BETA

PERSONAL SERVICE PROVIDERS: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
PERSONAL SERVICE PROVIDERS (EIN 91-1400684)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-05-06
IRS object ID
201521269349301917
Schema version
2014v5.0
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)
Return2015-05-06T19:20:31-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Line13000 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

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 Line1201 7TH STREETAddressLine1Txt
CityHOQUIAMCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98550ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRY FULTZPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3605381540PhoneNum
Signature2015-04-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDANIEL M FREIN CPAPreparerPersonNm
PTINP00856532PTIN
Phone4252506100PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 7TH STREETAddressLine1Txt
CityHOQUIAMCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98550ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,439,153GrossReceiptsAmt
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 Employee157TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$2,379,963PYProgramServiceRevenueAmt
CY Program Service Revenue$2,431,062CYProgramServiceRevenueAmt
PY Investment Income$13,304PYInvestmentIncomeAmt
CY Investment Income$7,883CYInvestmentIncomeAmt
PY Other Revenue$222PYOtherRevenueAmt
CY Other Revenue$208CYOtherRevenueAmt
PY Total Revenue$2,393,489PYTotalRevenueAmt
CY Total Revenue$2,439,153CYTotalRevenueAmt
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$2,121,698PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,020,708CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$369,048PYOtherExpensesAmt
CY Other Expenses$387,840CYOtherExpensesAmt
PY Total Expenses$2,490,746PYTotalExpensesAmt
CY Total Expenses$2,408,548CYTotalExpensesAmt
PY Revenues Less Expenses-$97,257PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$30,605CYRevenuesLessExpensesAmt
Total Assets BOY$1,266,674TotalAssetsBOYAmt
Total Assets EOY$1,210,065TotalAssetsEOYAmt
Total Liabilities BOY$249,265TotalLiabilitiesBOYAmt
Total Liabilities EOY$165,028TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,017,409NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,045,037NetAssetsOrFundBalancesEOYAmt
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$2,088,023ExpenseAmt
Grant$0GrantAmt
Revenue$2,419,296RevenueAmt
DescHOME CARE AND HEALTH MAINTENANCE VISITS - DURING 2014, THE ORGANIZATION PROVIDED SERVICE TO 263 CLIENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$35,227ExpenseAmt
Grant$0GrantAmt
Revenue$11,766RevenueAmt
DescCAREGIVER TRAINING - TO PROVIDE INSTRUCTION TO IN-HOME CAREGIVERS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$2,123,250TotalProgramServiceExpensesAmt
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 Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee157EmployeeCnt
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 StockholdersYes (1)MembersOrStockholdersInd
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
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
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 Line1201 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
PAT SCHNEIDER
TREASURER1.00Yes (X)Yes (X)$0$0$0
LOIS BANGERT
SECRETARY1.00Yes (X)Yes (X)$0$0$0
CORALIE WILLIAMS
MEMBER1.00Yes (X)$0$0$0
NORM SPRAGUE
MEMBER1.00Yes (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$121,415CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOME CARE812900$2,419,296$2,419,296
CAREGIVER TRAINING611600$11,766$11,766
FieldValueIRS element (for citing)
Total Program Service Revenue$2,431,062TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,883TotalRevenueColumnAmt
Exclusion$7,883ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$208TotalRevenueColumnAmt
Exclusion$208ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$208OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,439,153TotalRevenueColumnAmt
Related Or Exempt Func Income$2,431,062RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,091ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,424,559TotalAmt
Program Services$1,255,816ProgramServicesAmt
Management And General$168,743ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$482,263TotalAmt
Program Services$425,138ProgramServicesAmt
Management And General$57,125ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$113,886TotalAmt
Program Services$100,396ProgramServicesAmt
Management And General$13,490ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$121,415TotalAmt
Program Services$107,033ProgramServicesAmt
Management And General$14,382ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,851TotalAmt
Program Services$2,513ProgramServicesAmt
Management And General$338ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,067TotalAmt
Program Services$32,676ProgramServicesAmt
Management And General$4,391ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,274TotalAmt
Program Services$7,294ProgramServicesAmt
Management And General$980ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,332TotalAmt
Program Services$4,700ProgramServicesAmt
Management And General$632ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$79,608TotalAmt
Program Services$70,178ProgramServicesAmt
Management And General$9,430ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$30,360TotalAmt
Program Services$26,763ProgramServicesAmt
Management And General$3,597ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$44,704TotalAmt
Program Services$39,409ProgramServicesAmt
Management And General$5,295ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,856TotalAmt
Program Services$14,859ProgramServicesAmt
Management And General$1,997ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$20,078TotalAmt
Program Services$17,700ProgramServicesAmt
Management And General$2,378ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$15,108$13,318$1,790
EQUIP REPAIRS & MAINT$4,085$3,601$484
MISCELLANEOUS$1,457$1,287$170
DUES AND SUBSCRIPTIONS$645$569$76

