2017-11-13T11:58:27-06:00 2016-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2016-01-01 910725802 HORIZON HOUSE HORI 2063823721 900 UNIVERSITY STREET SEATTLE WA 981012797 R MICHAEL OSTREM CHIEF FINANCIAL OFFICER 2063823721 2017-11-13 1 SARA ELIZABETH J HYRE P00235495 4254544919 65.158.230.194 2017-11-13 09:44:49 PS P EE9472A6866F5D2CC65667176191C38BB98995E0 04B98F73B3FBBAD5EBABEEF0123850CF9F02B8BF 2016 2017-02-10 21:41:12Z SARA MCVEY 900 UNIVERSITY STREET SEATTLE WA 981012797 54917503 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. 14 14 403 60 82435 66590 5148510 1044021 29238900 32258660 1268219 711737 197319 195372 35852948 34209790 866184 807052 0 0 15940993 15509583 42090 0 247924 13826453 15357912 30675720 31674547 5177228 2535243 164909940 173535116 138962502 142257094 25947438 31278022 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 26319890 807052 32240495 HORIZON HOUSE IS A CONTINUING CARE RETIREMENT COMMUNITY DEDICATED TO LIFE FULFILLMENT. WE PROMOTE INDEPENDENCE, COMMUNITY SERVICE, CREATIVITY, GROWTH AND SELF-DETERMINATION, WHILE RESPECTING THE DIGNITY OF THOSE LIVING AND WORKING WITHIN THE COMMUNITY. WE PROVIDE COMPREHENSIVE RESIDENTIAL NURSING CARE IN A HOME-LIKE ENVIRONMENT THROUGH OUR INNOVATIVE SUPPORTED LIVING PROGRAM. SPECIFICALLY DESIGNED TO MEET THE SOCIAL, MENTAL, SPIRITUAL, AND LONG TERM HEALTH CARE NEEDS OF THE RESIDENTS SERVED, THIS MODEL COMBINES WHAT IS COMMONLY REFERRED TO AS ASSISTED LIVING AND NURSING LEVELS OF CARE INTO A BROAD CONTINUUM OF SERVICES. MOVING INTO SUPPORTED LIVING MEANS A RESIDENT NEED ONLY MAKE ONE MOVE. AS SERVICES INCREASE, RESIDENTS STAY AT HOME IN THEIR SUPPORTED LIVING APARTMENT WHILE SERVICES ARE DELIVERED TO THEM AS NEEDED. HORIZON HOUSE IS CONSISTENTLY DILIGENT ABOUT ITS EXPENDITURES. DISCRETIONARY SPENDING IS KEPT TO A MINIMUM. RESIDENCE AND ENTRANCE FEES ARE ALSO ALLOCATED TOWARDS MAKING FUTURE IMPROVEMENTS TO THE BUILDINGS THAT HOUSE OUR RESIDENTS AND TO FUND OUR FUTURE SERVICE OBLIGATION. SEE SCHEDULE O 26319890 1 1 0 0 0 0 0 1 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 82 0 1 403 1 1 1 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 WA X CHRISTINE SEYMOUR 2063823721 900 UNIVERSITY STREET SEATTLE WA 981012797 JIM FITZGERALD PRESIDENT 10.00 0.00 X X 0 0 0 TOM GARLAND VICE PRESIDENT 4.00 0.00 X X 0 0 0 ROBERT CLINE TREASURER 3.00 0.00 X X 0 0 0 SUSAN DUFFY SECRETARY 5.00 0.00 X X 0 0 0 ANN L BRAND TRUSTEE 4.00 0.00 X 0 0 0 MARGARET BURKE TRUSTEE 2.00 0.00 X 0 0 0 RICHARD B COUNTS TRUSTEE 0.50 0.00 X 0 0 0 JULIUS DEBRO TRUSTEE 2.00 0.00 X 0 0 0 NED LANGE TRUSTEE 3.00 0.00 X 0 0 0 DAVID OKIMOTO TRUSTEE 2.00 0.00 X 0 0 0 KATHLEEN G PAUL TRUSTEE 1.50 0.00 X 0 0 0 KATHY TURNER TRUSTEE 3.00 0.00 X 0 0 0 FLETCH WALLER TRUSTEE 0.50 0.00 X 0 0 0 DORIS RAY TRUSTEE 2.00 0.00 X 0 0 0 SARA MCVEY CHIEF EXECUTIVE OFFICER 40.00 0.00 X 254012 0 16132 R MICHAEL OSTREM CHIEF FINANCIAL OFFICER 40.00 0.00 X 150361 0 23991 LAURI WARFIELD-LARSON HEALTH SERVICES OFFICER 50.00 2.00 X 148391 0 18849 BRIAN LEVITT IT DIRECTOR 40.00 0.00 X 105850 0 7468 