLEY HOUSE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ASHLEY HOUSE (EIN 94-3080307)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-11
IRS object ID
201102249349300605
Schema version
2010v3.4
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)
Timestamp2011-08-11T16:24:58-00:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Code98042ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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 Signed2011-08-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMichaela GouldName
Phone2064598952Phone
Date Prepared2011-08-09DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts5482946GrossReceipts
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. 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 Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees119TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year46235ContributionsGrantsPriorYear
Contributions Grants Current Year12358ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4466465ProgramServiceRevenuePriorYear
Program Service Revenue CY4871795ProgramServiceRevenueCY
Investment Income Prior Year-398692InvestmentIncomePriorYear
Investment Income Current Year193346InvestmentIncomeCurrentYear
Other Revenue Prior Year2207OtherRevenuePriorYear
Other Revenue Current Year1055OtherRevenueCurrentYear
Total Revenue Prior Year4116215TotalRevenuePriorYear
Total Revenue Current Year5078554TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year45727GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY52362GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3820828SalariesEtcPriorYear
Salaries Etc Current Year4134533SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year595547OtherExpensePriorYear
Other Expenses Current Year619412OtherExpensesCurrentYear
Total Expenses Prior Year4462102TotalExpensesPriorYear
Total Expenses Current Year4806307TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-345887RevenuesLessExpensesPriorYear
Revenues Less Expenses CY272247RevenuesLessExpensesCY
Total Assets BOY10239579TotalAssetsBOY
Total Assets EOY10921078TotalAssetsEOY
Total Liabilities BOY321648TotalLiabilitiesBOY
Total Liabilities EOY344178TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9917931NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10576900NetAssetsOrFundBalancesEOY
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
Expense4237307Expense
DescriptionAshley House provided transitional nursing care services, hospice services, case management and social sevices to 42 medically fragile children in 2010. Free services were provided to needy children in 2010 valued at approximately 52,362. 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 Expense4237307TotalProgramServiceExpense
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
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 Employees119NumberOfEmployees
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 Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
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 PersonBruce BrandlerNamePerson
Telephone Number3608256525TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorKey EmployeeKeyEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Bruce Brandler
Executive Director040.00XX167380010164
Stephen L Freeborn
Board President001.00X000X
Steve Poythress
Board Member001.00X000
Keith Mock
Board Treasurer001.00X000X
Jennifer Mannheim
Board Member001.00X000
Barbara Hyland-Hill
Board Member001.00X000
Ed Miller
Board Secretary001.00X000X
Michael Pugsley
Director of Program Services040.00X104703010164X
FieldValueIRS element (for citing)
Total Reportable Comp From Org272083TotalReportableCompFromOrg
Total Other Compensation20328TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Federated Campaigns592FederatedCampaigns
All Other Contributions11766AllOtherContributions
Total Contributions12358TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Insurance6230003533135331
Medicaid State Fee for Service payments62300047857744785774
Paid by resident, family, SSI6230004593145931
FDA WIC Vouchers- cash value62300047594759
FieldValueIRS element (for citing)
Total Program Service Revenue4871795TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column135863TotalRevenueColumn
Exclusion$135,863ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities455675Securities
Other6200Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities404392Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities51283Securities
Other6200Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column57483TotalRevenueColumn
Exclusion$57,483ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneousDescription
Business Code623000BusinessCode
Total Revenue Column1055TotalRevenueColumn
Related Or Exempt Function Income1055RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1055TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5078554TotalRevenueColumn
Related Or Exempt Function Income4872850RelatedOrExemptFunctionIncome
Exclusion$193,346ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total52362Total
Program Services52362ProgramServices

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)
Total292411Total
Program Services114867ProgramServices
Management And General177544ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2883723Total
Program Services2695487ProgramServices
Management And General188236ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total601773Total
Program Services590608ProgramServices
Management And General11165ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total356626Total
Program Services316756ProgramServices
Management And General39870ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2461Total
Management And General2461ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9842Total
Management And General9842ManagementAndGeneral

