2011-08-11T16:24:58-00:00 2010-12-31 Michaela M Gould CPA 30944 E Lake Morton Dr SE Kent WA 98042 990 2010-01-01 943080307 Ashley House ASHL 3608256525 40903 236th Ave SE Enumclaw WA 98022 Stephen L Freeborn 2011-08-09 true Michaela Gould 2064598952 2011-08-09 X 2010 2016-02-24 21:20:13Z Stephen L Freeborn 33400 9th Ave S Ste 208 Federal Way WA 98003 5482946 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. 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. 6 6 119 0 46235 12358 4466465 4871795 -398692 193346 2207 1055 4116215 5078554 45727 52362 0 3820828 4134533 0 0 595547 619412 4462102 4806307 -345887 272247 10239579 10921078 321648 344178 9917931 10576900 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 4237307 Ashley 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. 4237307 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 false false false true 2 0 true 119 true false false false false false false false false false false X 6 6 false false false false false false false true true false false true true true true true true true true false WA X X Bruce Brandler 3608256525 40903 236th Ave SE Enumclaw WA 980228606 Bruce Brandler 040.00 X X 167380 0 10164 Stephen L Freeborn 001.00 X X 0 0 0 Steve Poythress 001.00 X 0 0 0 Keith Mock 001.00 X X 0 0 0 Jennifer Mannheim 001.00 X 0 0 0 Barbara Hyland-Hill 001.00 X 0 0 0 Ed Miller 001.00 X X 0 0 0 Michael Pugsley 040.00 X X 104703 0 10164 272083 20328 2 false true false 592 11766 12358 Insurance 623000 35331 35331 Medicaid State Fee for Service payments 623000 4785774 4785774 Paid by resident, family, SSI 623000 45931 45931 FDA WIC Vouchers- cash value 623000 4759 4759 4871795 135863 135863 455675 6200 404392 51283 6200 57483 57483 Miscellaneous 623000 1055 1055 1055 5078554 4872850 193346 0 52362 52362 0 0 292411 114867 177544 0 2883723 2695487 188236 0 601773 590608 11165 356626 316756 39870 0 2461 2461 9842 9842 0 7364 7364 3899 3899 27645 3484 24161 52851 36814 16037 25155 1509 23646 0 106580 99930 6650 24518 23106 1412 0 14168 7741 6427 0 0 153666 130225 23441 107998 96373 11625 Household, cleaning and childcare 92078 90332 1746 Expendable furnishings, clothing, toys 24292 23740 552 Taxes Licences 2600 2075 525 Miscellaneous other 16657 4260 12397 -52362 -52362 4806307 4237307 569000 0 403 318 3802402 3732766 403403 573791 119523 108116 2995344 1565990 1401279 1429354 4512569 5076733 10239579 10921078 321648 344178 321648 344178 X 9917931 10576900 9917931 10576900 10239579 10921078 272247 386722 X false true true X false X 0 0.00000 33466 31157 14002 46235 12358 137218 3691298 3808647 3952566 4466465 4871795 20790771 3724764 3839804 3966568 4512700 4884153 20927989 20927989 247030 278093 244716 158117 135863 1063819 0 247030 278093 244716 158117 135863 1063819 0 3846 5022 7757 2207 1055 19887 3975640 4122919 4219041 4673024 5021071 22011695 0.95080 0.94770 0.04830 0.05140 X Part III Line 12 Other Income FDA Income from WIC program, CPR classes, medical records reports, rebate. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false 308931 308931 1882542 980974 898018 708779 503032 189242 95092 61929 33163 1429354 5078554 4806307 272247 386722 386722 658969 5465276 386722 386722 5078554 5078554 4806307 4806307 4806307 true Group Home Room Board- Free Care 5 52362 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 did not receive any reimbursement X true true X X X X false false false false false false false false false Bruce Brandler 133679 16000 17701 10164 177544 152405 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 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 VI 12c The 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 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.