2014-07-30T17:43:09-05:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2013-01-01 911143445 HARBORS HOME HEALTH & HOSPICE HARB 3605325454 201 7TH STREET HOQUIAM WA 98550 ARDITH SAVOY PRESIDENT 3605325454 2014-07-24 1 DANIEL M FREIN P00856532 4252506100 2013 2015-11-30 17:44:51Z JOEL STEPHENS 201 7TH STREET HOQUIAM WA 98550 6139255 0 X WWW.MYHHHH.ORG X 1981 WA TO PROVIDE HOME HEALTH AND HOSPICE SERVICES TO THOSE WHO NEED ASSISTANCE. 11 10 74 25 0 0 40715 15062 5298012 4413437 148548 126442 3385 4536 5490660 4559477 0 0 0 0 4467384 3942847 0 0 0 1202411 1664138 5669795 5606985 -179135 -1047508 5763064 5139232 929353 1376163 4833711 3763069 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 3773649 0 4413437 THE ORGANIZATION PROVIDED SKILLED NURSING CARE, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, MEDICAL AND SOCIAL SERVICES, AND HOME HEALTH AID TO 1,270 PATIENTS IN THE GRAYS HARBOR AND PACIFIC COUNTY REGION DURING 2013. THE HOME HEALTH AIDS ALSO CONDUCTED MULTIPLE FOOT CLINICS THROUGHOUT GRAYS HARBOR AND PACIFIC COUNTIES THROUGHOUT THE YEAR. 3773649 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 1 0 0 0 0 0 0 0 0 0 1 8 0 1 74 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 1 1 0 WA X TOM MAYR 3605325454 201 7TH STREET HOQUIAM WA 98550 GREG GRUN PRESIDENT 1.00 X X 0 0 0 ARDITH SAVOY RN PRESIDENT 1.00 X X 0 0 0 JOANN STOVER VICE PRESIDENT 1.00 X X 0 0 0 DON SAMUELSON TREASURER/FINANCE CHAIR 1.00 X X 0 0 0 LAURIE CLARY SECRETARY 1.00 X X 0 0 0 JIM BOORA DIRECTOR 1.00 X 0 0 0 DR DANIEL CANFIELD DIRECTOR 1.00 X 0 0 0 GARY FRIEHAUF DIRECTOR 1.00 X 0 0 0 PETER HEGG DIRECTOR 1.00 X 0 0 0 JERRY KELTNER 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 ELOISE SHATTUCK DIRECTOR 1.00 X 0 0 0 LEIF TANGVALD DIRECTOR 1.00 X 0 0 0 JOEL STEPHENS CEO 40.00 X 93528 0 50846 CRAIG GOODWIN CFO 40.00 X 87589 0 32876 MARK SZTROIN THERAPIST 40.00 X 137531 0 53926 318648 0 137648 1 0 1 0 ALLSCRIPTS 222 MERCHANDISE MART PLAZA SUITE 20 CHICAGO IL 60654 COMPUTER SOFTWARE 233000 1 719 14343 15062 PATIENT REVENUE 621610 4300525 4300525 MANAGEMENT FEE 561000 112912 112912 4413437 115401 115401 1590819 1579778 11041 11041 11041 MISCELLANEOUS 900099 4536 4536 4536 4559477 4413437 0 130978 370817 370817 2151192 1586432 564760 89919 71025 18894 1124930 808089 316841 205989 135910 70079 22458 14818 7640 38278 25255 13023 9433 6224 3209 185894 122651 63243 33181 21893 11288 163518 107888 55630 128894 85043 43851 103416 68233 35183 218129 218129 21451 14153 7298 156504 103260 53244 34364 22673 11691 OPERATING SUPPLIES 280703 185205 95498 EQUIPMENT RENT 128729 84934 43795 OTHER COSTS 114944 75839 39105 DUES AND SUBSCRIPTIONS 24242 15995 8247 5606985 3773649 1833336 0 -10544 185802 247551 0 733785 1449583 45000 22000 62788 43355 1052845 360598 460321 692247 4224163 2746245 5763064 5139232 664762 741809 39404 55265 225187 579089 929353 1376163 X 4831916 3757787 1795 5282 4833711 3763069 5763064 5139232 -1047508 -13541 -9593 0 X 0 1 X 1 0 X 23593 32024 24493 40715 15062 135887 5441557 5298830 5289282 5298012 4413437 25741118 5465150 5330854 5313775 5338727 4428499 25877005 0 0 0 25877005 194355 175646 166995 145260 115401 797657 194355 175646 166995 145260 115401 797657 78943 86213 23306 3385 4536 196383 5738448 5592713 5504076 5487372 4548436 26871045 0.96300 0.95940 0.02970 0.03090 X SCHEDULE A, PART II, 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 1920 1920 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. 1052845 360598 692247 692247 X 4545936 -13541 -13541 4559477 0 4559477 5606985 0 5606985 0 5606985 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 2010 ARE CLOSED TO EXAMINATION. X X X 0 0 0 0 0 0 0 0 0 MARK SZTROIN THERAPIST 137531 0 0 0 0 0 9627 0 44299 0 191457 0 0 0 EDWARD JONES JIM BOORA, A BOARD MEMBER, MANAGES THE LOCAL BRANCH OF EDWARD JONES. 2425361 INVESTMENT HOLDINGS 0 BANK OF THE PACIFIC EDWARD QUIJADA, A BOARD MEMBER, MANAGES A LOCAL BANK OF THE PACIFIC BRANCH. 141814 INVESTMENT HOLDINGS 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 EITHER BOARD PRESIDENT OR BOARD TREASURER. 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.