2021-10-25T10:56:24-05:00 2020-12-31 910189318 MOSS ADAMS LLP 2707 COLBY AVENUE SUITE 801 EVERETT WA 98201 990 2020-01-01 910725802 HORIZON HOUSE HORI 2063823721 900 UNIVERSITY STREET SEATTLE WA 98101 CHRISTINE SEYMOUR CHIEF FINANCIAL OFFICER 2063823721 2021-10-25 1 CHRISTINE SEYMOUR 999009999 COLLEEN RAMIRES P01251320 4252597227 2021-10-08 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z R MICHAEL OSTREM 900 UNIVERSITY STREET SEATTLE WA 98101 125500336 0 X WWW.HORIZONHOUSE.ORG X 1960 WA HORIZON HOUSE IS A DYNAMIC AND DIVERSE SENIOR LIVING COMMUNITY DEDICATED TO DIGNIFIED AGING, LIFE FULFILLMENT AND SERVICE TO THE BROADER COMMUNITY. 13 13 250 13 231341 153246 880897 3486095 31040324 31033027 4621667 4806371 293675 323730 36836563 39649223 997243 640649 0 0 15354859 15537445 0 0 211669 18165592 18129373 34517694 34307467 2318869 5341756 214631010 220645296 174208982 171325027 40422028 49320269 X HORIZON HOUSE IS A DYNAMIC AND DIVERSE SENIOR LIVING COMMUNITY DEDICATED TO DIGNIFIED AGING, LIFE FULFILLMENT AND SERVICE TO THE BROADER COMMUNITY. 0 0 30067918 640649 31032326 HORIZON HOUSE HAS A LONG-STANDING COMMITMENT TO SOCIAL ACCOUNTABILITY. RESIDENTS, STAFF AND THE ENTIRE ORGANIZATION GIVE TIME AND FINANCIAL SUPPORT TO THOSE IN NEED. THIS SUPPORT IS OFFERED TO THOSE LIVING IN HORIZON HOUSE AND IN THE BROADER COMMUNITY. THE MISSION OF HORIZON HOUSE IS TO BE A DYNAMIC RETIREMENT COMMUNITY DEDICATED TO DIGNIFIED AGING, LIFE FULFILLMENT AND SERVICE TO THE BROADER COMMUNITY.HORIZON HOUSE, A NOT-FOR-PROFIT RETIREMENT COMMUNITY, WAS FOUNDED IN 1961, BECOMING THE FIRST RETIREMENT COMMUNITY IN DOWNTOWN SEATTLE. FOUNDING MEMBERS WERE CIVIC LEADERS AND MEMBERS OF THE UNITED CHURCH OF CHRIST WHO ESTABLISHED A COMMITMENT TO SOCIAL JUSTICE, COMMUNITY OUTREACH AND SOCIAL ACCOUNTABILITY WHICH CONTINUES TO THIS DAY. HORIZON HOUSE IS A CONTINUING CARE RETIREMENT COMMUNITY WITH 377 INDEPENDENT LIVING APARTMENTS AND 90 SUPPORTED LIVING HEALTH CARE APARTMENTS. THERE ARE APPROXIMATELY 540 RESIDENTS AT HORIZON HOUSE AND A STAFF OF 178. COMPREHENSIVE HEALTH SERVICES INCLUDE WELLNESS/EXERCISE, REHABILITATION THERAPY, MEDICAL AND DENTAL CLINIC, HOME CARE, AND ASSISTED AND NURSING CARE IN ADDITION TO EDUCATIONAL CLASSES AND MANY SOCIAL AND CULTURAL EVENTS.HORIZON HOUSE IS GOVERNED BY A 10 TO 15-MEMBER BOARD OF TRUSTEES WHO SERVES WITHOUT COMPENSATION. THE BOARD IS COMPRISED OF MEN AND WOMEN WITH PROFESSIONAL EXPERTISE IN THE LEADERSHIP AND OPERATIONAL AREAS OF HORIZON HOUSE. A THREE-MEMBER EXECUTIVE TEAM IS RESPONSIBLE FOR THE ADMINISTRATIVE LEADERSHIP OF HORIZON HOUSE.EXAMPLES OF COMMUNITY OUTREACH AND SOCIAL ACCOUNTABILITYSOME HIGHLIGHTS FROM 2020 INCLUDE:- CHARITABLE CARE FOR RESIDENTS UNABLE TO PAY IN THE AMOUNT OF $556,886 ENABLING THEM TO REMAIN AT HORIZON HOUSE AND ELIMINATING THE NEED FOR GOVERNMENT ASSISTANCE AND SUBSIDIES. DISTRIBUTION OF $3,800 TO EMPLOYEES IN NEED OF ASSISTANCE AND $33,263 TO 20 EMPLOYEES FOR EDUCATIONAL PURPOSES. THESE DISTRIBUTIONS ARE FUNDED BY OUR GENEROUS DONORS CONSISTING OF RESIDENTS, FAMILIES, VENDORS AND STAFF.