BETA

PERSONAL SERVICE PROVIDERS: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
PERSONAL SERVICE PROVIDERS (EIN 91-1400684)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-07-30
IRS object ID
201412119349301261
Schema version
2013v3.0
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)
Return2014-07-30T17:43:09-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13000 NORTHUP WAY SUITE 200AddressLine1
CityBELLEVUECity
StateWAState
ZIP Code98004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911400684EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PERSONAL SERVICE PROVIDERSBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlPERSBusinessNameControlTxt
Phone3605381540PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 LEVEE STREETAddressLine1
CityHOQUIAMCity
StateWAState
ZIP Code98550ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRY FULTZPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3605381540PhoneNum
Signature2014-07-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDANIEL M FREINPreparerPersonNm
PTINP00856532PTIN
Phone4252506100PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerJOEL STEPHENSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 7TH STREETAddressLine1
CityHOQUIAMCity
StateWAState
ZIP Code98550ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$2,396,283GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PSPROVIDERS.ORGWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1987FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO PROVIDE HOME CARE TO INDIVIDUALS RECOVERING AND IN NEED OF LONG-TERM CARE.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee177TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$2,528,510PYProgramServiceRevenueAmt
CY Program Service Revenue$2,379,963CYProgramServiceRevenueAmt
PY Investment Income$18,887PYInvestmentIncomeAmt
CY Investment Income$13,304CYInvestmentIncomeAmt
PY Other Revenue$59PYOtherRevenueAmt
CY Other Revenue$222CYOtherRevenueAmt
PY Total Revenue$2,547,456PYTotalRevenueAmt
CY Total Revenue$2,393,489CYTotalRevenueAmt
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$2,271,585PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,121,698CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$176,247PYOtherExpensesAmt
CY Other Expenses$369,048CYOtherExpensesAmt
PY Total Expenses$2,447,832PYTotalExpensesAmt
CY Total Expenses$2,490,746CYTotalExpensesAmt
PY Revenues Less Expenses$99,624PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$97,257CYRevenuesLessExpensesAmt
Total Assets BOY$1,370,619TotalAssetsBOYAmt
Total Assets EOY$1,266,674TotalAssetsEOYAmt
Total Liabilities BOY$252,478TotalLiabilitiesBOYAmt
Total Liabilities EOY$249,265TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,118,141NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,017,409NetAssetsOrFundBalancesEOYAmt
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$2,053,458ExpenseAmt
Grant$0GrantAmt
Revenue$2,353,688RevenueAmt
DescHOME CARE AND HEALTH MAINTENANCE VISITS - DURING 2013, THE ORGANIZATION PROVIDED SERVICE TO 294 CLIENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$62,729ExpenseAmt
Grant$0GrantAmt
Revenue$26,275RevenueAmt
DescCAREGIVER TRAINING - TO PROVIDE INSTRUCTION TO IN-HOME CAREGIVERS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$2,116,187TotalProgramServiceExpensesAmt
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 Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee177EmployeeCnt
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
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 Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
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 MAYRBusinessNameLine1
FieldValueIRS element (for citing)
Phone3605325454PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 7TH STREETAddressLine1
CityHOQUIAMCity
StateWAState
ZIP Code98550ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 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
DELILA THORP
MEMBER1.00Yes (X)$0$0$0
JIM WREY
MEMBER1.00Yes (X)$0$0$0
JOEL STEPHENS
CEO10.00Yes (X)$0$0$0
CRAIG GOODWIN
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 & HOSPICEBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 7TH STREETAddressLine1
CityHOQUIAMCity
StateWAState
ZIP Code98550ZIPCode
FieldValueIRS element (for citing)
ServicesMANAGEMENT SERVICESServicesDesc
Compensation$112,912CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOME CARE812900$2,353,688$2,353,688
CAREGIVER TRAINING611600$26,275$26,275
FieldValueIRS element (for citing)
Total Program Service Revenue$2,379,963TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,098TotalRevenueColumnAmt
Exclusion$16,098ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,794OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$2,794OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,794TotalRevenueColumnAmt
Exclusion-$2,794ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$222TotalRevenueColumnAmt
Exclusion$222ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$222OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,393,489TotalRevenueColumnAmt
Related Or Exempt Func Income$2,379,963RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,526ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,582,304TotalAmt
Program Services$1,344,357ProgramServicesAmt
Management And General$237,947ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$380,979TotalAmt
Program Services$323,687ProgramServicesAmt
Management And General$57,292ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$158,415TotalAmt
Program Services$134,593ProgramServicesAmt
Management And General$23,822ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$112,912TotalAmt
Program Services$95,932ProgramServicesAmt
Management And General$16,980ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,257TotalAmt
Program Services$6,166ProgramServicesAmt
Management And General$1,091ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$31,948TotalAmt
Program Services$27,144ProgramServicesAmt
Management And General$4,804ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,550TotalAmt
Program Services$5,565ProgramServicesAmt
Management And General$985ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,682TotalAmt
Program Services$5,677ProgramServicesAmt
Management And General$1,005ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$71,092TotalAmt
Program Services$60,401ProgramServicesAmt
Management And General$10,691ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$30,366TotalAmt
Program Services$25,800ProgramServicesAmt
Management And General$4,566ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,431TotalAmt
Program Services$24,156ProgramServicesAmt
Management And General$4,275ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,216TotalAmt
Program Services$13,777ProgramServicesAmt
Management And General$2,439ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,071TotalAmt
Program Services$15,353ProgramServicesAmt
Management And General$2,718ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$24,987$21,229$3,758
EQUIP REPAIRS & MAINT$7,309$6,210$1,099
MISCELLANEOUS$4,915$4,176$739
DUES AND SUBSCRIPTIONS$2,312$1,964$348

