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HARBORS HOME HEALTH & HOSPICE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HARBORS HOME HEALTH & HOSPICE (EIN 91-1143445)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201303199349310670
Schema version
2012v2.0
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)
Timestamp2013-11-15T15:05:27-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PRESZLER LARNER MERTZ & CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11310 SIMPSON AVEAddressLine1
CityABERDEENCity
StateWAState
ZIP Code985204704ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911143445EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HARBORS HOME HEALTH & HOSPICEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHARBNameControl
Phone3605325454Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 7th STREETAddressLine1
CityHOQUIAMCity
StateWAState
ZIP Code98550ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameARDITH SAVOYName
TitlePresidentTitle
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGordon M GlasgowName
PTINP00736759PTIN
Phone3605326873Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOEL STEPHENSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1201 7TH STREETAddressLine1
CityHOQUIAMCity
StateWAState
ZIP Code98550ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5644820GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.myhhhh.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH SERVICES AND RELATED SUPPORT SERVICES TO PERSONS IN GRAYS HARBOR AND PACIFIC COUNTIES WHO NEED ASSISTANCE TO FUNCTION AT THEIR HIGHEST LEVEL OF INDEPENDENCE WITHIN THEIR HOMES.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees89TotalNbrEmployees
Total Nbr Volunteers38TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year24493ContributionsGrantsPriorYear
Contributions Grants Current Year40715ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5289282ProgramServiceRevenuePriorYear
Program Service Revenue CY5298012ProgramServiceRevenueCY
Investment Income Prior Year167813InvestmentIncomePriorYear
Investment Income Current Year148548InvestmentIncomeCurrentYear
Other Revenue Prior Year23306OtherRevenuePriorYear
Other Revenue Current Year3385OtherRevenueCurrentYear
Total Revenue Prior Year5504894TotalRevenuePriorYear
Total Revenue Current Year5490660TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4444637SalariesEtcPriorYear
Salaries Etc Current Year4467384SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1144804OtherExpensePriorYear
Other Expenses Current Year1202411OtherExpensesCurrentYear
Total Expenses Prior Year5589441TotalExpensesPriorYear
Total Expenses Current Year5669795TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-84547RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-179135RevenuesLessExpensesCY
Total Assets BOY5926612TotalAssetsBOY
Total Assets EOY5763064TotalAssetsEOY
Total Liabilities BOY959478TotalLiabilitiesBOY
Total Liabilities EOY929353TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4967134NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4833711NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH SERVICES AND RELATED SUPPORT SERVICES TO PERSONS IN GRAYS HARBOR AND PACIFIC COUNTIES WHO NEED ASSISTANCE TO FUNCTION AT THEIR HIGHEST LEVEL OF INDEPENDENCE WITHIN THEIR HOMES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4568308Expense
DescriptionTHE ORGANIZATION PROVIDED SKILLED NURSING CARE, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, MEDICAL AND SOCIAL SERVICES, AND HOME HEALTH AIDE TO 1,237 PATIENTS IN THE GRAYS HARBOR AND PACIFIC COUNTY REGION DURING 2012.Description
Total Program Service Expense4568308TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees89NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCRAIG GOODWINNamePerson
Telephone Number3605325454TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1201 7th STREETAddressLine1
CityHOQUIAMCity
StateWAState
ZIP Code98550ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
LEIF TANGVALD
Director1.000.00X000
DON SAMUELSON
Treasurer1.000.00X000X
GARY FRIEHAUF
Director0.000.00X000
JOANN STOVER
Vice President1.000.00X000X
ELOISE SHATTUCK
Secretary1.000.00X000X
ARDITH SAVOY
President1.000.00X000X
EDWARD QUIJADA
Director1.000.00X000
JERRY KELTNER
Director1.000.00X000
JIM BOORA
Director1.000.00X000
DIANNA GOTTULA
Director1.000.00X000
CRAIG GOODWIN
FINANCIAL MGR40.000.0068244029876X
JOEL STEPHENS
ADMINISTRATOR40.000.0061213032436X
LINDA WARREN
INTERIM ADMINIS40.000.002768305649X
MARK SZTROIN
PHYSICAL THERAPIST60.000.0024788300X
FieldValueIRS element (for citing)
Total Reportable Comp From Org405023TotalReportableCompFromOrg
Total Other Compensation67961TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Insight Direct
PO Box 731069DallasTX753731069Information Techn130804
Allscripts
24630 Network PlaceChicagoIL606731246computer software204378
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Federated Campaigns9244FederatedCampaigns
All Other Contributions31471AllOtherContributions
Total Contributions40715TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code621610BusinessCode
Total Revenue Column5298012TotalRevenueColumn
Related Or Exempt Function Income5298012RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue5298012TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column145260TotalRevenueColumn
Exclusion$145,260ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities157448Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities154160Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3288Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3288TotalRevenueColumn
Exclusion$3,288ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionREIMBURSED EXPENSESDescription
Business Code900099BusinessCode
Total Revenue Column3385TotalRevenueColumn
Related Or Exempt Function Income3385RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3385TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5490660TotalRevenueColumn
Related Or Exempt Function Income5301397RelatedOrExemptFunctionIncome
Exclusion$148,548ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total225100Total
Management And General225100ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2811900Total
Program Services2326281ProgramServices
Management And General485619ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total127461Total
Program Services106966ProgramServices
Management And General20495ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1002859Total
Program Services831886ProgramServices
Management And General170973ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total300064Total
Program Services235100ProgramServices
Management And General64964ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4515Total
Program Services3537ProgramServices
Management And General978ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total28047Total
Program Services21975ProgramServices
Management And General6072ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total8895Total
Program Services6969ProgramServices
Management And General1926ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6324Total
Program Services4955ProgramServices
Management And General1369ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total127797Total
Program Services100129ProgramServices
Management And General27668ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total255004Total
Program Services255004ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total31747Total
Program Services24874ProgramServices
Management And General6873ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total33593Total
Program Services24339ProgramServices
Management And General9254ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TELECOMMUNICATIONS715965609515501
EQUIPMENT RENTAL9849798497
COMPUTER SERVICES1046138196422649
MEDICAL AND OPERATING SUPPLIES31685330298513868

