STRATEGY STUDIO / PUBLIC DATA EXPLORER

COMMUNITY HOME HEALTH HOSPICE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HOME HEALTH HOSPICE (EIN 91-1399370)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-15
IRS object ID
201802279349300040
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-15T11:27:51-07:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Hansen Hunter & Co PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18930 SW Gemini DriveAddressLine1Txt
CityBeavertonCityNm
State AbbreviationORStateAbbreviationCd
ZIP97008ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911399370EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Community Home Health & HospiceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone3604258510PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2067AddressLine1Txt
CityLongviewCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98632ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGREGORY PANG MHAPersonNm
Person TitleCEOPersonTitleTxt
Signature2018-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCynthia J HeubergerPreparerPersonNm
PTINP00166783PTIN
Phone5032442134PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGREGORY PANG MHAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2067AddressLine1Txt
CityLONGVIEWCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98632ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,506,210GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHHH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionAs a community-based nonprofit agency since 1977, our mission is caring for people at home.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee368TotalEmployeeCnt
Total Volunteers156TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,642,217PYContributionsGrantsAmt
CY Contributions Grants$664,238CYContributionsGrantsAmt
PY Program Service Revenue$20,764,319PYProgramServiceRevenueAmt
CY Program Service Revenue$23,694,404CYProgramServiceRevenueAmt
PY Investment Income$62,066PYInvestmentIncomeAmt
CY Investment Income$32,938CYInvestmentIncomeAmt
PY Other Revenue$135,033PYOtherRevenueAmt
CY Other Revenue$87,321CYOtherRevenueAmt
PY Total Revenue$22,603,635PYTotalRevenueAmt
CY Total Revenue$24,478,901CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,932,010PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$17,959,174CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$273,161CYTotalFundraisingExpenseAmt
PY Other Expenses$6,363,238PYOtherExpensesAmt
CY Other Expenses$6,318,241CYOtherExpensesAmt
PY Total Expenses$23,295,248PYTotalExpensesAmt
CY Total Expenses$24,277,415CYTotalExpensesAmt
PY Revenues Less Expenses-$691,613PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$201,486CYRevenuesLessExpensesAmt
Total Assets BOY$20,450,595TotalAssetsBOYAmt
Total Assets EOY$20,420,497TotalAssetsEOYAmt
Total Liabilities BOY$10,629,688TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,269,646TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,820,907NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,150,851NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAs a community-based nonprofit agency since 1977, our mission is caring for people at home.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$9,431,374ExpenseAmt
Revenue$11,635,812RevenueAmt
DescHOSPICE: SKILLED NURSING, SOCIAL SERVICES, THERAPY AND AIDE SERVICES FOR TERMINALLY ILL PATIENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$7,939,666ExpenseAmt
Revenue$9,795,439RevenueAmt
DescHOME HEALTH: SKILLED NURSING, THERAPY AND AIDE SERVICES FOR HOMEBOUND PATIENTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,635,735ExpenseAmt
Revenue$2,018,063RevenueAmt
DescHOME CARE: IN-HOME AIDE AND HOMEMAKER SERVICES PROVIDED.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$198,657TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$245,090TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$19,205,432TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee368EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJason MeunierPersonNm
Phone3604145439PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2067AddressLine1Txt
CityLONGVIEWCityNm
State AbbreviationWAStateAbbreviationCd
ZIP986328189ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Daniel A Spjut
President0.700.00Yes (X)Yes (X)$0$0$0
Corey E Balkan
Vice President0.700.00Yes (X)Yes (X)$0$0$0
Jaime L Boaglio
Sec/Treas0.700.00Yes (X)Yes (X)$0$0$0
Joseph R Amrine
Director0.700.00Yes (X)$0$0$0
Eric C Brudi
Director0.700.00Yes (X)$0$0$0
Tina Cygrymus
Director0.700.00Yes (X)$0$0$0
Allan E Erickson
Director0.700.00Yes (X)$0$0$0
Lee Nichols
Director0.700.00Yes (X)$0$0$0
John ENord
Director0.700.00Yes (X)$0$0$0
Gary A Reitsch
Director0.700.00Yes (X)$0$0$0
Barbara F Samples RN
Director0.700.00Yes (X)$0$0$0
Scott M Studley
Director0.700.00Yes (X)$0$0$0
Betty R Vilhauer
Director0.700.00Yes (X)$0$0$0
Bruce N Warrick
Director0.700.00Yes (X)$0$0$0
GREGORY PANG MHA
CEO40.000.00Yes (X)$159,354$0$13,787
RANDY DALTON
Clinical Director40.000.00$143,336$0$10,923Yes (X)
Linda Hamilton
HSP Admin40.000.00$120,056$0$8,223Yes (X)
Elizabeth Martinsen
RN40.000.00$114,995$0$6,592Yes (X)
Charlotte White
ARNP40.000.00$126,859$0$3,913Yes (X)
Peggy Knowles
ARNP40.000.00$155,386$0$7,661Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$819,986TotalReportableCompFromOrgAmt
Total Other Compensation$51,099TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AMN Healthcare Allied Inc
12400 High Bluff DriveSan DiegoCA92130Contract Therapist$342,147
Supplemental Health Care