- DONATIONS TO COMMUNITY NOT-FOR-PROFIT GROUPS IN HONOR OF DECEASED HORIZON HOUSE RESIDENTS FOR A TOTAL OF $1,700.- HORIZON HOUSE IS A MEMBER OF VARIOUS NON-PROFIT ASSOCIATIONS INCLUDING THE COUNCIL OF HEALTH & HUMAN SERVICES MINISTRIES OF THE UNITED CHURCH OF CHRIST, LEADINGAGE, FIRST HILL IMPROVEMENT ASSOCIATION, NORTHWEST CENTER FOR CREATIVE AGING AND THE JIM ELLIS FREEWAY PARK ASSOCIATION. A COMMUNITY GRANTS PROGRAM PROVIDES FUNDING TO ORGANIZATIONS THAT SUPPORT PROGRAMS AND SERVICES TO OLDER ADULTS GRANTS AND DONATIONS FOR THEIR CHARITABLE WORK IN THE BROADER COMMUNITY IN THE TOTAL AMOUNT OF $45,000.- DONATIONS OF OVER 98 HOURS OF STAFF TIME TO SUCH NON-PROFITS AS HOPE FELLOWSHIP, FIRST HILL IMPROVEMENT ASSOCIATION, LEADINGAGE, LANGDON AND ANNE SIMON'S HOUSE.- VOLUNTEER HOURS DONATED BY HORIZON HOUSE RESIDENTS TO COMMUNITY NON-PROFITS INCLUDE SIMONS HOUSE AND SYLVIA'S PLACE PLYMOUTH HOUSING, SEWING AND KNITTING FOR HARBORVIEW AND PLYMOUTH HOUSING AND FRIENDS OF THE LIBRARY BOOK CART. DUE TO COVID-19 AND SAFETY FOR OUR RESIDENTS MANY VOLUNTEERING SERVICES WAS CANCELED. 2020 TOTAL DONATED DOLLARS:$593,949 IN CHARITABLE DOLLARS (RESIDENT CARE, EMPLOYEE ASSISTANCE AND EDUCATIONAL GRANTS)$46,700 (COMMUNITY GRANTS TO ORGANIZATIONS, MEMORIAL GIFTS)$640,649 TOTAL 30067918 1 1 0 0 0 0 0 1 1 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 63 0 1 250 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X X CHRISTINE SEYMOUR 2063823721 900 UNIVERSITY STREET SEATTLE WA 98101 TOM GARLAND PRESIDENT (UNTIL 1/20), TRUSTEE 1.00 X X 0 0 0 ANN L BRAND VICE PRESIDENT (UNTIL 1/20), PRESIDENT 5.00 X X 0 0 0 MIKE MECHAM TRUSTEE (UNTIL 1/20), VICE PRESIDENT 3.00 X X 0 0 0 BOB GEORGE TREASURER 1.00 X X 0 0 0 DAVID OKIMOTO SECRETARY 1.00 X X 0 0 0 ROBERT CLINE TRUSTEE 1.00 X 0 0 0 JULIUS DEBRO TRUSTEE 1.00 X 0 0 0 SUSAN DUFFY TRUSTEE 1.00 X 0 0 0 JIM YEARBY TRUSTEE 1.00 X 0 0 0 HAROLD ZIETZ TRUSTEE 1.00 X 0 0 0 JIM FITZGERALD TRUSTEE 1.00 X 0 0 0 PETER SHAPIRO TRUSTEE 1.00 X 0 0 0 GARY SOUTHERTON TRUSTEE 1.00 X 0 0 0 R MICHAEL OSTREM CEO 50.00 X 387530 0 25114 CHRISTINE SEYMOUR CFO 50.00 X 181999 0 10603 LAURI WARFIELD-LARSON COO 50.00 X 225286 0 26350 DAVID ELI LEMANSKI DIRECTOR OF CONSTRUCTION 50.00 X 150506 0 17735 BRENDA THOMPSON DIRECTOR OF HUMAN RESOURCES 50.00 X 152264 0 9900 SENAN BAINI DIRECTOR OF RESIDENT CARE 50.00 X 134222 0 16773 BRIAN HULTZ DIRECTOR OF OPERATIONS 50.00 X 127381 0 16171 CHARLES WILLIAMS DIRECTOR OF ASSISTED LIVING 50.00 X 130159 0 602 1489347 0 123248 13 0 1 0 MORRISON MANAGEMENT SPECIALISTS INC 400 NORTHRIDGE ROAD SANDY SPRINGS GA 30350 FOOD SERVICE MANAGEMENT 2221198 CHOICE RENOVATIONS