BETA

PERSONAL SERVICE PROVIDERS: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
PERSONAL SERVICE PROVIDERS (EIN 91-1400684)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-04-07
IRS object ID
201830979349300323
Schema version
2017v2.2
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)
Return2018-04-07T19:17:13-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110700 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911400684EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PERSONAL SERVICE PROVIDERSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPERSBusinessNameControlTxt
Phone3605381540PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 7TH STREETAddressLine1Txt
CityHOQUIAMCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98550ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRY FULTZPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3605381540PhoneNum
Signature2018-04-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNIONPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
Preparation2018-04-04PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTERRY FULTZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 7TH STREETAddressLine1Txt
CityHOQUIAMCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98550ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,648,819GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PSPROVIDERS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO PROVIDE HOME CARE TO INDIVIDUALS RECOVERING AND IN NEED OF LONG-TERM CARE.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee91TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,456,051PYProgramServiceRevenueAmt
CY Program Service Revenue$1,529,918CYProgramServiceRevenueAmt
PY Investment Income$8,464PYInvestmentIncomeAmt
CY Investment Income$5,894CYInvestmentIncomeAmt
PY Other Revenue$6PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,464,521PYTotalRevenueAmt
CY Total Revenue$1,535,812CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,381,765PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,371,769CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$384,019PYOtherExpensesAmt
CY Other Expenses$381,298CYOtherExpensesAmt
PY Total Expenses$1,765,784PYTotalExpensesAmt
CY Total Expenses$1,753,067CYTotalExpensesAmt
PY Revenues Less Expenses-$301,263PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$217,255CYRevenuesLessExpensesAmt
Total Assets BOY$710,140TotalAssetsBOYAmt
Total Assets EOY$460,572TotalAssetsEOYAmt
Total Liabilities BOY$163,622TotalLiabilitiesBOYAmt
Total Liabilities EOY$132,770TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$546,518NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$327,802NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HOME CARE (DOMESTIC, PERSONAL AND RESPITE) TO INDIVIDUALS RECOVERING FROM ILLNESS OR INJURY AND IN NEED OF LONG-TERM CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,443,301ExpenseAmt
Grant$0GrantAmt
Revenue$1,529,918RevenueAmt
DescHOME CARE AND HEALTH MAINTENANCE VISITS - DURING 2017, THE ORGANIZATION PROVIDED SERVICE TO 165 CLIENTS.Desc
Total Program Service Expenses$1,443,301TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee91EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TOM MAYRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3605325454PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 7TH STREETAddressLine1Txt
CityHOQUIAMCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98550ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
TERRY FULTZ
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
NORM SPRAGUE
VICE PRESIDENT & TREASURER1.00Yes (X)Yes (X)$0$0$0
LOIS BANGERT
SECRETARY (THROUGH SEPTEMBER 2017)1.00Yes (X)Yes (X)$0$0$0
JAMIE GRAVES
DIRECTOR1.00Yes (X)$0$0$0
JERRY KELTNER
DIRECTOR1.00Yes (X)$0$0$0
PAT SCHNEIDER
DIRECTOR (THROUGH OCTOBER 2017)1.00Yes (X)$0$0$0
JOEL STEPHENS
CEO (THROUGH OCTOBER 2017)10.00Yes (X)$0$0$0
LARRY BURGHER
EXECUTIVE DIRECTOR40.00Yes (X)$13,500$0$0
TOM MAYR
CFO10.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,500TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HARBORS HOME HEALTH & HOSPICEBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 7TH STREETAddressLine1Txt
CityHOQUIAMCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98550ZIPCd
FieldValueIRS element (for citing)
ServicesMANAGEMENT SERVICESServicesDesc
Compensation$117,321CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHOME CAREDesc
Business812900BusinessCd
Total Revenue Column$1,529,918TotalRevenueColumnAmt
Related Or Exempt Func Income$1,529,918RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,529,918TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,702TotalRevenueColumnAmt
Exclusion$6,702ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$112,199SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$112,343SecuritiesAmt
Other$664OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$144SecuritiesAmt
Other-$664OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$808TotalRevenueColumnAmt
Exclusion-$808ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,535,812TotalRevenueColumnAmt
Related Or Exempt Func Income$1,529,918RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,894ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$13,500TotalAmt
Management And General$13,500ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$966,901TotalAmt
Program Services$843,042ProgramServicesAmt
Management And General$123,859ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$313,768TotalAmt
Program Services$263,100ProgramServicesAmt
Management And General$50,668ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$77,600TotalAmt
Program Services$63,888ProgramServicesAmt
Management And General$13,712ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$117,321TotalAmt
Program Services$55,937ProgramServicesAmt
Management And General$61,384ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$160TotalAmt
Program Services$132ProgramServicesAmt
Management And General$28ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,391TotalAmt
Program Services$10,202ProgramServicesAmt
Management And General$2,189ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Program Services$412ProgramServicesAmt
Management And General$88ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$31,140TotalAmt
Program Services$25,637ProgramServicesAmt