PO Box 677896DallasTX752567896Contract Therapist$169,070
Fusion Medical Staffing
PO Box 82674LincolnNE68501Contract Therapist$103,734
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Fundraising$148,407FundraisingAmt
All Other Contributions$515,831AllOtherContributionsAmt
Total Contributions$664,238TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOME CARE621610$2,018,063$2,018,063
HOME HEALTH621610$9,795,439$9,795,439
HOSPICE621610$11,635,812$11,635,812
PALLIATIVE CARE621610$245,090$245,090
FieldValueIRS element (for citing)
Total Program Service Revenue$23,694,404TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,938TotalRevenueColumnAmt
Exclusion$32,938ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$22,550FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$148,407ContriRptFundraisingEventAmt
Fundraising Direct Expenses$27,309FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,759TotalRevenueColumnAmt
Exclusion-$4,759ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescTHRIFT SHOPDesc
Business453310BusinessCd
Total Revenue Column$92,080TotalRevenueColumnAmt
Exclusion$92,080ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$92,080OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,478,901TotalRevenueColumnAmt
Related Or Exempt Func Income$23,694,404RelatedOrExemptFuncIncomeAmt
Exclusion$120,259ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$173,141TotalAmt
Management And General$138,513ManagementAndGeneralAmt
Fundraising$34,628FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,734,339TotalAmt
Program Services$12,086,228ProgramServicesAmt
Management And General$2,493,720ManagementAndGeneralAmt
Fundraising$154,391FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$279,067TotalAmt
Program Services$230,031ProgramServicesAmt
Management And General$44,242ManagementAndGeneralAmt
Fundraising$4,794FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,296,629TotalAmt
Program Services$1,056,894ProgramServicesAmt
Management And General$224,467ManagementAndGeneralAmt
Fundraising$15,268FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,475,998TotalAmt
Program Services$1,199,625ProgramServicesAmt
Management And General$263,332ManagementAndGeneralAmt
Fundraising$13,041FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,260TotalAmt
Management And General$1,260ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$62,198TotalAmt
Management And General$62,198ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,160,086TotalAmt
Program Services$1,581,916ProgramServicesAmt
Management And General$570,008ManagementAndGeneralAmt
Fundraising$8,162FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$30,629TotalAmt
Management And General$28,920ManagementAndGeneralAmt
Fundraising$1,709FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,673TotalAmt
Management And General$20,673ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$233,970TotalAmt
Program Services$163,486ProgramServicesAmt
Management And General$68,461ManagementAndGeneralAmt
Fundraising$2,023FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$16,810TotalAmt
Program Services$2,322ProgramServicesAmt
Management And General$13,315ManagementAndGeneralAmt
Fundraising$1,173FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$403,716TotalAmt
Program Services$282,095ProgramServicesAmt
Management And General$118,130ManagementAndGeneralAmt
Fundraising$3,491FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$732,860TotalAmt
Program Services$512,083ProgramServicesAmt
Management And General$214,440ManagementAndGeneralAmt
Fundraising$6,337FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$77,288TotalAmt
Program Services$54,005ProgramServicesAmt
Management And General$22,615ManagementAndGeneralAmt
Fundraising$668FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$1,177,047$1,112,377$62,901$1,769
AUTO$665,293$661,333$3,960
TELEPHONE$201,897$201,897
TAXES, LICENSES, & PERMITS$108,098$108,098

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$426,416TotalAmt
Program Services$263,037ProgramServicesAmt
Management And General$141,632ManagementAndGeneralAmt
Fundraising$21,747FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,277,415TotalAmt
Program Services$19,205,432ProgramServicesAmt
Management And General$4,798,822ManagementAndGeneralAmt
Fundraising$273,161FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,628,412BOYAmt
EOY$1,313,898EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$354,830BOYAmt
EOY$784,059EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$62,766BOYAmt
EOY$145,260EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,867,735BOYAmt
EOY$3,108,406EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$40,309BOYAmt
EOY$87,980EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$85,199BOYAmt
EOY$70,400EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,541,666LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,309,764LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,592,402BOYAmt
EOY$12,231,902EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,623,113BOYAmt
EOY$2,648,678EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$195,829BOYAmt
EOY$29,914EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,450,595BOYAmt
EOY$20,420,497EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,416,736BOYAmt
EOY$1,581,695EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$479,494BOYAmt
EOY$370,687EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$8,733,458BOYAmt
EOY$8,317,264EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,629,688BOYAmt