LLC 900 MERIDIAN E SUITE 19-445 MILTON WA 38354 GENERAL CONTRACTOR 717662 MATHEW THOMAS PARSONS (MTP) 3401 25 AVE W G521 SEATTLE WA 98199 GENERAL CONTRACTOR 601556 PACIFIC NORTHWEST DESIGN PO BOX 1436 GRAHAM WA 98338 GENERAL CONTRACTOR 486639 ELTEC SYSTEMS LLC 2025 1ST AVENUE SUITE 790 SEATTLE WA 981212100 ELEVATOR CONTRACTOR 139067 6 2347802 1138293 43121 3486095 RESIDENCE FEES 623990 12890503 12890503 HEALTH CARE PROGRAM 623990 8954079 8954079 ENTRANCE FEES 623990 6675854 6675854 OTHER ANCILLARY SERVICES 900099 1270734 1270734 DIETARY 722320 1241857 1241156 701 31033027 1862190 1862190 88795294 85499643 351470 3295651 -351470 2944181 2944181 RENTAL SERVICES 812900 230640 230640 GROUP RETRO PROGRAM REFUND 900099 80990 80990 FORFEITURES - WAITLIST 900099 12100 12100 323730 39649223 31032326 231341 4899461 46700 46700 593949 593949 856882 186910 660342 9630 11573832 9803447 1647377 123008 284682 242917 34344 7421 1713290 1581233 123587 8470 1108759 963267 134953 10539 758745 758745 51977 51977 122248 122248 130504 130504 1127497 801333 321317 4847 36218 32011 4207 1084891 813241 265986 5664 255832 2100 253732 1553248 1543152 4038 6058 37548 36323 1225 46846 4201 42645 3609085 3603409 5676 7654407 7604654 19901 29852 505788 502500 1315 1973 FOOD COSTS 917734 917734 OTHER TAXES 139602 139602 UBI TAX 35100 35100 62103 62103 34307467 30067918 4027880 211669 19914729 19622121 16358532 7931723 401789 288515 34832 36249 393338 527207 196504974 90460118 104946366 106044856 72032723 85821449 548701 373176 214631010 220645296 5132036 6248241 86179383 83591989 81755263 80419393 570558 525904 571742 539500 174208982 171325027 X 17895510 23535218 22526518 25785051 40422028 49320269 214631010 220645296 X 5341756 3696576 -140091 X 0 1 X 1 0 X 1044021 565276 3638465 880897 3486095 9614754 32240495 32155842 30077881 31040324 31033027 156547569 17021 15510 32531 33301537 32736628 33716346 31921221 34519122 166194854 13174 11260 11200 17140 19450 72224 0 13174 11260 11200 17140 19450 72224 166122630 1474421 1679541 2688308 2726798 1862190 10431258 55942 51037 29759 76322 121064 334124 1530363 1730578 2718067 2803120 1983254 10765382 86868 313723 70952 118553 93090 683186 34918768 34780929 36505365 34842894 36595466 177643422 0.93510 0.93770 0.06060 0.05800 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: GROUP RETRO REFUND - 2016 AMOUNT: $ 76,880. 2017 AMOUNT: $ 49,294. 2018 AMOUNT: $ 63,824. 2019 AMOUNT: $ 104,151. 2020 AMOUNT: $ 80,990. FORFEITED DEPOSITS - 2016 AMOUNT: $ 9,988. 2017 AMOUNT: $ 14,429. 2018 AMOUNT: $ 7,128. 2019 AMOUNT: $ 14,402. 