Ryan House
Open Doors, Open Hearts
Ryan House
EIN: 20-1852393
as of November 2023
as of November 13, 2023
Programs and results
Reports and documents
Download annual reportsWhat we aim to solve
Focusing on quality of life and continuity of care, our care team combines compassion with state-of-the-art care to guide children through their unique life-limiting or end-of-life journey while providing their whole family with peace, comfort, and support. Ryan House is developing a sustainable model of world-class caregiving that provides respite and palliative care for children and their families as they navigate life-limiting or end-of-life journeys. Our approach addresses the emotional, spiritual, and social needs of the family while also providing relief of the symptoms, pain, and stress associated with any serious illness. With the care provided by our prestigious care partners and highly-trained staff, we are able to foster a loving community that offers ongoing support and compassion from diagnosis to end-of-life.
Our programs
What are the organization's current programs, how do they measure success, and who do the programs serve?
Respite Care, Palliative Care and End-of-Life Care
Palliative Care
Pediatric palliative care is both a philosophy and method of care. It aims to holistically identify and alleviate the physical, psychosocial, spiritual, and emotional pain for both the child and the family. Its primary goals are to enhance quality of life, minimize suffering, optimize functions, and provide opportunities for personal growth.
Respite Care
Respite care is a gift of time; short-term overnight stays that help a family take breaks from the daily routine and stress of home care. Regular breaks for caregivers prevent family fatigue and breakdown. It is also designed to provide the child with a comfortable away-from-home experience, which is one way of normalizing the life of the child. Each child has the possibility of twenty-eight days per year of planned respite care at Ryan House at no cost to the family.
End-of-Life Care
Families with a child facing end-of-life receive supportive planning and care consistent with clinical, cultural, and ethical standards. Ryan House also provides parents or guardians and siblings with a loving and long term system of support and comfort.
Bereavement Care
Ryan House offers grief and bereavement support to families in a number of ways, including a personalized tile in the Memorial Garden for their child, support groups and family counseling through various programs, and a Treasured Memories bereavement box to families.
Life-Enhancing Therapeutic Activities
Certified child life specialists and trained volunteers provide expressive, play-based activities that address the isolation, pain, and fear children and their siblings face, as well as fun, normative child and family experiences, such as family movie night, playing dress-up or swimming with friends. Kids, families and volunteers have fun in the great room, the S’mores Café family kitchen and dining room, and a colorful and fun playground. Specialized therapies are housed in the Swimming Hole (indoor hydrotherapy pool), Sensory Tent, Creative U, Do’Re’Mi’ Music Room, and the Story of Me multi-media legacy-building room. A sanctuary and memorial garden provide quiet, peaceful space for reflection, remembrance and celebrations of life.
Where we work
Affiliations & memberships
ARCH National Respite Network and Resource Center 2023
External reviews

Photos
Videos
Our results
How does this organization measure their results? It's a hard question but an important one.
Number of children served
This metric is no longer tracked.Totals By Year
Population(s) Served
Children and youth, People with disabilities, People with diseases and illnesses, Families, Caregivers
Related Program
Respite Care, Palliative Care and End-of-Life Care
Type of Metric
Output - describing our activities and reach
Direction of Success
Holding steady
Context Notes
Number of children with life-limiting conditions who received respite care and number of children who had end-of-life stays. 2020 & 2021 Note: numbers of individual children decreased due to COVID-19.
Because of Ryan House, I experience less stress and anxiety as a caregiver.
This metric is no longer tracked.Totals By Year
Population(s) Served
Children and youth, People with disabilities, People with diseases and illnesses, Families, Caregivers
Related Program
Respite Care, Palliative Care and End-of-Life Care
Type of Metric
Output - describing our activities and reach
Direction of Success
Holding steady
Context Notes
100% of caregivers reported experiencing less stress and anxiety.
Our Sustainable Development Goals
Learn more about Sustainable Development Goals.
Goals & Strategy
Learn about the organization's key goals, strategies, capabilities, and progress.
Charting impact
Four powerful questions that require reflection about what really matters - results.
What is the organization aiming to accomplish?
Designed to deliver multiple adaptive modes of on-site care, Ryan House embraces all children and their families as they navigate life-limiting or end-of-life journeys. Here, we are realizing both the philosophy and the practice of pediatric palliative care. We are the only organization of our kind in the Southwest, and one of three in the country. Our services are provided at no cost to families.
What are the organization's key strategies for making this happen?
