2015-05-06T19:20:31-05:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2014-01-01 911143445 HARBORS HOME HEALTH & HOSPICE HARB 3605325454 201 7TH STREET HOQUIAM WA 98550 LAURIE CLARY PRESIDENT 3605325454 2015-04-30 1 DANIEL M FREIN CPA P00856532 4252506100 2014 2016-02-25 16:41:14Z LAURIE CLARY 201 7TH STREET HOQUIAM WA 98550 5816243 0 X WWW.MYHHHH.ORG X 1981 WA TO PROVIDE HOME HEALTH AND HOSPICE SERVICES TO THOSE WHO NEED ASSISTANCE. 12 12 66 23 0 0 15062 66311 4413437 5094998 126442 98824 4536 1289 4559477 5261422 0 0 0 0 3942847 3663401 0 0 0 1664138 1589837 5606985 5253238 -1047508 8184 5139232 4425757 1376163 694779 3763069 3730978 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 3504320 0 5094998 THE ORGANIZATION PROVIDED SKILLED NURSING CARE, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, MEDICAL AND SOCIAL SERVICES, AND HOME HEALTH AID TO 1,027 PATIENTS IN THE GRAYS HARBOR AND PACIFIC COUNTY REGION DURING 2014. THE HOME HEALTH AIDS ALSO CONDUCTED MULTIPLE FOOT CLINICS THROUGHOUT GRAYS HARBOR AND PACIFIC COUNTIES THROUGHOUT THE YEAR. 3504320 1 1 0 1 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 1 0 0 0 0 0 0 0 0 1 6 0 1 66 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X TOM MAYR 3605325454 201 7TH STREET HOQUIAM WA 98550 ARDITH SAVOY RN PRESIDENT 1.00 X X 0 0 0 DON SAMUELSON TREASURER (THROUGH JAN 2014) 1.00 X X 0 0 0 JERRY KELTNER TREASURER 1.00 X X 0 0 0 LAURIE CLARY SECRETARY 1.00 X X 0 0 0 DR DANIEL CANFIELD DIRECTOR 1.00 X 0 0 0 GARY FRIEHAUF DIRECTOR 1.00 X 0 0 0 GREG GRUN DIRECTOR 1.00 X 0 0 0 PETER HEGG DIRECTOR 1.00 X 0 0 0 MIKE MURPHY DIRECTOR 1.00 X 0 0 0 CAROL O'NEIL RN DIRECTOR 1.00 X 0 0 0 EDWARD QUIJADA DIRECTOR 1.00 X 0 0 0 JOANN STOVER DIRECTOR 1.00 X 0 0 0 LEIF TANGVALD DIRECTOR 1.00 X 0 0 0 JOEL STEPHENS CEO 42.00 X 107238 0 10518 THOMAS MAYR CFO 40.00 X 51227 0 3860 MARK SZTROIN THERAPIST 41.00 X 159859 0 27351 318324 0 41729 2 0 1 0 0 91 66220 54185 66311 PATIENT REVENUE 621610 4973583 4973583 MANAGEMENT FEE 561000 121415 121415 5094998 74556 74556 579089 554821 24268 24268 24268 MISCELLANEOUS 900099 1289 1289 1289 5261422 5094998 0 100113 172843 172843 2167642 1522128 645514 129203 90353 38850 998952 657284 341668 194761 127445 67316 11512 7533 3979 37510 24545 12965 10023 6559 3464 230454 150801 79653 15224 9962 5262 121022 79192 41830 126919 83052 43867 124342 81365 42977 193197 193197 2411 1578 833 176000 115168 60832 45443 29736 15707 OPERATING SUPPLIES 272470 178295 94175 EQUIPMENT RENT 144264 94402 49862 OTHER COSTS 39745 26008 13737 DUES AND SUBSCRIPTIONS 39301 25717 13584 5253238 3504320 1748918 0 185802 434518 1449583 596736 22000 10500 43355 131037 1114827 435124 692247 679703 2746245 2573263 5139232 4425757 741809 616123 55265 78656 579089 1376163 694779 X 3757787 3730746 5282 232 3763069 3730978 5139232 4425757 8184 -40275 0 X 0 1 X 1 0 X 32024 24493 40715 15062 66311 178605 5298830 5289282 5298012 4413437 5094998 25394559 5330854 5313775 5338727 4428499 5161309 25573164 0 0 0 25573164 175646 166995 145260 115401 74556 677858 175646 166995 145260 115401 74556 677858 86213 23306 3385 4536 1289 118729 5592713 5504076 5487372 4548436 5237154 26369751 0.96980 0.96300 0.02570 0.02970 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MANAGEMENT FEE MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2422 2422 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF MULTIPLE ORGANIZATIONS: WA STATE HOSPICE & PALLIATIVE CARE ASSOCIATION, NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE, NATIONAL HOSPICE & PALLIATIVE CARE ASSOCIATION, HOME CARE ASSOCIATION OF WASHINGTON. THE AMOUNT REPORTED IS THE PORTION OF THE ORGANIZATION'S DUES THAT ARE SPENT ON LOBBYING ACTIVITIES. 18976 7597 11379 1002783 427527 575256 93068 93068 679703 X 5221147 -40275 -40275 5261422 0 5261422 5253238 0 5253238 0 5253238 PART X, LINE 2: HARBORS HOME HEALTH & HOSPICE IS A NOT-FOR PROFIT 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. THE ORGANIZATION FILES FEDERAL FORM 990, RETURN OF ORGANIZATION EXEMPTION FROM INCOME TAX, AND HAS ADOPTED NO POSITIONS THAT ARE NOT HIGHLY LIKELY TO BE SUSTAINED IF EXAMINED BY RELEVANT AUTHORITIES. TAX YEARS ENDING PRIOR TO 2011 ARE CLOSED TO EXAMINATION. X X X 0 0 0 0 0 0 0 0 0 MARK SZTROIN THERAPIST 159859 0 0 0 0 0 11190 0 16161 0 187210 0 0 0 X SOFTWARE 1 42210 DONOR VALUED X HARDWARE 1 11975 DONOR VALUED 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS COMPOSED OF THE OFFICERS OF THE BOARD. THE MEETINGS OF THE EXECUTIVE COMMITTEE ARE HELD AS NECESSARY TO FACILITATE THE BUSINESS OF THE CORPORATION AND RECOMMEND ACTIONS TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 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 15 EXEMPT SALARIES ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THEY SPECIFICALLY REVIEW THE COMPENSATION OF THE ADMINISTRATORS, FINANCIAL MANAGERS AND INFORMATION SERVICES AND PERIODICALLY SEEK SALARY SURVEY INFORMATION WHEN SETTING THESE SALARIES. THIS PROCESS WAS LAST PERFORMED IN 2014. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT OPEN TO THE PUBLIC. ONLY THE FORMS 990 AND 1023 ARE MADE AVAILABLE TO THE PUBLIC.