2020 AMOUNT: $ 12,100. INSURANCE SETTLEMENTS - 2017 AMOUNT: $ 250,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14368 136311 X X 0 0 1 X 21778151 475422 2932269 514455 24671387 18839127 439141 3256212 756329 21778151 17672320 3189570 -1350673 672090 18839127 15813063 109413 2334242 584398 17672320 14042243 677246 1589021 495447 15813063 0.00000 1.00000 0.00000 0 0 1797620 1797620 170967677 80266072 90701605 14196578 10194046 4002532 9543099 9543099 106044856 ASSET RETIREMENT OBLIGATION - ASBESTOS 300699 LONG TERM CARE INSURANCE INDEMNIFICATION 157359 LEASE LIABILITY 81442 539500 42560749 3696576 3696576 38864173 130504 654546 785050 39649223 33662508 0 33662508 130504 514455 644959 34307467 PART III, LINE 4: VARIOUS WORKS OF ART ARE DISPLAYED PUBLICLY FOR RESIDENT AND GUEST ENJOYMENT. PART IV, LINE 2B: RESIDENTS HAVE FUNDS ON DEPOSIT WITH HORIZON HOUSE FOR PAYMENT OF MONTHLY FEES. THE DEPOSIT WAS FUNDED BY THE RESIDENT'S FAMILY. PART V, LINE 4: THE ENDOWMENT FUND IS BROKEN DOWN INTO TWO FUNDS, BASED ON DONOR INTENT. THE TWO AREAS OF USE ARE THE RESIDENT ASSISTANCE FUND AND THE AREA OF GREATEST NEED FUND. THE RESIDENT ASSISTANCE FUND IS USED TO SUPPORT RESIDENTS WHO HAVE EXHAUSTED THEIR FINANCIAL RESOURCES, BUT CONTINUE TO LIVE AT HORIZON HOUSE. THE AREA OF GREATEST NEED FUND IS TYPICALLY USED FOR RESIDENT ASSISTANCE. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN SPLIT-INTEREST 91. CHANGE IN INDEMNIFICATION RESERVE 140,000. RESIDENT GRANTS 514,455. PART XII, LINE 4B - OTHER ADJUSTMENTS: RESIDENT GRANTS 514,455. 1 RESIDENT ASSISTANCE 10 556886 FAIR MARKET VALUE CREDITS TO MONTHLY STATEMENTS; DIRECT PAYMENTS TO PHARMACY AND HOME CARE AGENCY EMPLOYEE EDUCATION 20 33263 FAIR MARKET VALUE TUITION AND BOOKS FOR EMPLOYEE EDUCATION EMERGENCY GRANTS 9 3800 FAIR MARKET VALUE DIRECT PAYMENT TO EMPLOYEES FOR REIMBURSEMENT FOR EMERGENCY EXPENSES. PART I, LINE 2: HORIZON HOUSE PROVIDES GRANT FUNDS TO RESIDENTS, EMPLOYEES AND OTHER ORGANIZATIONS. RESIDENTS MAY APPLY FOR GRANTS ONLY ONCE THEY HAVE EXHAUSTED THEIR FINANCIAL RESOURCES. EMPLOYEES MAY APPLY FOR EDUCATIONAL ASSISTANCE WITH PROOF OF ENROLLMENT, AND THESE GRANTS ARE APPROVED BY THE HUMAN RESOURCES DIRECTOR. LARGE GRANTS TO OTHER ORGANIZATIONS ARE APPROVED BY THE BOARD OF DIRECTORS AS PART OF THE COMMUNITY RELATIONS BUDGET. SMALLER GRANTS ARE GIVEN TO OTHER ORGANIZATIONS IN MEMORY OF DECEASED RESIDENTS. X X X X X 0 0 0 0 0 0 0 0 0 R MICHAEL OSTREM CEO 316186 0 71344 0 0 0 12458 0 12656 0 412644 0 0 0 CHRISTINE SEYMOUR CFO 161999 0 20000 0 0 0 9842 0 761 0 192602 0 0 0 LAURI WARFIELD-LARSON COO 180286 0 45000 0 0 0 10925 0 15425 0 251636 0 0 0 DAVID ELI LEMANSKI DIRECTOR OF CONSTRUCTION 141306 0 9200 0 0 0 9227 0 8508 0 168241 0 0 0 BRENDA THOMPSON DIRECTOR OF HUMAN RESOURCES 132264 0 20000 0 0 0 1537 0 8363 0 162164 0 0 0 SENAN BAINI DIRECTOR OF RESIDENT CARE 132222 0 2000 0 0 0 8265 0 8508 0 150995 0 0 0 A WASHINGTON STATE HOUSING FINANCE COMMISSION 911874730 939783VX1 2017-12-28 82564395 REDEEM 2014A AND 2014B INSURANCE AND PROCEEDS FOR PROJECTS 0 0 0 A 2290000 83184884 1343750 11693456 66584986 3562692 1 0 0 1 A 0 1 1 1 0 