CHRISTINE SEYMOUR CONTROLLER 50.00 1.00 X 105016 0 14630 BRAD D'EMIDIO DIRECTOR OF BLDG SERVICES 40.00 0.00 X 100748 0 6296 CATHY CAPERS HUMAN RESOURCES DIRECTOR 40.00 0.00 X 108308 0 14254 972686 0 101620 24 0 1 0 TATLEY-GRUND INC 1115 N 97TH SEATTLE WA 98103 CONSTRUCTION 3128361 GREVSTAD CONSTRUCTION LLC 3023 NE 50TH STREET SEATTLE WA 98105 CONSTRUCTION 987643 CROTHALL SERVICES GROUP 1500 LIBERTY RIDGE DRIVE WAYNE PA 19087 FACILITIES MANAGEMENT 726676 MATTHEW THOMAS PARSONS 12342 36TH AVE NE SEATTLE WA 98125 CONSTRUCTION 462465 MORRISON MANAGEMENT PO BOX 102289 ATLANTA GA 30368 DINING SERVICES MANAGEMENT 361075 7 1044021 10850 1044021 RESIDENCE FEES 623990 11371677 11371677 HEALTH CARE PROGRAM 623990 9578751 9578751 ENTRANCE FEES 623990 8361460 8361460 DIETARY 722320 1645495 1627330 18165 OTHER ANCILLARY SRVCS 900099 1301277 1301277 32258660 1447208 1447208 135438 43955 91483 91483 64270 27213 19928287 20226844 436914 -298557 -436914 -735471 -735471 GROUP RETRO REFUND 900099 76880 76880 RESIDENT CHARGES 900099 11482 11482 FORFEITURES - WAITLIST 900099 9988 9988 5539 5539 103889 34209790 32240495 82435 842839 72674 72674 734378 734378 444496 109344 335152 11743240 10127999 1464650 150591 386585 332342 47377 6866 1759230 1505545 235744 17941 1176032 1043739 121037 11256 779989 779989 66508 66508 131549 131549 141774 141774 1158556 751994 372663 33899 138077 7155 123904 7018 851628 636915 195934 18779 212061 212061 1134348 1134348 57723 51857 5866 75745 14768 59403 1574 1922443 1922443 7192049 7192049 292440 292440 FOOD SERVICE COSTS 975481 975481 OTHER TAXES 157433 157433 BOND EXPENSES 61218 61218 UNRELATED BUS INC TAXES 8890 8890 31674547 26319890 5106733 247924 7269356 7115248 5764605 4286816 434964 1052096 44320 37771 259385 276887 177846730 66194449 111184462 111652281 38473931 48447760 300987 290104 1177930 376153 164909940 173535116 4585385 3657376 75218375 77978930 55574613 57092574 713652 3584129 2814562 138962502 142257094 X 11532073 15111400 1650530 2755002 12764835 13411620 25947438 31278022 164909940 173535116 X 2535243 2199228 596113 X 0 1 X 1 0 X 671074 967745 846207 5148510 1044021 8677557 25884579 27935527 28239248 29214629 32240495 143514478 50650 60391 43897 15705 17021 187664 26606303 28963663 29129352 34378844 33301537 152379699 93459 12550 35735 21515 26174 189433 0 93459 12550 35735 21515 26174 189433 152190266 1033144 898743 1395529 1428946 1474421 6230783 36631 43997 53487 51302 55942 241359 1069775 942740 1449016 1480248 1530363 6472142 197476 202932 184270 116131 86868 787677 27873554 30109335 30762638 35975223 34918768 159639518 0.95330 0.95320 0.04050 0.04010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: GROUP RETRO REFUND - 2012 AMOUNT: $ 177,662. 2013 AMOUNT: $ 189,219. 2014 AMOUNT: $ 160,970. 2015 AMOUNT: $ 110,131. 2016 AMOUNT: $ 76,880. FORFEITED DEPOSITS - 2012 AMOUNT: $ 19,814. 2013 AMOUNT: $ 13,713. 2014 AMOUNT: $ 23,300. 2015 AMOUNT: $ 6,000. 2016 AMOUNT: $ 9,988. