BETA

PERSONAL SERVICE PROVIDERS: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
PERSONAL SERVICE PROVIDERS (EIN 91-1400684)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-04-26
IRS object ID
201731169349301073
Schema version
2016v3.0
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)
Return2017-04-26T19:40:06-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

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
Signature2017-04-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNIONPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-04-19IPDt
IP Tm08:44:54IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE8F928E9D0C866B10A8A9E52340F1A707FC238CDAtSubmissionCreationDeviceId
At Submission Filing Device IdE8F928E9D0C866B10A8A9E52340F1A707FC238CDAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerTERRY FULTZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 7TH STREETAddressLine1Txt
CityHOQUIAMCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98550ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,599,604GrossReceiptsAmt
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 Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee103TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,933,739PYProgramServiceRevenueAmt
CY Program Service Revenue$1,456,051CYProgramServiceRevenueAmt
PY Investment Income-$19,945PYInvestmentIncomeAmt
CY Investment Income$8,464CYInvestmentIncomeAmt
PY Other Revenue$15PYOtherRevenueAmt
CY Other Revenue$6CYOtherRevenueAmt
PY Total Revenue$1,913,809PYTotalRevenueAmt
CY Total Revenue$1,464,521CYTotalRevenueAmt
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$1,700,992PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,381,765CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$411,937PYOtherExpensesAmt
CY Other Expenses$384,019CYOtherExpensesAmt
PY Total Expenses$2,112,929PYTotalExpensesAmt
CY Total Expenses$1,765,784CYTotalExpensesAmt
PY Revenues Less Expenses-$199,120PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$301,263CYRevenuesLessExpensesAmt
Total Assets BOY$1,029,285TotalAssetsBOYAmt
Total Assets EOY$710,140TotalAssetsEOYAmt
Total Liabilities BOY$184,891TotalLiabilitiesBOYAmt
Total Liabilities EOY$163,622TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$844,394NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$546,518NetAssetsOrFundBalancesEOYAmt
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$1,392,783ExpenseAmt
Grant$0GrantAmt
Revenue$1,439,347RevenueAmt
DescHOME CARE AND HEALTH MAINTENANCE VISITS - DURING 2016, THE ORGANIZATION PROVIDED SERVICE TO 161 CLIENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$39,063ExpenseAmt
Grant$0GrantAmt
Revenue$16,704RevenueAmt
DescCAREGIVER TRAINING - TO PROVIDE INSTRUCTION TO IN-HOME CAREGIVERS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,431,846TotalProgramServiceExpensesAmt
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 Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee103EmployeeCnt
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 Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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 CEO0CompensationProcessCEOInd
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
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 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
SECRETARY1.00Yes (X)Yes (X)$0$0$0
JERRY KELTNER
DIRECTOR1.00Yes (X)$0$0$0
PAT SCHNEIDER
DIRECTOR1.00Yes (X)$0$0$0
JOEL STEPHENS
CEO10.00Yes (X)$0$0$0
TOM MAYR
CFO10.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
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$118,490CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOME CARE812900$1,439,347$1,439,347
CAREGIVER TRAINING611600$16,704$16,704
FieldValueIRS element (for citing)
Total Program Service Revenue$1,456,051TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,637TotalRevenueColumnAmt
Exclusion$8,637ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$134,910SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$135,083SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$173SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$173TotalRevenueColumnAmt
Exclusion-$173ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$6TotalRevenueColumnAmt
Exclusion$6ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,464,521TotalRevenueColumnAmt
Related Or Exempt Func Income$1,456,051RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,470ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$984,999TotalAmt
Program Services$798,721ProgramServicesAmt
Management And General$186,278ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$318,675TotalAmt
Program Services$258,408ProgramServicesAmt
Management And General$60,267ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$78,091TotalAmt
Program Services$63,323ProgramServicesAmt
Management And General$14,768ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$118,490TotalAmt
Program Services$96,082ProgramServicesAmt
Management And General$22,408ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$203TotalAmt
Program Services$165ProgramServicesAmt
Management And General$38ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,555TotalAmt
Program Services$9,370ProgramServicesAmt
Management And General$2,185ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,189TotalAmt
Program Services$9,073ProgramServicesAmt
Management And General$2,116ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$47,024TotalAmt
Program Services$38,130ProgramServicesAmt
Management And General$8,894ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,488TotalAmt
Program Services$7,694ProgramServicesAmt
Management And General$1,794ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$35,495TotalAmt
Program Services$28,782ProgramServicesAmt
Management And General$6,713ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$85,384TotalAmt
Program Services$69,237ProgramServicesAmt
Management And General$16,147ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,003TotalAmt
Program Services$813ProgramServicesAmt
Management And General$190ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,110TotalAmt
Program Services$12,252ProgramServicesAmt
Management And General$2,858ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$23,520TotalAmt
Program Services$19,072ProgramServicesAmt
Management And General$4,448ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$14,916$12,095$2,821
MISCELLANEOUS$10,132$8,216$1,916
DUES AND SUBSCRIPTIONS$510$413$97