Pediatric Respite Care
Respite care is a gift of time; short-term overnight stays that help a family take breaks from the stress of ‘round the clock home care. It also creates opportunities for kids to be kids, where they can spend time with other children like them. Respite care becomes a necessity, not a luxury. It is the solution for renewed energies and fresh perspectives, as regular “time off” for caregivers is essential to help prevent family fatigue and breakdown. At Ryan House, children and families can receive up to 28 days of respite care per year.
Pediatric Palliative Care
Pediatric palliative care is both a philosophy and method of care. It aims to holistically identify and alleviate the physical, psychosocial, spiritual, and emotional pain for both the child and the family. Its primary goals are to enhance quality of life, minimize suffering, optimize functions, and provide opportunities for personal growth.
Life-Enhancing Therapeutic Activities
Certified child life specialists and trained volunteers provide activities that address the isolation, pain, and fear children and their siblings face with diagnosis. They also improve overall quality-of-life by providing opportunities to experience new sensations, develop skills, and gain confidence. Activities include: Legacy Building, art, music, pet, sensory, recreational, and hydro-therapeutic activities.
Pediatric End-of-Life Care
Families with a child facing end-of-life receive supportive planning and compassionate care consistent with clinical, cultural, and ethical standards. Ryan House also provides parents or guardians and siblings with a loving system of support and comfort. End-of-life care is provided in partnership with our Care Partner, Hospice of the Valley.
Grief and Bereavement Support
Ryan House offers grief and bereavement support to families in a number of ways, including: Sibshops, family counseling through various programs, an annual community event to honor passed children, bereavement boxes to families that are filled with special keepsakes. Additionally, the Care Team provides anticipatory grief support to children, siblings, and their families.
What are the organization's capabilities for doing this?
Ryan House is a 12,500 sq. foot home built to provide respite care, pediatric palliative care, and end-of-life care as well as appropriate therapies and activities in a supportive, home-like setting where all are welcome.
Ryan House has eight bedrooms for children, each with their own theme such as The Camp Fire, Once Upon a Time, and the Wild, Wild West. The cabins, designed to meet the unique needs of children who stay there, each have a daybed where friends and relatives can spend the night.
There are three family suites at Ryan House where families stay during the first visit and are always welcome, these rooms are also available to our hospice families while their child is staying at the house. The hotel-like rooms offer a quiet space of refuge and comfort for caregivers, including a private patio, bathroom, and daybed for siblings, relatives, or the child themselves.
Common areas in the house include:
Family Room
Using the great-room concept, the family living room has many inviting areas for individuals, families, or small groups. This large, attractive room includes a library, reading corners, a captivating light wall, video games, TV and cozy furniture groupings. It is bathed in light with open views and access to the outdoor play area and patio.
The S’mores Café (Kitchen)
Our family-style kitchen provides a home-like atmosphere, where children and their families can gather and share a meal. Ryan House kids have fun baking cookies or cupcakes, and volunteers often provide home-cooked meals for families. You can always find a hot cup of coffee, or a chilled beverage. Families and kids have a variety of snacks to choose from in our walk-in pantry, supplied with donations from our community partners.
Lake Squeaky Clean (Bathing Room)
Ryan House has a welcoming room with the necessary lift, bathing bed and shower to ensure good hygiene, safety and privacy. The room is handicap accessible, offering a fun, spa-like experience for the children. Often, it is the only chance children who stay at our home have to get a bath.
Landscaped Patios and Play Area
A colorful and fun accessible playground stands at the center of the patio area. The playground has picnic tables, life-sized cartoon characters, and a working train (along with other amenities) to encourage kids to play.
Sanctuary
This non-denominational space offers a quiet and peaceful space where adults can take time for reflection and can have private and intimate discussions with the Care Team or their Spiritual Advisors.
Memorial Garden
A tranquil and inviting space, the Memorial Garden features benches, fountains, and a pergola that make it a peaceful area to reflect, share, mediate, pray, plan or perhaps a place “just to be.”
Specialty rooms include:
Creative U (Arts and Crafts Room), The Sensory Tent (Sensory Room), The Swimming Hole (Indoor Hydrotherapy Pool), Do’ Re’ Mi’ (Music Room), and the Story of Me Multimedia Room.
What have they accomplished so far and what's next?
For eleven years and counting, Ryan House has cared for over 1,000 children with life-limiting and/or end of life conditions. This includes over 16,000-plus days of respite and hospice care, and outreach and grief support to 4,200-plus parents or guardians, siblings, relatives and friends of the children we serve.