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)
Total7364Total
Management And General7364ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3899Total
Management And General3899ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total27645Total
Program Services3484ProgramServices
Management And General24161ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total52851Total
Program Services36814ProgramServices
Management And General16037ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total25155Total
Program Services1509ProgramServices
Management And General23646ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total106580Total
Program Services99930ProgramServices
Management And General6650ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total24518Total
Program Services23106ProgramServices
Management And General1412ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total14168Total
Program Services7741ProgramServices
Management And General6427ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total153666Total
Program Services130225ProgramServices
Management And General23441ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total107998Total
Program Services96373ProgramServices
Management And General11625ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Household, cleaning and childcare92078903321746
Expendable furnishings, clothing, toys2429223740552
Taxes Licences26002075525
Miscellaneous other16657426012397

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-52362Total
Program Services-52362ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4806307Total
Program Services4237307ProgramServices
Management And General569000ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY403BOY
EOY318EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3802402BOY
EOY3732766EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY403403BOY
EOY573791EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY119523BOY
EOY108116EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2995344LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1565990LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1401279BOY
EOY1429354EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4512569BOY
EOY5076733EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10239579BOY
EOY10921078EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY321648BOY
EOY344178EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY321648BOY
EOY344178EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9917931BOY
EOY10576900EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9917931BOY
EOY10576900EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10239579BOY
EOY10921078EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses272247ReconcilationRevenueExpenses
Reconcilation Other Changes386722ReconcilationOtherChanges
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 Years33466CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31157CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14002CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46235CurrentTaxYearMinus1Year
Current Tax Year12358CurrentTaxYear
Total137218Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3691298CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3808647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3952566CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4466465CurrentTaxYearMinus1Year
Current Tax Year4871795CurrentTaxYear
Total20790771Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3724764CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3839804CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3966568CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4512700CurrentTaxYearMinus1Year
Current Tax Year4884153CurrentTaxYear
Total20927989Total
FieldValueIRS element (for citing)
Public Support Total50920927989PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years247030CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years278093CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years244716CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year158117CurrentTaxYearMinus1Year
Current Tax Year135863CurrentTaxYear
Total1063819Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years247030CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years278093CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years244716CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year158117CurrentTaxYearMinus1Year
Current Tax Year135863CurrentTaxYear
Total1063819Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3846CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5022CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7757CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2207CurrentTaxYearMinus1Year
Current Tax Year1055CurrentTaxYear
Total19887Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3975640CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4122919CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4219041CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4673024CurrentTaxYearMinus1Year
Current Tax Year5021071CurrentTaxYear
Total22011695Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95080PublicSupportPercentage509
Prior Year Support Percentage0.94770PriorYearSupportPercentage
Investment Income Percentage0.04830InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.05140PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestPart III Line 12 Other Income FDA Income from WIC program, CPR classes, medical records reports, rebate.FactsAndCircumstancesTest

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 Basis1882542OtherCostOrOtherBasis
Depreciation980974Depreciation
Book Value898018BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis708779OtherCostOrOtherBasis
Depreciation503032Depreciation
Book Value189242BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis95092OtherCostOrOtherBasis
Depreciation61929Depreciation
Book Value33163BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1429354TotalOfBookValueLandBuildings
Total Revenue5078554TotalRevenue
Total Expenses4806307TotalExpenses
Excess Or Deficit For Year272247ExcessOrDeficitForYear
Net Unrealized GL On Investments386722NetUnrealizedGLOnInvestments
Total Adjustments386722TotalAdjustments
Excess Or Deficit Per FS658969ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5465276TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments386722NetUnrealizedGainsInvestments
Revenue Not Rptd F990386722RevenueNotRptdF990
Revenue Subtotal5078554RevenueSubtotal
Total Revenue Per Form9905078554TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4806307TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4806307ExpensesSubtotal
Total Expenses Per Form9904806307TotalExpensesPerForm990

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 Recipients5NumberOfRecipients
Amount Of Non Cash Assistance52362AmountOfNonCashAssistance
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 did not receive any reimbursementExplanation

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 Org133679BaseCompensationFilingOrg
Bonus Filing Org16000BonusFilingOrg
Other Compensation Filing Org17701OtherCompensationFilingOrg
Nontaxable Benefits Filing Org10164NontaxableBenefitsFilingOrg
Total Compensation Filing Org177544TotalCompensationFilingOrg
Comp Report Prior990 Filing Org152405CompReportPrior990FilingOrg

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierIIdentifier
Return Reference1a.ReturnReference
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 (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part VI11The 990 review is listed on the Board Compliance Calendar as a yearly item. 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 if necessary. After the Board has reviewed and accepted the return, by vote, 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 and requires all Board members to sign a conflict of interest statement. The policy 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 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 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.

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