2021-11-10T18:16:59-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2020-01-01 911143445 HARBORS HOME HEALTH & HOSPICE HARB 3605325454 201 7TH STREET HOQUIAM WA 98550 NORM SPRAGUE PRESIDENT 3605325454 2021-11-08 1 NORM SPRAGUE 999009999 KURT BENNION CPA P01469618 4252506100 2021-11-08 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z NORM SPRAGUE 201 7TH STREET HOQUIAM WA 98550 8586805 0 X WWW.MYHHHH.ORG X 1981 WA TO PROVIDE HOME HEALTH AND HOSPICE SERVICES TO THOSE WHO NEED ASSISTANCE. 8 8 83 21 0 0 8923 4519 7661292 8353570 109561 222561 0 6155 7779776 8586805 1641 725 0 0 5043882 5323356 0 0 0 2505717 2839692 7551240 8163773 228536 423032 6812102 9099373 1143577 2457383 5668525 6641990 TO PROVIDE HOME HEALTH AND HOSPICE SERVICES TO PERSONS IN GRAYS HARBOR AND PACIFIC COUNTIES WHO NEED ASSISTANCE TO REMAIN ACTIVE AND INDEPENDENT WITHIN THEIR OWN HOME. 0 0 5414690 725 8353570 THE ORGANIZATION PROVIDED SKILLED NURSING CARE, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, MEDICAL AND SOCIAL SERVICES, AND HOME HEALTH AID TO 1,322 PATIENTS IN THE GRAYS HARBOR AND PACIFIC COUNTY REGION DURING 2020. 290 HOSPICE PATIENTS WERE SERVED DURING THE YEAR IN GRAYS HARBOR AND PACIFIC COUNTIES. 5414690 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 83 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X MELISSA CORNWELL 3605325454 201 7TH STREET HOQUIAM WA 98550 MICHAEL BARAN SPEECH PATHOLOGIST 40.00 X 185726 0 33427 RALPH CURRY OCCUPATIONAL THERAPIST 40.00 X 131417 0 41489 JOEL STEPHENS CEO 40.00 X 128903 0 28317 BRENT ROBERTS PHYSICAL THERAPIST 40.00 X 124633 0 19240 KAYLENE TATE OCCUPATIONAL THERAPIST 40.00 X 119387 0 8214 LAURI MCNEIL RN REGISTERED NURSE 40.00 X 103307 0 7502 THOMAS MAYR CFO (THROUGH JANUARY 2020) 32.00 X 8305 0 0 CINDY GIBBONS CONTRACT CFO (AS OF MARCH 2020) 20.00 X 0 0 0 NORM SPRAGUE PRESIDENT 4.00 X X 0 0 0 DARLENE GEENAWALT RN VICE PRESIDENT & TREASURER 1.00 X X 0 0 0 CAROL O'NEIL RN SECRETARY 1.00 X X 0 0 0 GARY FRIEHAUF TREASURER (THROUGH AUGUST 2020) 1.00 X X 0 0 0 JAMIE GRAVES DIRECTOR 1.00 X 0 0 0 MIKE MURPHY DIRECTOR 1.00 X 0 0 0 EDWARD QUIJADA DIRECTOR (THROUGH JANUARY 2020) 1.00 X 0 0 0 KEN RAUSCH DIRECTOR 1.00 X 0 0 0 CHRIS RIGGS DIRECTOR 1.00 X 0 0 0 NANCY WOOD DIRECTOR 1.00 X 0 0 0 801678 0 138189 7 0 1 0 AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO CA 92130 STAFFING SERVICES 355287 ENCLARA PHARMACIA 1601 CHERRY STREET SUITE 1800 PHILADELPHIA PA 19102 PHARMACY MANAGEMENT SERVICES 172451 2 4519 4519 PATIENT REVENUE 621610 8353570 8353570 8353570 66767 66767 155794 0 155794 155794 155794 MISCELLANEOUS INCOME 900099 6155 6155 6155 8586805 8353570 0 228716 X 725 725 137208 137208 3457622 2347332 1110290 236921 154703 82218 1193298 779194 414104 298307 194787 103520 42788 42788 22413 22413 8611 8611 841679 592170 249509 23618 15422 8196 412966 252467 160499 218662 142780 75882 55402 36175 19227 262859 261219 1640 26425 17255 9170 130494 85209 45285 85522 55844 29678 MEDICAL SUPPLIES 616077 419471 196606 DUES & SUBSCRIPTIONS 49486 32313 17173 OTHER EXPENSES 31508 20322 11186 