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,765,784TotalAmt
Program Services$1,431,846ProgramServicesAmt
Management And General$333,938ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$144,422BOYAmt
EOY$113,242EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$192,706BOYAmt
EOY$127,412EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,406BOYAmt
EOY$15,585EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$110,108LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$79,487LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$41,300BOYAmt
EOY$30,621EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$646,451BOYAmt
EOY$423,280EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,029,285BOYAmt
EOY$710,140EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$184,891BOYAmt
EOY$163,622EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$184,891BOYAmt
EOY$163,622EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$844,394BOYAmt
EOY$546,518EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$844,394BOYAmt
EOY$546,518EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,029,285BOYAmt
EOY$710,140EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$301,263ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,387NetUnrlzdGainsLossesInvstAmt
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$2,528,510CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,379,963CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,431,062CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,933,739CurrentTaxYearMinus1YearAmt
Current Tax Year$1,456,051CurrentTaxYearAmt
Total$10,729,325TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,528,510CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,379,963CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,431,062CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,933,739CurrentTaxYearMinus1YearAmt
Current Tax Year$1,456,051CurrentTaxYearAmt
Total$10,729,325TotalAmt

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$10,729,325PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,887CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,098CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,883CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,632CurrentTaxYearMinus1YearAmt
Current Tax Year$8,637CurrentTaxYearAmt
Total$62,137TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,887CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,098CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,883CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,632CurrentTaxYearMinus1YearAmt
Current Tax Year$8,637CurrentTaxYearAmt
Total$62,137TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$59CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$222CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$208CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15CurrentTaxYearMinus1YearAmt
Current Tax Year$6CurrentTaxYearAmt
Total$510TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,547,456CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,396,283CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,439,153CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,944,386CurrentTaxYearMinus1YearAmt
Current Tax Year$1,464,694CurrentTaxYearAmt
Total$10,791,972TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99420PublicSupportCY509Pct
Public Support PY5090.99370PublicSupportPY509Pct
Investment Income CY0.00580InvestmentIncomeCYPct
Investment Income PY0.00620InvestmentIncomePYPct
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$110,108OtherCostOrOtherBasisAmt
Depreciation$79,487DepreciationAmt
Book Value$30,621BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$30,621TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,467,908TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$3,387NetUnrealizedGainsInvstAmt
Revenue Not Reported$3,387RevenueNotReportedAmt
Revenue Subtotal$1,464,521RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,464,521TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,765,784TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,765,784ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,765,784TotalExpensesPerForm990Amt

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 (6 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.
FORM 990, PART VI, SECTION A, LINE 4THE BYLAWS WERE AMENDED IN MAY 2015. THOSE AMENDMENTS INCLUDE THE FOLLOWING SIGNIFICANT CHANGES. 1. THE NUMBER OF BOARD MEMBERS WAS CHANGED FROM A RANGE OF THREE TO NINE INDIVIDUALS TO A RANGE OF FIVE TO SEVEN INDIVIDUALS. 2. THE EXECUTIVE VICE PRESIDENT WAS REMOVED FROM THE LIST OF OFFICERS. 3. THE BOARD WAS GIVEN POWER TO CREATE TEMPORARY OR STANDING COMMITTEES, WITH THE LIMITATION THAT THOSE COMMITTEES MAY NOT MAKE SIGNIFICANT DECISIONS FOR THE ORGANIZATION.
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 15THE 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.
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.

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