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,408,548TotalAmt
Program Services$2,123,250ProgramServicesAmt
Management And General$285,298ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$278,881BOYAmt
EOY$253,633EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$281,576BOYAmt
EOY$234,132EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,631BOYAmt
EOY$2,631EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$138,223LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$55,914LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$71,105BOYAmt
EOY$82,309EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$632,481BOYAmt
EOY$637,360EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,266,674BOYAmt
EOY$1,210,065EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$249,265BOYAmt
EOY$165,028EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$249,265BOYAmt
EOY$165,028EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,017,409BOYAmt
EOY$1,045,037EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,017,409BOYAmt
EOY$1,045,037EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,266,674BOYAmt
EOY$1,210,065EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$30,605ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,977NetUnrlzdGainsLossesInvstAmt
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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$5,000CurrentTaxYearMinus3YearsAmt
Total$5,000TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,526,224CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,532,587CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,528,510CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,379,963CurrentTaxYearMinus1YearAmt
Current Tax Year$2,431,062CurrentTaxYearAmt
Total$12,398,346TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,526,224CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,537,587CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,528,510CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,379,963CurrentTaxYearMinus1YearAmt
Current Tax Year$2,431,062CurrentTaxYearAmt
Total$12,403,346TotalAmt

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$12,403,346PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,645CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,414CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,887CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,098CurrentTaxYearMinus1YearAmt
Current Tax Year$7,883CurrentTaxYearAmt
Total$84,927TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,645CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,414CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,887CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,098CurrentTaxYearMinus1YearAmt
Current Tax Year$7,883CurrentTaxYearAmt
Total$84,927TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$54CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$59CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$222CurrentTaxYearMinus1YearAmt
Current Tax Year$208CurrentTaxYearAmt
Total$556TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,547,882CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,558,055CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,547,456CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,396,283CurrentTaxYearMinus1YearAmt
Current Tax Year$2,439,153CurrentTaxYearAmt
Total$12,488,829TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99320PublicSupportCY509Pct
Public Support PY5090.99200PublicSupportPY509Pct
Investment Income CY0.00680InvestmentIncomeCYPct
Investment Income PY0.00790InvestmentIncomePYPct
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
ExplanationMISCELLANEOUSExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$138,223OtherCostOrOtherBasisAmt
Depreciation$55,914DepreciationAmt
Book Value$82,309BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$82,309TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,436,176TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,977NetUnrealizedGainsInvstAmt
Revenue Not Reported-$2,977RevenueNotReportedAmt
Revenue Subtotal$2,439,153RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,439,153TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,408,548TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,408,548ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,408,548TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationPERSONAL SERVICE PROVIDERS IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION IS CLASSIFIED AS A PUBLIC CHARITY. ACCORDINGLY, THERE IS NO PROVISION FOR FEDERAL INCOME TAXES ON THE FINANCIAL STATEMENTS. THE ORGANIZATION FILES FEDERAL FORM 990, RETURN OF ORGANIZATION EXEMPTION FROM INCOME TAX, AND HAS ADOPTED NO POSITIONS THAT ARE NOT HIGHLY LIKELY TO BE SUSTAINED IF EXAMINED BY RELEVANT AUTHORITIES. TAX YEARS ENDING PRIOR TO 2011 ARE CLOSED TO EXAMINATION. THE ORGANIZATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 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 BUSINESS AND PROPERTY OF THE CORPORATION SHALL BE MANAGED BY A BOARD OF DIRECTORS CONSISTING OF NOT LESS THAN THREE AND NOT MORE THAN NINE DIRECTORS. THE TERM OF OFFICE OF EACH DIRECTOR SHALL BE FOR THREE YEARS OR UNTIL HIS/HER SUCCESSOR IS ELECTED. A DIRECTOR MAY SUCCEED HIMSELF/HERSELF IN OFFICE. THREE MEMBERS OF THE BOARD OF DIRECTORS SHALL CONSTITUTE A QUORUM.
FORM 990, PART VI, SECTION A, LINE 6MEMBERSHIP IN THE ORGANIZATION IS OPEN TO ANY MEMBER OF THE PUBLIC WHO AGREES TO PROMOTE THE PURPOSE OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11FORM 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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