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total114930Total
Program Services86752ProgramServices
Management And General28178ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5669795Total
Program Services4568308ProgramServices
Management And General1101487ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY43024BOY
EOY-10544EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY376163BOY
EOY247551EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY831505BOY
EOY733785EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY45000BOY
EOY45000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY55016BOY
EOY62788EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis666412LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec206091LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY48557BOY
EOY460321EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY993271BOY
EOY1064585EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3534076BOY
EOY3159578EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5926612BOY
EOY5763064EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY777977BOY
EOY664762EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY77544BOY
EOY39404EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY103957BOY
EOY225187EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY959478BOY
EOY929353EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4965339BOY
EOY4831916EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1795BOY
EOY1795EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4967134BOY
EOY4833711EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5926612BOY
EOY5763064EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-179135ReconcilationRevenueExpenses
Reconciliation Unrealized Invest45712ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36504CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23593CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32024CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24493CurrentTaxYearMinus1Year
Current Tax Year40715CurrentTaxYear
Total157329Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5753496CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5441557CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5298830CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5289282CurrentTaxYearMinus1Year
Current Tax Year5298012CurrentTaxYear
Total27081177Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5790000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5465150CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5330854CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5313775CurrentTaxYearMinus1Year
Current Tax Year5338727CurrentTaxYear
Total27238506Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50927238506PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years185517CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years194355CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years174498CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year129252CurrentTaxYearMinus1Year
Current Tax Year194260CurrentTaxYear
Total877882Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years185517CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years194355CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years174498CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year129252CurrentTaxYearMinus1Year
Current Tax Year194260CurrentTaxYear
Total877882Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years82742CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years78943CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years86213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23306CurrentTaxYearMinus1Year
Current Tax Year3385CurrentTaxYear
Total274589Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6058259CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5738448CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5591565CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5466333CurrentTaxYearMinus1Year
Current Tax Year5536372CurrentTaxYear
Total28390977Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95940PublicSupportPercentage509
Prior Year Support Percentage0.95980PriorYearSupportPercentage
Investment Income Percentage0.03090InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03070PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$1,281GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB1281TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationThe Organization is a member of a home health care association. The amount reported is the portion of the Organization's dues that are spent on lobbying activities.Explanation

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis666412OtherCostOrOtherBasis
Depreciation206091Depreciation
Book Value460321BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings460321TotalOfBookValueLandBuildings
Total Book Value Other Assets3159578TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt5536372TotRevenueEtcAuditedFinclStmt
Other Revenues45712OtherRevenues
Revenue Not Rptd F99045712RevenueNotRptdF990
Revenue Subtotal5490660RevenueSubtotal
Total Revenue Per Form9905490660TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5669795TotExpensesEtcAuditedFinclStmt
Expenses Subtotal5669795ExpensesSubtotal
Total Expenses Per Form9905669795TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart XI, Line 2dIdentifier
Return ReferencePart XI, Line 2d: Other revenue amounts included in F/S but not included on form 990ReturnReference
ExplanationNET UNREALIZED LOSSES ON INVESTMENTS $45712Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMARK SZTROINNamePerson
TitlePHYSICAL THERAPISTTitle
Base Compensation Filing Org247883BaseCompensationFilingOrg
Total Compensation Filing Org247883TotalCompensationFilingOrg

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJim BooraNamePerson
FieldValueIRS element (for citing)
RelationshipInvest. BrokerRelationship
Description Of TransactionSee Schedule ODescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
SCHEDULE L, PART IV, COLUMN (d)Through the normal course of business, the Organization has funds on deposit at Edward Jones, a national investment brokerage firm with a local branch managed by Jim Boora, a volunteer member of the Board of Directors. He receives no compensation based on any of the Organization's investments and abstains from voting on all matters related to these funds. The fair market value of the investments held at Edward Jones totaled $3,363,455 at December 31, 2012.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableOnly Forms 990 and 1023 are made available to the public.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesExempt salaries are reviewed and approved by the Board of Directors. They specifically review the compensation of the Adminstrators, Financial Managers and Information Services and periodically seek Salary Survey information when setting these salaries.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe Organization monitors its Board members and employees continuously to ensure that conflict of interests are avoided. This manifests itself in Board votes where members with possible conflicts of interest abstain from certain particular votes. Employees are not allowed to maintain employment where a conflict of interest exists.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11b: Form 990 Review ProcessForm 990 is prepared by certified public accounting firm and reviewed by Administrator, Financial Manager, and either Board President or Board Treasurer.Form 990, Part VI, Line 11b
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtTwo board members are siblings.Form 990, Part VI, Line 2