2025-05-13T21:07:30-05:00 2024-06-30 910189318 MOSS ADAMS LLP 999 THIRD AVENUE SUITE 2800 SEATTLE WA 98104 990 2023-07-01 910593488 PROVAIL PROV 2063637303 12550 AURORA AVE N SEATTLE WA 98133 WENTINA HURTADO CFO 2063637303 2025-05-12 1 1 EMINA O CRESSWELL CPA P01217304 2063026500 2025-05-12 2023 2025-03-06 01:10:19Z WENTINA HURTADO 12550 AURORA AVE N SEATTLE WA 98133 28263987 0 X WWW.PROVAIL.ORG X 1942 WA PROVAIL'S MISSION IS TO SUPPORT PEOPLE WITH DISABILITIES TO FULFILL THEIR LIFE CHOICES. 13 13 562 50 3518 2518 24666148 26870524 885428 1072380 76357 197909 -213181 -108228 25414752 28032585 0 0 0 0 22106272 25284483 0 0 534304 4069743 3257403 26176015 28541886 -761263 -509301 18277332 17515812 9342090 9089871 8935242 8425941 PROVAIL'S MISSION IS TO SUPPORT PEOPLE WITH DISABILITIES TO FULFILL THEIR LIFE CHOICES. 0 0 17093415 0 1067669 HOME AND LIFESTYLE - PROVIDES THE NECESSARY SUPPORT SERVICES FOR ADULTS WITH INTELLECTUAL/DEVELOPMENTAL DISABILITIES AND TRAUMATIC BRAIN INJURIES TO LIVE AS INDEPENDENTLY AS POSSIBLE IN COMMUNITIES THROUGHOUT KING COUNTY. ADDITIONALLY, PROVAIL OWNS FOUR HOMES FOR SUPPORTED LIVING SERVICES FOR ADULTS WITH INTELLECTUAL/DEVELOPMENTAL DISABILITIES; ONE 12-ROOM ASSISTED LIVING FACILITY FOR TRAUMATIC BRAIN INJURY SURVIVORS; AND A 6-UNIT APARTMENT BUILDING FOR LOW INCOME ADULTS WITH DISABILITIES. 5725863 0 4711 EMPLOYMENT SERVICES - PROVIDES COMMUNITY-BASED, INTEGRATED, INDIVIDUAL SUPPORTED EMPLOYMENT SERVICES INCLUDING ONE-ON-ONE JOB PLACEMENT FOR PEOPLE WITH INTELLECTUAL/DEVELOPMENTAL DISABILITIES. 1562685 0 0 MOBILITY AND COMMUNICATION - PROVIDES SPECIALIZED OCCUPATIONAL AND SPEECH THERAPIES, AS WELL AS ASSISTIVE TECHNOLOGY SERVICES TO HELP CHILDREN AND ADULTS WITH DISABILITIES MAXIMIZE THEIR MOBILITY AND COMMUNICATION SKILLS. 24381963 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 10 0 1 562 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 0 X STEPHEN ROSSI 2068261024 12550 AURORA AVE N SEATTLE WA 98133 MICHAEL HATZENBELER CEO (THRU 6/24) 50.00 2.00 X 231172 0 35669 EMILY CANTRELL COO 50.00 X 183334 0 6682 SUMMER KORST CHIEF PEOPLE OFFICER 50.00 X 170872 0 23565 AMAL GRABINSKI H&L PROGRAM DIRECTOR 50.00 X 130532 0 600 MARY ROSTAD M&C PROGRAM DIRECTOR 50.00 X 111800 0 5387 STEPHEN ROSSI ACCOUNTING MANAGER 40.00 X 109690 0 5534 WENTINA HURTADO CFO 50.00 2.00 X 97331 0 325 TERRI SUTTON CHAIR 1.00 2.00 X X 0 0 0 WHITNEY KEYES 1ST VICE CHAIR 1.00 2.00 X X 0 0 0 JIM MITCHELL 2ND VICE CHAIR 1.00 X X 0 0 0 ROLAND DEEX SECRETARY 1.00 2.00 X X 0 0 0 MIKE HUGHES TREASURER 1.00 2.00 X X 0 0 0 TERRIE DEIDESHEIMER IMMEDIATE PAST CHAIR 1.00 2.00 X X 0 0 0 DALE DEWHITT DIRECTOR 1.00 2.00 X 0 0 0 JIM CHESEMORE DIRECTOR 1.00 X 0 0 0 DON BLACK DIRECTOR 1.00 X 0 0 0 ALESHA MORGAN-MARTINEZ DIRECTOR 1.00 X 0 0 0 MIKE KUROMI DIRECTOR 1.00 X 0 0 0 PARUL HOULAHAN DIRECTOR 1.00 X 0 0 0 DENISE KAJANOFF DIRECTOR 1.00 2.00 X 0 0 0 ASHLEY STUDERUS DIRECTOR (THRU 1/24) 1.00 X 0 0 0 1034731 0 77762 10 