We continue to provide care and support to medically fragile children and their families when they need it most. We look forward to the future and our ability to have a positive impact on those we serve.
How we listen
Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.
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How is your organization using feedback from the people you serve?
To identify and remedy poor client service experiences, To identify bright spots and enhance positive service experiences, To inform the development of new programs/projects, To strengthen relationships with the people we serve, To understand people's needs and how we can help them achieve their goals
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Which of the following feedback practices does your organization routinely carry out?
We collect feedback from the people we serve at least annually, We aim to collect feedback from as many people we serve as possible, We take steps to ensure people feel comfortable being honest with us, We look for patterns in feedback based on demographics (e.g., race, age, gender, etc.), We look for patterns in feedback based on people’s interactions with us (e.g., site, frequency of service, etc.), We engage the people who provide feedback in looking for ways we can improve in response, We act on the feedback we receive, We tell the people who gave us feedback how we acted on their feedback, We ask the people who gave us feedback how well they think we responded
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What challenges does the organization face when collecting feedback?
We don't have any major challenges to collecting feedback
Financials
Financial documents
Download audited financialsRevenue vs. expenses: breakdown
Liquidity in 2022 info
11.30
Months of cash in 2022 info
3.8
Fringe rate in 2022 info
15%
Funding sources info
Assets & liabilities info
Financial data
Ryan House
Balance sheetFiscal Year: Oct 01 - Sep 30
The balance sheet gives a snapshot of the financial health of an organization at a particular point in time. An organization's total assets should generally exceed its total liabilities, or it cannot survive long, but the types of assets and liabilities must also be considered. For instance, an organization's current assets (cash, receivables, securities, etc.) should be sufficient to cover its current liabilities (payables, deferred revenue, current year loan, and note payments). Otherwise, the organization may face solvency problems. On the other hand, an organization whose cash and equivalents greatly exceed its current liabilities might not be putting its money to best use.
Fiscal Year: Oct 01 - Sep 30
This snapshot of Ryan House’s financial trends applies Nonprofit Finance Fund® analysis to data hosted by GuideStar. While it highlights the data that matter most, remember that context is key – numbers only tell part of any story.
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Business model indicators
Profitability info | 2018 | 2019 | 2020 | 2021 | 2022 |
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Unrestricted surplus (deficit) before depreciation | $50,008 | $164,594 | $32,740 | $822,672 | $21,234 |
As % of expenses | 2.0% | 7.0% | 1.4% | 34.6% | 0.8% |
Unrestricted surplus (deficit) after depreciation | $11,836 | $128,859 | -$9,302 | $784,653 | -$19,257 |
As % of expenses | 0.5% | 5.4% | -0.4% | 32.5% | -0.7% |
Revenue composition info | |||||
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Total revenue (unrestricted & restricted) | $2,470,709 | $2,396,671 | $2,277,746 | $4,174,883 | $3,105,784 |
Total revenue, % change over prior year | -0.9% | -3.0% | -5.0% | 83.3% | -25.6% |
Program services revenue | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
Membership dues | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
Investment income | 4.4% | 4.9% | 4.8% | 1.6% | 5.9% |
Government grants | 6.7% | 9.2% | 1.8% | 20.6% | 24.0% |
All other grants and contributions | 84.8% | 83.2% | 92.3% | 59.5% | 71.8% |
Other revenue | 4.1% | 2.7% | 1.1% | 18.3% | -1.7% |
Expense composition info | |||||
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Total expenses before depreciation | $2,465,819 | $2,363,444 | $2,389,240 | $2,376,971 | $2,708,007 |
Total expenses, % change over prior year | 0.6% | -4.2% | 1.1% | -0.5% | 13.9% |
Personnel | 63.9% | 69.1% | 71.3% | 73.3% | 67.9% |
Professional fees | 13.3% | 13.0% | 12.0% | 9.3% | 9.2% |
Occupancy | 4.7% | 5.5% | 5.6% | 5.7% | 4.8% |
Interest | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