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 136311 X X 0 0 1 X 14042243 677246 1589021 495447 15813063 9012300 5558445 -113783 414719 14042243 8834652 353335 171775 347462 9012300 7624921 153211 1626801 570281 8834652 6641720 279952 970400 267151 7624921 0.00000 0.84740 0.15260 0 0 1797620 1797620 154175754 59016649 95159105 11194231 7177800 4016431 10679125 10679125 111652281 FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 2416726 ASSET RETIREMENT OBLIGATION - ASBESTOS 152987 LONG TERM CARE INSURANCE INDEMNIFICATION 244849 2814562 38091271 2199228 1638298 3837526 34253745 -43955 -43955 34209790 32806842 1132295 1132295 31674547 0 31674547 PART III, LINE 4: VARIOUS WORKS OF ART ARE DISPLAYED PUBLICLY FOR RESIDENT AND GUEST ENJOYMENT. PART IV, LINE 2B: A RESIDENT HAS FUNDS ON DEPOSIT WITH HORIZON HOUSE FOR PAYMENT OF HIS MONTHLY FEES. THE DEPOSIT WAS FUNDED BY HIS FAMILY. PART V, LINE 4: THE ENDOWMENT FUND IS BROKEN DOWN INTO THREE FUNDS, BASED ON DONOR INTENT. THE THREE AREAS OF USE ARE THE RESIDENT ASSISTANCE FUND, THE ENTRANCE ASSISTANCE FUND AND THE QUALITY OF RESIDENT LIFE FUND. THE RESIDENT ASSISTANCE FUND IS USED TO SUPPORT RESIDENTS WHO HAVE EXHAUSTED THEIR FINANCIAL RESOURCES BUT CONTINUE TO LIVE AT HORIZON HOUSE. THE ENTRANCE ASSISTANCE FUND IS USED TO HELP RESIDENTS WHO QUALIFY FOR ENTRANCE INTO HORIZON HOUSE BUT DO NOT HAVE THE ABILITY TO PAY THE ENTIRE ENTRANCE FEE AMOUNT. THE QUALITY OF RESIDENT LIFE FUND IS USED FOR THE AREA OF GREATEST NEED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF INTEREST RATE CAP AND SWAP AGREEMENTS 653,444. INCOME FROM SUBSIDIARIES 1,042,185. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS -57,331. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENT EXPENSE INCLUDED ON FORM 990, PART VIII, LINE 6B -43,955. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE INCLUDED ON FORM 990, PART VIII, LINE 6B 43,955. EXPENSES FROM SUBSIDIARIES 1,088,340. 1 PLYMOUTH HOUSING GROUP 2113 3RD AVENUE SEATTLE WA 98121 911122621 501(C)(3) 5000 SENIOR ASSISTANCE PROGRAM WIDER HORIZONS 1145 10TH AVENUE E 306 SEATTLE WA 98102 465686466 501(C)(3) 50000 SENIOR ASSISTANCE PROGRAM MARY'S PLACE 1830 9TH AVENUE SEATTLE WA 98101 272087950 501(C)(3) 5000 SENIOR ASSISTANCE PROGRAM 3 0 EDUCATIONAL ASSISTANCE 14 7292 1664 BOOK TUITION AND BOOKS FOR EMPLOYEE EDUCATION EMERGENCY ASSISTANCE 3 1000 369 BOOK FINANCIAL ASSISTANCE FOR EMPLOYEES DURING PERSONAL EMERGENCIES RESIDENT ASSISTANCE 12 724053 BOOK CREDITS TO MONTHLY STATEMENTS PART I, LINE 2: HORIZON HOUSE PROVIDES GRANT FUNDS TO RESIDENTS, EMPLOYEES AND OTHER ORGANIZATIONS. RESIDENTS MUST APPLY FOR GRANTS ANNUALLY. THESE APPLICATIONS ARE APPROVED BY OUR CEO. EMPLOYEES MAY APPLY FOR EDUCATIONAL ASSISTANCE WITH PROOF OF ENROLLMENT, AND THESE GRANTS ARE APPROVED BY THE HUMAN RESOURCES DIRECTOR. THE HR DIRECTOR SCREENS ALL EMPLOYEE EMERGENCY APPLICATIONS AND GRANTS ARE APPROVED WITH CONSENT FROM THE EMPLOYEE EMERGENCY FUND COMMITTEE. EMERGENCY GRANTS ARE INCLUDED IN TAXABLE INCOME ON THE W-2. 