0 1 0 UKG INC 2000 ULTIMATE WAY WESTON FL 33326 PAYROLL SERVICES 241234 ROBERT HALF MANAGEMENT R PO BOX 743295 LOS ANGELES CA 900743295 STAFFING SERVICES 199306 CFO SELECTIONS LLC 3150 RICHARDS RD SUITE 150 BELLEVUE WA 98005 ACCOUNTING SERVICES 192462 KDH CONSULTING 19338 47TH AVE NE LAKE FOREST PARK WA 98155 CONSULTING SERVICES 159545 SCANDIUZZI KREBS 1424 11TH AVE SUITE 400 SEATTLE WA 98122 CONSULTING SERVICES 130625 6 336236 26129508 404780 34796 26870524 THERAPEUTIC CLINIC 621400 847966 847966 HOME CARE 621610 206715 206715 EMPLOYMENT SERVICES 561300 4711 4711 12988 12988 1072380 197909 197909 55969 6201 49768 49768 3518 46250 67205 336236 225201 -157996 -157996 28032585 1072380 3518 86163 486909 486909 21390140 19360486 1710484 319170 1499316 1367406 107105 24805 1908118 1695489 185617 27012 3475 3475 88658 88658 169660 169660 619025 257204 280416 81405 85495 68784 6821 9890 403050 226153 133698 43199 208344 128076 70769 9499 451870 363531 88339 140035 137698 1957 380 187054 123341 58400 5313 92489 10479 82010 244634 224109 20525 218940 153258 65682 TAXES, LICENSES, AND FE 203684 179555 10498 13631 REPAIRS & MAINTENANCE 137237 79166 58071 3753 3753 28541886 24381963 3625619 534304 6527930 4433319 63142 65399 2250323 2471136 70584 440211 10753148 2351877 7934413 8401271 229639 302307 0 564600 1201301 837569 18277332 17515812 2978368 2975475 2491 2491 5381236 5254719 979995 857186 9342090 9089871 X 8935242 8370941 0 55000 8935242 8425941 18277332 17515812 -509301 0 X 0 1 X 1 0 X 18547491 20221486 23120227 24666148 26870524 113425876 18547491 20221486 23120227 24666148 26870524 113425876 113425876 43359 48528 21276 99433 222536 435132 5727 6606 3518 15851 23362 333 23695 113900554 4436614 0.99580 0.99650 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - LAUNDRY INCOME LEASE DEPOSIT REFUND OTHER - 2019 AMOUNT: $ 23,362. 2020 AMOUNT: $ 333. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3146359 3146359 6024621 1794680 4229941 366152 111006 255146 507593 446191 61402 708423 708423 8401271 RIGHT OF USE LEASE LIABILITIES 857186 857186 X PART X, LINE 2: PROVAIL (INCLUDING THE BURKE-GILMAN APARTMENTS) AND PROVAIL AFFILIATES (EASTSIDE COMMUNITY LIVING, AND AUBURN COMMUNITY LIVING) ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT TO THE EXTENT OF UNRELATED BUSINESS INCOME AS DEFINED UNDER IRC SECTION 511 THROUGH 515. ALL ARE ALSO EXEMPT FROM CERTAIN EXCISE TAXES AND REAL ESTATE PROPERTY TAXES ON CERTAIN BUILDINGS. PROVAIL FOLLOWS FASB (FINANCIAL ACCOUNTING STANDARDS BOARD) ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS. ASC 740-10 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS AND ALSO PROVIDES GUIDANCE ON VARIOUS RELATED MATTERS SUCH AS DERECOGNITION, INTEREST, PENALTIES AND DISCLOSURES REQUIRED. MANAGEMENT DOES NOT BELIEVE PROVAIL HAS AN UNCERTAIN TAX POSITION AS OF AND FOR THE YEAR ENDED JUNE 30, 2024 AND 2023. GALA 339236 315236 24000 23190 88601 47446 GOLF TOURNAMENT 64205 21000 