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,490,746TotalAmt
Program Services$2,116,187ProgramServicesAmt
Management And General$374,559ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$50BOYAmt
EOY$278,881EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$429,110BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$244,632BOYAmt
EOY$281,576EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$20,326BOYAmt
EOY$2,631EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$120,379LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$49,274LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$68,984BOYAmt
EOY$71,105EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$607,517BOYAmt
EOY$632,481EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,370,619BOYAmt
EOY$1,266,674EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$252,478BOYAmt
EOY$249,265EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$252,478BOYAmt
EOY$249,265EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,118,141BOYAmt
EOY$1,017,409EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,118,141BOYAmt
EOY$1,017,409EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,370,619BOYAmt
EOY$1,266,674EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$97,257ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,475NetUnrlzdGainsLossesInvstAmt
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 Minus2 Years$5,000CurrentTaxYearMinus2YearsAmt
Total$5,000TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,588,796CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,526,224CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,532,587CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,528,510CurrentTaxYearMinus1YearAmt
Current Tax Year$2,379,963CurrentTaxYearAmt
Total$12,556,080TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,588,796CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,526,224CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,537,587CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,528,510CurrentTaxYearMinus1YearAmt
Current Tax Year$2,379,963CurrentTaxYearAmt
Total$12,561,080TotalAmt

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$12,561,080PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,202CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,645CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,414CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,887CurrentTaxYearMinus1YearAmt
Current Tax Year$16,098CurrentTaxYearAmt
Total$100,246TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,202CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,645CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,414CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,887CurrentTaxYearMinus1YearAmt
Current Tax Year$16,098CurrentTaxYearAmt
Total$100,246TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$383CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$59CurrentTaxYearMinus1YearAmt
Current Tax Year$222CurrentTaxYearAmt
Total$731TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,612,381CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,547,882CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,558,055CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,547,456CurrentTaxYearMinus1YearAmt
Current Tax Year$2,396,283CurrentTaxYearAmt
Total$12,662,057TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99200PublicSupportCY509Pct
Public Support PY5090.99150PublicSupportPY509Pct
Investment Income CY0.00790InvestmentIncomeCYPct
Investment Income PY0.00970InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

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

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$103,866OtherCostOrOtherBasisAmt
Depreciation$49,274DepreciationAmt
Book Value$54,592BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,513OtherCostOrOtherBasisAmt
Book Value$16,513BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$71,105TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,392,808TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$3,475NetUnrealizedGainsInvstAmt
Revenue Not Reported-$3,475RevenueNotReportedAmt
Revenue Subtotal$2,396,283RevenueSubtotalAmt
Other Revenues Not Included-$2,794OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$2,794RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,393,489TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,490,746TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,490,746ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,490,746TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:PERSONAL 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 2010 ARE CLOSED TO EXAMINATION. THE ORGANIZATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT -2,794.

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 6MEMBERSHIP IN THE ORGANIZATION IS OPEN TO ANY MEMBER OF THE PUBLIC WHO AGREES TO PROMOTE THE PURPOSES 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 EITHER THE BOARD PRESIDENT OR BOARD TREASURER.
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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