0.01250 0.01960 0.03210 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 PART II, LINE 3: THE AMOUNT REPORTED ON LINE 3 INCLUDES THE FOLLOWING AMOUNT OF NET PROCEEDS AND REALIZED GAINS/LOSSES: 2017: ($547,686) 2018: $544,412 2019: $885,843 2020: $(262,080) TOTAL PROCEEDS, GAINS, AND LOSSES INCLUDED ON PART II, LINE 3: $620,489 ISSUE PRICE: $82,564,395 X 7 14368 APPRAISAL X 32 5053 FAIR MARKET VALUE X TECHNOLOGY EQUIPMENT 474 23700 COST/SALES PRICE 0 0 1 0 PART I, COLUMN (B): NUMBER OF CONTRIBUTIONS IS THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF THE PACIFIC NORTHWEST CONFERENCE OF THE UNITED CHURCH OF CHRIST AND THE BOARD OF DIRECTORS OF THE HORIZON HOUSE RESIDENT COUNCIL APPOINTS 1 MEMBER EACH OF THE HORIZON HOUSE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B INFORMATION IS PROVIDED BY HORIZON HOUSE TO THE ORGANIZATION'S EXTERNAL CPAS TO PREPARE THE FORM 990. MANAGEMENT REVIEWS AND RECOMMENDS FILING OF THE RETURN TO THE AUDIT COMMITTEE. THE AUDIT COMMITTEE REVIEWS AND APPROVES THE FORM 990 ON BEHALF OF THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES RECEIVES A COPY OF THE FORM 990 WITH SCHEDULE B CONTRIBUTORS' NAMES REDACTED PRIOR TO FILING WITH THE IRS. THE LIST OF NAMES ARE REDACTED AS SOME CONTRIBUTORS WISH TO REMAIN ANONYMOUS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ALL BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST AND CODE OF CONDUCT DECLARATION. THE CONFLICT OF INTEREST POLICY STATES "ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER MUST BE DISCLOSED TO THE OTHER MEMBERS OF THE BOARD AND MADE A MATTER OF RECORD, EITHER THROUGH THE COMPLETION OF AN ANNUAL STATEMENT OR WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. ANY GOVERNING BOARD MEMBER HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE OR USE HIS OR HER INFLUENCE ON THE MATTER, AND SUCH BOARD MEMBER SHOULD NOT BE COUNTED IN DETERMINING A QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHOULD REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION OF VOTING AND THE QUORUM SITUATION." FORM 990, PART VI, SECTION B, LINE 15A FOR DETERMINING THE 2020 COMPENSATION OF THE CEO, THE SERVICES OF OUTSIDE COMPENSATION CONSULTANTS WERE RETAINED. THE CONSULTING FIRM COMPILES DATA FROM THE TOTAL COMPENSATION OF EXECUTIVE DIRECTORS AND CEOS OF LOCAL CCRCS AS WELL AS COMPARABLE ORGANIZATIONS AND SUBMITTED A RECOMMENDATION TO THE BOARD OF TRUSTEES BASED ON THE ANALYSIS. THE EXECUTIVE TEAM OF THE BOARD REVIEWS THE RECOMMENDATION AND APPROVES THE COMPENSATION OF THE CEO. FORM 990, PART VI, SECTION C, LINE 18 FORM 990, 990-T ARE AVAILABLE TO RESIDENTS IN THE ORGANIZATION'S LIBRARY OR BY REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO RESIDENTS IN THE ORGANIZATION'S LIBRARY OR BY REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS -91. CHANGE IN INDEMNIFICATION RESERVE -140,000.