Pass-through | 4.1% | 0.0% | 0.0% | 0.0% | 0.0% |
All other expenses | 14.1% | 12.3% | 11.0% | 11.7% | 18.2% |
Full cost components (estimated) info | 2018 | 2019 | 2020 | 2021 | 2022 |
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Total expenses (after depreciation) | $2,503,991 | $2,399,179 | $2,431,282 | $2,414,990 | $2,748,498 |
One month of savings | $205,485 | $196,954 | $199,103 | $198,081 | $225,667 |
Debt principal payment | $0 | $0 | $0 | $296,500 | $0 |
Fixed asset additions | $39,345 | $107,622 | $0 | $68,851 | $43,962 |
Total full costs (estimated) | $2,748,821 | $2,703,755 | $2,630,385 | $2,978,422 | $3,018,127 |
Capital structure indicators
Liquidity info | 2018 | 2019 | 2020 | 2021 | 2022 |
---|---|---|---|---|---|
Months of cash | 4.3 | 5.0 | 4.6 | 2.8 | 3.8 |
Months of cash and investments | 21.6 | 21.2 | 23.1 | 25.1 | 22.2 |
Months of estimated liquid unrestricted net assets | 18.1 | 19.2 | 19.1 | 23.0 | 20.1 |
Balance sheet composition info | 2018 | 2019 | 2020 | 2021 | 2022 |
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Cash | $893,520 | $992,836 | $916,387 | $548,284 | $863,758 |
Investments | $3,550,561 | $3,187,353 | $3,684,462 | $4,427,816 | $4,154,578 |
Receivables | $182,700 | $245,000 | $56,488 | $835,000 | $230,000 |
Gross land, buildings, equipment (LBE) | $739,521 | $847,143 | $849,097 | $917,948 | $961,910 |
Accumulated depreciation (as a % of LBE) | 78.8% | 73.0% | 77.8% | 76.1% | 76.8% |
Liabilities (as a % of assets) | 9.7% | 7.5% | 13.3% | 5.8% | 8.0% |
Unrestricted net assets | $3,879,817 | $4,008,676 | $3,999,374 | $4,784,027 | $4,764,770 |
Temporarily restricted net assets | $454,343 | $329,078 | N/A | N/A | N/A |
Permanently restricted net assets | $0 | $0 | N/A | N/A | N/A |
Total restricted net assets | $454,343 | $329,078 | $216,053 | $919,394 | $311,786 |
Total net assets | $4,334,160 | $4,337,754 | $4,215,427 | $5,703,421 | $5,076,556 |
Key data checks
Key data checks info | 2018 | 2019 | 2020 | 2021 | 2022 |
---|---|---|---|---|---|
Material data errors | No | No | No | No | No |
Operations
The people, governance practices, and partners that make the organization tick.
Documents
Executive Director
Ms. Tracy Leonard-Warner
Number of employees
Source: IRS Form 990
Ryan House
Officers, directors, trustees, and key employeesSOURCE: IRS Form 990
Compensation data
There are no highest paid employees recorded for this organization.
Ryan House
Board of directorsas of 11/15/2023
Board of directors data
Ms. Ashley Crowell
Babin Law, LLC
Term: 2019 - 2024
Rob Maver
National Bank of Arizona
Ashley Crowell
Babin Law, LLC
Oliver Fultz
Instant Care of Arizona
Tom Jarvis
Willmeng Construction
Rita Meiser
Shannon Schroeder
Deloitte & Touche
Rachel Behrendt
Hospice of the Valley
Keeley Dean
CVS Health/Aetna/Mercy Care
Mary Thompson
Embark Consulting
Christine Guthrie
Berkshire Hathaway
Asha Karunakaran
SPR
Laura Tolson
Beth Warne
Jane Andersen
Randy Ek
CVS/Aetna (Mercy Care)
Daniel Franks
Wells Fargo Bank
Chris Lutes
BeachFleischman, PLLC
Lisa Swanson
eXp Realty
Patti Tucker
Board leadership practices
GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.
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Board orientation and education
Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes -
CEO oversight
Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes -
Ethics and transparency
Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes -
Board composition
Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes -
Board performance
Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes
Organizational demographics
Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.
Leadership
The organization's leader identifies as:
Race & ethnicity
No data
Gender identity
No data
No data
Sexual orientation
No data
Disability
No data
Equity strategies
Last updated: 04/23/2021GuideStar partnered with Equity in the Center - an organization that works to shift mindsets, practices, and systems to increase racial equity - to create this section. Learn more
- We disaggregate data to adjust programming goals to keep pace with changing needs of the communities we support.
- We disaggregate data by demographics, including race, in every policy and program measured.
- We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization.
- We have community representation at the board level, either on the board itself or through a community advisory board.
Contractors
Fiscal year endingProfessional fundraisers
Fiscal year endingSOURCE: IRS Form 990 Schedule G