43205 25530 2839 37595 403441 336236 67205 23190 25530 91440 85041 225201 -157996 X X X 0 0 0 0 0 0 0 1 0 MICHAEL HATZENBELER CEO (THRU 6/24) 182876 0 48296 0 0 0 29985 0 5684 0 266841 0 0 0 EMILY CANTRELL COO 170034 0 13300 0 0 0 0 0 6682 0 190016 0 0 0 SUMMER KORST CHIEF PEOPLE OFFICER 170872 0 0 0 0 0 17600 0 5965 0 194437 0 0 0 PART I, LINE 7 THE CEO'S BONUS IS DETERMINED BASED ON FOUR PERFORMANCE FACTORS, ONE OF WHICH BEING THE ORGANIZATION'S NET EARNINGS COMPARED TO BUDGET. THE AMOUNT OF NET INCOME DOES NOT DIRECTLY DETERMINE ANY AMOUNT OF THE PERFORMANCE BONUS. THE OTHER PERFORMANCE FACTORS ARE BASED ON INDIVIDUAL PERFORMANCE AND THE ORGANIZATION'S FINANCIAL POSITION. THE AMOUNT IS DETERMINED BY THE BOARD AND IS LIMITED TO 25% OF THE CEO'S BASE COMPENSATION. X TICKETS/GIFTCARDS 75 34796 FAIR MARKET VALUE 0 0 0 0 PART I, COLUMN (B): COLUMN (B) REFLECTS NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION GENERALLY PROVIDES A DRAFT COPY OF THE FORM 990 TO THE GOVERNING BOARD AND REQUESTS ANY QUESTIONS OR COMMENTS BE DIRECTED TO THE CFO. THE ORGANIZATION GENERALLY PROVIDES A DRAFT COPY OF THE FORM 990 TO THE MANAGEMENT OF THE ORGANIZATION AND REQUESTS ANY QUESTIONS OR COMMENTS BE DIRECTED TO THE CFO. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD GOVERNANCE COMMITTEE REVIEWS AND APPROVES THE CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER IS ASKED TO REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS AND ALSO FILL OUT A QUESTIONNAIRE AS PART OF THE PREPARATION FOR THE 990 DEALING WITH INDEPENDENCE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD UNDERTAKES THE EVALUATION AND COMPENSATION SETTING FOR THE CEO. THEY COMPLETED THE EVALUATION PORTION BY GETTING INPUT FROM THE BOARD OF DIRECTORS AND EMPLOYEES SUPERVISED BY THE CEO. THEY ALSO REVIEWED SALARIES AT COMPARABLE AGENCIES VIA A COMPENSATION SURVEY PERFORMED BY ARCHBRIGHT, AN INDEPENDENT ORGANIZATION. MINUTES OF THESE MEETINGS WERE KEPT. USING BOTH THE EVALUATION AND THE COMPARABLE SALARY INFORMATION THEY SET THE SALARY FOR THE CEO. WE HAVE NO OTHER EMPLOYEES WHO MEET THE DEFINITION OF KEY EMPLOYEE. EACH YEAR WE PULL SALARY INFORMATION FROM ARCHBRIGHT WHICH COMPILES COMPREHENSIVE NON-PROFIT AND FOR-PROFIT SALARY INFORMATION FROM HUNDREDS OF COMPANIES AND NON-PROFITS IN THE PACIFIC NORTHWEST AND WE USE THAT SALARY INFORMATION TO INFORM PAY INCREASES AND WAGE RANGES FOR ALL POSITIONS AT PROVAIL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. PROVAIL - AFFILIATES KING & SNOHOMISH COUNTIES 12550 AURORA AVE N SEATTLE WA 98133 912146011 COMMUNITY HOUSING WA 501(C)(3) LINE 7 PROVAIL 1 AUBURN COMMUNITY LIVING 12550 AURORA AVE N SEATTLE WA 98133 911814582 COMMUNITY HOUSING WA 501(C)(3) LINE 7 PROVAIL 1 EASTSIDE COMMUNITY LIVING 12550 AURORA AVE N SEATTLE WA 98133 943206977 COMMUNITY HOUSING WA 501(C)(3) LINE 7 PROVAIL 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PROVAIL - AFFILIATES KING & SNOHOMISH COUNTIES D 247250 FMV