EOY$10,269,646EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,955,901BOYAmt
EOY$7,312,879EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,415,962BOYAmt
EOY$1,296,228EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,449,044BOYAmt
EOY$1,541,744EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,820,907BOYAmt
EOY$10,150,851EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,450,595BOYAmt
EOY$20,420,497EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$201,486ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$128,458NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$1,250RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$1,250TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationGreg Pang attended Legislative Day in Olympia, WA and met with a number of State Congresspeople or their staffs to discuss industry issues.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,894,997BeginningYearBalanceAmt
Contributions$428,356ContributionsAmt
Investment Earnings Or Losses$161,396InvestmentEarningsOrLossesAmt
Other Expenditures$761,132OtherExpendituresAmt
End Year Balance$3,723,617EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,232,202BeginningYearBalanceAmt
Contributions$1,060,378ContributionsAmt
Investment Earnings Or Losses$189,708InvestmentEarningsOrLossesAmt
Other Expenditures$587,291OtherExpendituresAmt
End Year Balance$3,894,997EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,751,746BeginningYearBalanceAmt
Contributions$100,336ContributionsAmt
Investment Earnings Or Losses-$148,265InvestmentEarningsOrLossesAmt
Other Expenditures$471,615OtherExpendituresAmt
End Year Balance$3,232,202EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,514,104BeginningYearBalanceAmt
Contributions$1,217,326ContributionsAmt
Investment Earnings Or Losses$20,316InvestmentEarningsOrLossesAmt
End Year Balance$3,751,746EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,136,074BeginningYearBalanceAmt
Contributions$296,274ContributionsAmt
Investment Earnings Or Losses$81,756InvestmentEarningsOrLossesAmt
End Year Balance$2,514,104EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.29710BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.41400PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.28890TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,433,457OtherCostOrOtherBasisAmt
Book Value$2,433,457BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,616,571OtherCostOrOtherBasisAmt
Depreciation$4,178,429DepreciationAmt
Book Value$8,438,142BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,644,345OtherCostOrOtherBasisAmt
Depreciation$1,984,732DepreciationAmt
Book Value$659,613BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$847,293OtherCostOrOtherBasisAmt
Depreciation$146,603DepreciationAmt
Book Value$700,690BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,231,902TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$24,588,982TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$128,458NetUnrealizedGainsInvstAmt
Revenue Not Reported$128,458RevenueNotReportedAmt
Revenue Subtotal$24,460,524RevenueSubtotalAmt
Other Revenues Not Included$18,377OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$18,377RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$24,478,901TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$24,259,038TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$24,259,038ExpensesSubtotalAmt
Other Expenses Not Included$18,377OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$18,377ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$24,277,415TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SExpenses grouped with revenue $18377 Non-cash contributions $0
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SExpenses grouped with revenue $18377

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HOME AT LAST GALAEvent1Nm
Gross Receipts Event1$170,957GrossReceiptsEvent1Amt
Charitable Contri Event1$148,407CharitableContriEvent1Amt
Gross Revenue Event1$22,550GrossRevenueEvent1Amt
Rent Facility Costs Event1$7,584RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$19,725OtherDirectExpensesEvent1Amt
Gross Receipts Total$170,957GrossReceiptsTotalAmt
Charitable Contributions Tot$148,407CharitableContributionsTotAmt
Gross Revenue Total Events$22,550GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$7,584RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$19,725OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$27,309DirectExpenseSummaryEventsAmt
Net Income Summary-$4,759NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
GREGORY PANG MHA
CEO$156,338$3,016$6,253$7,534$173,141
Peggy Knowles
ARNP$155,386$1,380$6,281$163,047
RANDY DALTON
Clinical Director$143,336$4,717$6,206$154,259

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: PALLIATIVE CARE: TREATMENT OF THE DISCOMFORT, SYMPTOMS, AND STRESS OF SERIOUS ILLNESS.
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE FINANCE COMMITTEE REVIEWS THE FORM AT A FINANCE COMMITTEE MEETING.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS IMMEDIATELY.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCOMPENSATION IS DETERMINED BY EXAMINING THE APPLICANT'S CURRENT AND HISTORICAL EARNINGS TO SEE IF THE EXPENSE WILL FIT IN THE ORGANIZATION'S COST STRUCTURE, AS WELL AS WITHIN THE REALM OF OTHER SIMILARLY EXPERIENCED EMPLOYEES IN COMPARABLE POSITIONS. FINALLY, EVERY THREE OR FOUR YEARS WE DO A MARKET ANALYSIS OF OUR INDUSTRY'S SALARIES FOR OUR GEOGRAPHICAL AREA WITH HOSPITAL & HEALTHCARE COMPENSATION SERVICE.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S PLACE OF BUSINESS.