Management And General$5,503ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$49,484TotalAmt
Program Services$40,740ProgramServicesAmt
Management And General$8,744ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,439TotalAmt
Program Services$6,948ProgramServicesAmt
Management And General$1,491ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$13,374TotalAmt
Program Services$11,011ProgramServicesAmt
Management And General$2,363ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$21,366TotalAmt
Program Services$17,591ProgramServicesAmt
Management And General$3,775ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$83,643TotalAmt
Program Services$68,864ProgramServicesAmt
Management And General$14,779ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,370TotalAmt
Program Services$1,128ProgramServicesAmt
Management And General$242ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,312TotalAmt
Program Services$8,490ProgramServicesAmt
Management And General$1,822ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$18,050$14,860$3,190
MISCELLANEOUS$10,567$8,700$1,867
DUES AND SUBSCRIPTIONS$3,181$2,619$562

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,753,067TotalAmt
Program Services$1,443,301ProgramServicesAmt
Management And General$309,766ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$113,242BOYAmt
EOY$89,197EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$127,412BOYAmt
EOY$152,691EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,585BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$48,711LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$43,381LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,621BOYAmt
EOY$5,330EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$423,280BOYAmt
EOY$213,354EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$710,140BOYAmt
EOY$460,572EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$163,622BOYAmt
EOY$132,770EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$163,622BOYAmt
EOY$132,770EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$546,518BOYAmt
EOY$327,802EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$546,518BOYAmt
EOY$327,802EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$710,140BOYAmt
EOY$460,572EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$217,255ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,461NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,379,963CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,431,062CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,933,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,456,051CurrentTaxYearMinus1YearAmt
Current Tax Year$1,529,918CurrentTaxYearAmt
Total$9,730,733TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,379,963CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,431,062CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,933,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,456,051CurrentTaxYearMinus1YearAmt
Current Tax Year$1,529,918CurrentTaxYearAmt
Total$9,730,733TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$9,730,733PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,098CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,883CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,632CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,637CurrentTaxYearMinus1YearAmt
Current Tax Year$6,702CurrentTaxYearAmt
Total$49,952TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,098CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,883CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,632CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,637CurrentTaxYearMinus1YearAmt
Current Tax Year$6,702CurrentTaxYearAmt
Total$49,952TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$222CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$208CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6CurrentTaxYearMinus1YearAmt
Total$451TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,396,283CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,439,153CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,944,386CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,464,694CurrentTaxYearMinus1YearAmt
Current Tax Year$1,536,620CurrentTaxYearAmt
Total$9,781,136TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99480PublicSupportCY509Pct
Public Support PY5090.99420PublicSupportPY509Pct
Investment Income CY0.00510InvestmentIncomeCYPct
Investment Income PY0.00580InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOMEExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,711OtherCostOrOtherBasisAmt
Depreciation$43,381DepreciationAmt
Book Value$5,330BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,330TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,534,351TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,461NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,461RevenueNotReportedAmt
Revenue Subtotal$1,535,812RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,535,812TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,753,067TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,753,067ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,753,067TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationPERSONAL SERVICE PROVIDERS IS A NONPROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL AND STATE 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 EXEMPT FROM INCOME TAX, AND HAS ADOPTED NO POSITIONS THAT ARE NOT HIGHLY LIKELY TO BE SUSTAINED IF EXAMINED BY RELEVANT AUTHORITIES. THE ORGANIZATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION COMPENSATES HARBORS HOME HEALTH & HOSPICE, AN UNRELATED 501(C)(3) ORGANIZATION, TO PROVIDE MANAGEMENT SERVICES. CEO SERVICES WERE PROVIDED THROUGH OCTOBER 2017 AND CFO SERVICES WERE PROVIDED FOR THE ENTIRE YEAR.
FORM 990, PART VI, SECTION B, LINE 11BFORM 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 12CTHE 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 15ATHE SERVICES OF THE CEO AND OTHER OFFICERS ARE PROVIDED AS PART OF THE MANAGEMENT CONTRACT WITH HARBORS HOME HEALTH & HOSPICE. THEIR COMPENSATION IS DETERMINED BY HARBORS HOME HEALTH & HOSPICE. THE EXECUTIVE DIRECTOR'S COMPENSATION WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS IN 2017.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT OPEN TO THE PUBLIC. ONLY FORMS 990 AND 1023 ARE MADE AVAILABLE TO THE PUBLIC.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.