2020-11-02T19:17:58-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2019-01-01 911143445 HARBORS HOME HEALTH & HOSPICE HARB 3605325454 201 7TH STREET HOQUIAM WA 98550 NORM SPRAGUE PRESIDENT 3605325454 2020-10-30 1 KURT BENNION CPA P01469618 4252506100 2020-10-30 67.137.57.251 2020-10-30 18:47:55 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 B236117B9166D2F893B54FD65EE150CAF84F9165 2019 2021-01-29 14:40:06Z NORM SPRAGUE 201 7TH STREET HOQUIAM WA 98550 8350785 0 X WWW.MYHHHH.ORG X 1981 WA TO PROVIDE HOME HEALTH AND HOSPICE SERVICES TO THOSE WHO NEED ASSISTANCE. 6 6 80 17 0 0 197861 8923 7418436 7661292 113728 109561 38700 0 7768725 7779776 3500 1641 0 0 5273597 5043882 0 0 0 2144214 2505717 7421311 7551240 347414 228536 6077765 6812102 889499 1143577 5188266 5668525 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 5329447 1641 7661292 THE ORGANIZATION PROVIDED SKILLED NURSING CARE, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, MEDICAL AND SOCIAL SERVICES, AND HOME HEALTH AID TO 1,072 PATIENTS IN THE GRAYS HARBOR AND PACIFIC COUNTY REGION DURING 2019. 314 HOSPICE PATIENTS WERE SERVED DURING THE YEAR IN GRAYS HARBOR AND PACIFIC COUNTIES. 5329447 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 3 0 80 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X JIM MILLER 3605325454 201 7TH STREET HOQUIAM WA 98550 MARK SZTROIN PHYSICAL THERAPIST 60.00 X 213736 0 38299 MICHAEL BARAN SPEECH PATHOLOGIST 40.00 X 174585 0 18359 RALPH CURRY OCCUPATIONAL THERAPIST 40.00 X 121893 0 27190 JOEL STEPHENS CEO 40.00 X 117510 0 31231 BRENT ROBERTS PHYSICAL THERAPIST 40.00 X 113676 0 22123 THOMAS MAYR CFO 32.00 X 112412 0 0 NORM SPRAGUE PRESIDENT 4.00 X X 0 0 0 DARLENE GREENAWALT RN VICE PRESIDENT 1.00 X X 0 0 0 GARY FRIEHAUF TREASURER 1.00 X X 0 0 0 CAROL O'NEAL RN SECRETARY 1.00 X X 0 0 0 MIKE MURPHY DIRECTOR 1.00 X 0 0 0 EDWARD QUIJADA DIRECTOR 1.00 X 0 0 0 853812 0 137202 6 0 1 0 0 8923 8923 PATIENT REVENUE 621610 7661292 7661292 7661292 84081 84081 596489 571009 25480 25480 25480 7779776 7661292 0 109561 1641 1641 261153 261153 3077916 2294121 783795 221102 153343 67759 1213303 863136 350167 270408 187539 82869 10481 10481 45766 45766 8084 8084 412815 325313 87502 21829 15139 6690 371927 239838 132089 318523 220908 97615 68910 47793 21117 239892 238678 1214 45982 31891 14091 210339 145878 64461 81513 56532 24981 MEDICAL SUPPLIES 498839 364076 134763 BAD DEBT EXPENSE 83717 83717 DUES & SUBSCRIPTIONS 44452 30829 13623 OTHER EXPENSES 31051 21032 10019 11597 8043 3554 7551240 5329447 2221793 0 433444 713057 657155 978717 131693 151431 1756977 713264 1287662 1043713 3567511 3921416 300 3768 6077765 6812102 843905 1019365 45294 120444 300 3768 889499 1143577 X 5188266 5668525 5188266 5668525 6077765 6812102 228536 251700 23 0 X 0 1 X 1 0 X 9132 6302 12134 197861 8923 234352 6799695 7338221 8022169 7418436 7661292 37239813 6808827 7344523 8034303 7616297 7670215 37474165 0 70401 70401 70401 70401 37403764 86673 71617 98077 108991 84081 449439 86673 71617 98077 108991 84081 449439 80 740 31500 32320 6895580 7416880 8132380 7756788 7754296 37955924 0.98550 0.98470 0.01180 0.01240 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME 0 1 X 125000 125000 651688 90470 561218 12259 9351 2908 968030 613443 354587 1043713 X 7939675 251700 251700 7687975 8084 83717 91801 7779776 7459439 0 7459439 8084 83717 91801 7551240 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. ACCORDINGLY, THERE IS NO PROVISION FOR FEDERAL INCOME TAXES ON THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 83,717. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 83,717. X X X 0 0 0 0 0 0 0 0 0 MARK SZTROIN PHYSICAL THERAPIST 213736 0 0 0 0 0 0 0 38299 0 252035 0 0 0 MICHAEL BARAN SPEECH PATHOLOGIST 174585 0 0 0 0 0 0 0 18359 0 192944 0 0 0 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.