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 1 0 0 0 0 0 0 0 0 SARA MCVEY CHIEF EXECUTIVE OFFICER 235262 0 18750 0 0 0 9000 0 7132 0 270144 0 0 0 R MICHAEL OSTREM CHIEF FINANCIAL OFFICER 137361 0 13000 0 0 0 10603 0 13388 0 174352 0 0 0 LAURI WARFIELD-LARSON HEALTH SERVICES OFFICER 137391 0 11000 0 0 0 9000 0 9849 0 167240 0 0 0 PART I, LINE 4A BRAD D'EMIDIO'S EMPLOYMENT WAS TERMINATED 7/31/16. SEVERANCE PAYMENTS INCLUDED 3 MONTHS OF SERVANCE PAY AT HIS REGULAR SALARY AMOUNT ($25,960) AND 3 MONTHS OF COBRA PAYMENTS ($1,115). IN ADDITION HE WAS ENTITLED TO CASH OUT THE BALANCE OF HIS PTO ACCOUNT. A WASHINGTON STATE HOUSING FINANCE COMMISSION - SERIES A 911874730 939783PU4 2014-04-01 49400444 REFINANCE OF 2005 BOND ISSUE 0 0 0 B WASHINGTON STATE HOUSING FINANCE COMMISSION - SERIES B 911874730 939783PU4 2014-04-01 11599556 RENOVATION AND EXPAND CAMPUS 0 0 0 A 3060980 49400444 529721 49930000 2007 1 0 1 1 B 209943 11599556 11599556 2015 1 0 1 1 A 0 0 0 0 0.00010 0.00010 0.00020 0 0 1 B 0 0 0 0 0.00010 0.00010 0.00020 0 0 1 A 0 1 0 0 1 1 WA FEDERAL 3.850000000000 0 0 0 0 1 B 0 1 0 0 1 1 WA FEDERAL 3.850000000000 0 0 0 0 0 A 1 B 0 X 1 10850 FMV 0 0 1 0 FORM 990, PART I, LINE 6: DESCRIPTION OF VOLUNTEER SERVICES THE NUMBER OF VOLUNTEERS INCLUDES LONG TERM VOLUNTEERS, ONE DAY VOLUNTEERS AND VOLUNTEERS THAT COME FOR SPECIAL PROJECTS. VOLUNTEERS HELP TRANSPORT RESIDENTS TO DAILY ACTIVITIES AND SPECIAL OUTINGS, BRING IN PETS TO VISIT RESIDENTS, PROVIDE MUSICAL PROGRAMS AND PROVIDE HELP WITH SPECIAL CRAFT PROJECTS. THE NUMBER OF VOLUNTEERS ALSO INCLUDES THE UNCOMPENSATED BOARD MEMBERS. FORM 990, PART III, LINE 4A 2016 HORIZON HOUSE STATEMENT OF SOCIAL ACCOUNTABILITY HORIZON HOUSE HAS A LONG-STANDING COMMITMENT TO SOCIAL ACCOUNTABILITY. BOTH RESIDENTS AND STAFF AND THE ENTIRE ORGANIZATION GIVE THEIR TIME AND FINANCIAL SUPPORT TO THOSE IN NEED. THIS SUPPORT IS OFFERED TO THOSE BOTH 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. HISTORY AND BACKGROUND 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 379 INDEPENDENT LIVING APARTMENTS AND 105 SUPPORTED LIVING HEALTH CARE APARTMENTS. THERE ARE APPROXIMATELY 570 RESIDENTS AT HORIZON HOUSE AND A STAFF OF 320. COMPREHENSIVE HEALTH SERVICES INCLUDE; WELLNESS/EXERCISE, REHABILITATION THERAPY, MEDICAL AND DENTAL CLINIC, HOME CARE, NURSING CARE AND ADULT DAY SERVICES IN ADDITION TO EDUCATIONAL CLASSES AND MANY SOCIAL AND CULTURAL EVENTS. HORIZON HOUSE GOVERNANCE HORIZON HOUSE IS GOVERNED BY A 16 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 FIVE MEMBER EXECUTIVE TEAM IS RESPONSIBLE FOR THE ADMINISTRATIVE LEADERSHIP OF HORIZON HOUSE. EXAMPLES OF COMMUNITY OUTREACH AND SOCIAL ACCOUNTABILITY SOME HIGHLIGHTS FROM 2016 INCLUDE: - CHARITABLE CARE FOR RESIDENTS UNABLE TO PAY IN THE AMOUNT OF $724,053 ENABLING THEM TO REMAIN AT HORIZON HOUSE AND ELIMINATING THE NEED FOR GOVERNMENT ASSISTANCE AND SUBSIDIES. DISTRIBUTION OF $1,369 TO EMPLOYEES IN NEED OF ASSISTANCE AND $8,956 TO EMPLOYEES FOR EDUCATIONAL PURPOSES. THESE DISTRIBUTIONS ARE FUNDED BY OUR GENEROUS DONORS CONSISTING OF RESIDENTS, FAMILIES, VENDORS AND STAFF. - SPACE DONATED TO NON-PROFIT GROUPS SUCH AS PARKINSONS SUPPORT, THE LEAGUE OF WOMEN VOTERS, PUGETARIANS - UNITED CHURCH OF CHRIST AND OTHER SEATTLE NEIGHBORHOOD GROUPS ON AN ANNUAL BASIS. MEETING SPACE IS ALSO DONATED TO OTHER NON-PROFITS SUCH AS THE FIRST HILL IMPROVEMENT ASSOCIATION, NORTHWEST CENTER FOR CREATIVE AGING AND ELDERWISE FOR SPECIFIC MEETINGS AND EVENTS FOR A VALUE OF OVER $12,220. DONATIONS TO COMMUNITY NOT-FOR-PROFIT GROUPS IN HONOR OF DECEASED HORIZON HOUSE RESIDENTS FOR A TOTAL OF $2,650. - 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 $64,700 - DONATIONS OF STAFF TIME TO SUCH NON-PROFITS AS JIM ELLIS FREEWAY PARK ASSOCIATION (24), FIRST HILL IMPROVEMENT ASSOCIATION (15), LEADINGAGE (25), UNITED WAY (71) AND OTHERS. - VOLUNTEER HOURS DONATED BY HORIZON HOUSE RESIDENTS TO COMMUNITY NON-PROFITS INCLUDE LANG SIMONS AND SYLVIA'S PLACE PLYMOUTH HOUSING (958 HOURS), SEWING AND KNITTING FOR MARY'S PLACE, YOUTHCARE, SOLID GROUND BRETTLER FAMILY HOUSING (1,300 HOURS) AND FRIENDS OF THE LIBRARY BOOK CART (86 HOURS). 2016 TOTAL DONATED DOLLARS AND HOURS: $734,378 IN CHARITABLE DOLLARS (RESIDENT CARE, EMPLOYEE ASSISTANCE AND EDUCATIONAL GRANTS) $79,570 (COMMUNITY GRANTS TO ORGANIZATIONS, MEMORIAL GIFTS, DONATED SPACE TO NON-PROFITS) 2,524 RESIDENT VOLUNTEER HOURS 209 STAFF VOLUNTEER HOURS FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF THE PACIFIC NORTHWEST CONFERENCE OF THE UNITED CHURCH OF CHRIST ELECTS 14 MEMBERS OF THE HORIZON HOUSE BOARD OF DIRECTORS FROM A LIST OF NOMINEES SUBMITTED BY THE HORIZON HOUSE BOARD OF TRUSTEES. 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 REMOVED PRIOR TO FILING WITH THE IRS. THE LIST OF NAMES WAS REDACTED AS ONE CONTRIBUTOR WISHED TO REMAIN ANONYMOUS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS COMPLETE ANNUALLY 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 DISCLOSE 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 DETERMING 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 2016 COMPENSATION OF THE CEO, HH RETAINED THE SERVICES OF OUTSIDE COMPENSATION CONSULTANTS. THE CONSULTING FIRM COMPLIED DATA FROM THE TOTAL COMPENSATION OF EXECUTIVE DIRECTORS AND CEOS OF 18 LOCAL CCRC AND SUBMITTED A RECOMMENDATION TO THE BOARD OF TRUSTEES BASED ON THE ANALYSIS. THE DATE OF THE LAST COMPENSATION REVIEW WAS JANUARY 2017. 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 596,113. CHANGE IN VALUE OF INTEREST RATE CAP AND SWAP AGREEMENTS PACIFIC NORTHWEST CONFERENCE OF THE UNITED CHURCH OF CHRIST 325 B 125TH STREET SEATTLE WA 98133 910582317 CHURCH WA 501(C)(3) LINE 1 N/A 0 1 HORIZON HOME CARE 900 UNIVERSITY STREET SEATTLE WA 98101 455380588 HOME CARE WA HORIZON HOUSE C -45155 259193 1.00000 1 1 0 0 1 0 0 0 0 0 1 0 1 0 1 0 0 1 0 0 HORIZON HOME CARE A 23032 FMV HORIZON HOME CARE A 4697 FMV FORM 990, SCHEDULE R, PART V, LINE 1A HORIZON HOME CARE PAYS RENT TO HORIZON HOUSE. PER SECTION 512(B)(13)(B)(I) THE RENT IS NOT UNRELATED BUSINESS INCOME TO HORIZON HOUSE BECAUSE IF THE SERVICES OF HORIZON HOME CARE WERE PROVIDED IN-HOUSE BY HORIZON HOUSE IT WOULD NOT GENERATE UNRELATED BUSINESS INCOME AS THESE SERVICES ARE DIRECTLY RELATED TO ITS EXEMPT PURPOSE.