TAXES 11182 7302 3880 8163773 5414690 2749083 0 713057 1632587 0 440218 978717 967122 151431 53244 2076717 759713 1043713 1317004 3921416 4685430 3768 3768 6812102 9099373 1019365 1079741 120444 519574 3768 3768 0 854300 1143577 2457383 X 5668525 6641990 5668525 6641990 6812102 9099373 423032 550456 -23 0 X 0 1 X 1 0 X 6302 12134 197861 8923 4519 229739 7338221 8022169 7418436 7661292 8353570 38793688 7344523 8034303 7616297 7670215 8358089 39023427 0 70401 70401 70401 70401 38953026 71617 98077 108991 84081 66767 429533 71617 98077 108991 84081 66767 429533 740 31500 6155 38395 7416880 8132380 7756788 7754296 8431011 39491355 0.98640 0.98550 0.01090 0.01180 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME 0 1 X 125000 125000 956650 136360 820290 12259 5823 6436 982808 617530 365278 1317004 REFUNDABLE PPP ADVANCE 854300 854300 X 9128650 550456 550456 8578194 8611 8611 8586805 8155162 0 8155162 8611 8611 8163773 PART IV, LINE 2B: THE ORGANIZATION HOLDS A SECURITY DEPOSIT FOR A TENANT LEASING SPACE IN A GARAGE. THE ORGANIZATION HOLDS THE SECURITY DEPOSIT IN A CHECKING ACCOUNT. THE SECURITY DEPOSIT, LESS THE COST OF ANY REPAIRS, WILL BE RETURNED TO THE TENANT WHEN THE LEASE IS TERMINATED. PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION IS CLASSIFIED AS A PUBLIC CHARITY. ACCORDINGLY, THERE IS NO PROVISION FOR FEDERAL INCOME TAXES ON THE FINANCIAL STATEMENTS. X X X 0 0 0 0 0 0 0 0 0 MICHAEL BARAN SPEECH PATHOLOGIST 158050 0 7113 0 20563 0 17000 0 16427 0 219153 0 0 0 RALPH CURRY OCCUPATIONAL THERAPIST 101974 0 7207 0 22236 0 16848 0 24641 0 172906 0 0 0 JOEL STEPHENS CEO 113335 0 9445 0 6123 0 0 0 28317 0 157220 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 STARTING IN MARCH 2020, CONTRACT CFO SERVICES WERE PROVIDED BY SIMIONE HEALTHCARE CONSULTANTS. CINDY GIBBONS WAS PAID $77,544 THESE CONTRACT CFO SERVICES IN 2020. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WAS PREPARED BY A CERTIFIED PUBLIC ACCOUNTING FIRM AND REVIEWED BY THE ADMINISTRATOR, FINANCIAL MANAGER, AND DISTRIBUTED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS ITS BOARD MEMBERS AND EMPLOYEES CONTINUOUSLY TO ENSURE THAT CONFLICTS OF INTEREST ARE AVOIDED. THIS MANIFESTS ITSELF IN BOARD VOTES WHERE MEMBERS WITH POSSIBLE CONFLICTS OF INTEREST ABSTAIN FROM CERTAIN VOTES. EMPLOYEES ARE NOT ALLOWED TO MAINTAIN EMPLOYMENT WHERE A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S SALARY IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THEY PERIODICALLY SEEK SALARY SURVEY INFORMATION WHEN SETTING THIS SALARY. THE PROCESS WAS LAST PERFORMED IN 2019. THE CFO'S SALARY IS REVIEWED AND APPROVED BY THE CEO AND H.R. DIRECTOR. THEY PERIODICALLY SEEK SALARY SURVEY INFORMATION WHEN SETTING THIS SALARY. THE PROCESS WAS LAST PERFORMED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST IN PERSON AT THE ORGANIZATION'S MAIN OFFICE DURING NORMAL BUSINESS HOURS. FORM 990, PART IX, LINE 11G OTHER SERVICES: PROGRAM SERVICE EXPENSES 592,170. MANAGEMENT AND GENERAL EXPENSES 249,509. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 841,679.