Form 990, Part VI, Section A, Line 3
“The organization compensated harbors home health & hospice, an unrelated 501(c)(3) organization, to provide management services through may 2018.”
990 • Fiscal year 2018 • EIN 91-1400684
Scores are not available for this record yet.
Assets
Flat$0
Flat from 2018
Net Assets
Flat$0
Flat from 2018
Liabilities
Flat$0
Flat from 2018
Revenue
Flat$382,439
Flat from 2018
Expenses
Flat$709,252
Flat from 2018
Net Income
Flat-$326,813
Flat from 2018
To provide home care (domestic, personal and respite) to individuals recovering from illness or injury and in need of long-term care.
To provide home care to individuals recovering and in need of long-term care.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $213,354 | - | - |
| Accounts Receivable | $152,691 | - | - |
| Cash and Non-Interest-Bearing Accounts | $89,197 | - | - |
| Land, Buildings, and Equipment, Net | $5,330 | - | - |
| Total Assets | $460,572 | $0 | ▼ $460,572 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $132,770 | - | - |
| Total Liabilities | $132,770 | $0 | ▼ $132,770 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $327,802 | $0 | ▼ $327,802 |
| Total Net Assets Fund Balance | $327,802 | $0 | ▼ $327,802 |
| Total Liabilities and Net Assets / Fund Balance | $460,572 | $0 | ▼ $460,572 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Larry Burgher | Executive Director (through May 2018) | FT | $24,753 | $4,903 | $29,656 |
| Name | Title |
|---|---|
| Terry Fultz | President |
| Norm Sprague | Vice President & Treasurer |
| Jamie Graves | Director |
| Jerry Keltner | Director (through July 2018) |
| Tom Mayr | CFO |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $501,096 |
| Other Expenses | $165,640 |
| Grants and Similar Amounts Paid | $42,516 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $286,358 | $42,277 | - | $328,635 |
| Other Employee Benefits | $95,448 | $17,439 | - | $112,887 |
| Grants to Domestic Orgs | $42,516 | - | - | $42,516 |
| Occupancy | $33,571 | $7,857 | - | $41,428 |
| Payroll Taxes | $24,243 | $5,675 | - | $29,918 |
| Current Officers, Directors, Trustees, and Key Employees | - | $29,656 | - | $29,656 |
| Fees for Services Accounting | $20,975 | $4,910 | - | $25,885 |
| Travel | $19,480 | $4,560 | - | $24,040 |
| Insurance | $17,474 | $4,090 | - | $21,564 |
| Fees for Services Management | $15,194 | $3,556 | - | $18,750 |
| Office Expenses | $14,974 | $3,505 | - | $18,479 |
| Advertising | $5,775 | $1,352 | - | $7,127 |
| Depreciation Depletion | $1,785 | $418 | - | $2,203 |
| Information Technology | $1,433 | $336 | - | $1,769 |
| Other Expenses | $1,966 | $919 | - | $919 |
| Conferences and Meetings | $556 | $130 | - | $686 |
| Fees for Services Legal | $294 | $69 | - | $363 |
| Total Functional Expenses | $582,042 | $127,210 | $0 | $709,252 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $709,252 |
| Total Expenses per Audited Statements | $709,252 |
| Total Expenses per Form 990 | $709,252 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Harbors Home Health and Hospice | Hoquiam, WA | 501(c)(3) | Transfer of Assets Upon Dissolution | $38,442 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“The organization compensated harbors home health & hospice, an unrelated 501(c)(3) organization, to provide management services through may 2018.”
“Personal service providers filed articles of dissolution with the washington secretary of state as of december 31, 2018.”
“Form 990 was prepared by a certified public accounting firm and reviewed by the financial manager, then distributed to the board prior to filing.”
“The 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.”
“The services of the cfo are provided as part of the management contract with harbors home health & hospice. His compensation is determined by harbors home health & hospice.”
“The 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.”
“In april 2018, personal service providers ceased operations. In december 2018, personal service providers was dissolved.”
“Personal 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.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/Desc | 0 | HOME CARE AND HEALTH MAINTENANCE VISITS WERE CONDUCTED THROUGH APRIL 2018, AT WHICH POINT ALL ACTIVITIES WERE CEASED. THE ORGANIZATION WAS LEGALLY DISSOLVED IN DECEMBER 2018. |
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| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 380707 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 1529918 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 1456051 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1933739 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 2431062 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 7731477 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 382318 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 1536620 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 1464694 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 1944386 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 2439153 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 7767171 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 709252 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/NetUnrealizedGainsInvstAmt | 0 | -989 |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | -989 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 382439 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | PERSONAL 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. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 0 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 709252 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 382439 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 381450 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 709252 |
| IRS990ScheduleI/GrantRecordsMaintainedInd | 0 | 1 |
| IRS990ScheduleI/RecipientTable/CashGrantAmt | 0 | 38442 |
| IRS990ScheduleI/RecipientTable/IRCSectionDesc | 0 | 501(C)(3) |
| IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt | 0 | 4074 |
| IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc | 0 | ACCOUNTS RECEIVABLE |
| IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt | 0 | TRANSFER OF ASSETS UPON DISSOLUTION |
| IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt | 0 | HARBORS HOME HEALTH AND HOSPICE |
| IRS990ScheduleI/RecipientTable/RecipientEIN | 0 | 911143445 |
| IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt | 0 | 201 7TH STREET |
| IRS990ScheduleI/RecipientTable/USAddress/CityNm | 0 | HOQUIAM |
| IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd | 0 | WA |
| IRS990ScheduleI/RecipientTable/USAddress/ZIPCd | 0 | 98550 |
| IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc | 0 | BOOK VALUE |
| IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt | 0 | THE ONLY GRANT WAS A TRANSFER OF THE ORGANIZATION'S REMAINING ASSETS UPON DISSOLUTION, AFTER SETTLING LIABILITIES. THE SAME INDIVIDUAL SERVES AS CFO OF BOTH ORGANIZATIONS, ENSURING THAT ALL ASSETS ARE USED FOR APPROPRIATE PURPOSES. |
| IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 2: |
| IRS990ScheduleI/Total501c3OrgCnt | 0 | 1 |
| IRS990ScheduleI/TotalOtherOrgCnt | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 0 |
| IRS990ScheduleN/AssetsDistributedInd | 0 | 1 |
| IRS990ScheduleN/AttorneyGeneralNotifiedInd | 0 | 1 |
| IRS990ScheduleN/BondsOutstandingInd | 0 | 0 |
| IRS990ScheduleN/DirectorOfSuccessorInd | 0 | 1 |
| IRS990ScheduleN/EmployeeOfSuccessorInd | 0 | 1 |
| IRS990ScheduleN/LiabilitiesPaidInd | 0 | 1 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc | 0 | CASH |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc | 1 | ACCOUNTS RECEIVABLE |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt | 0 | HARBORS HOME HEALTH & HOSPICE |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt | 1 | HARBORS HOME HEALTH & HOSPICE |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt | 0 | 2018-12-31 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt | 1 | 2018-12-31 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN | 0 | 911143445 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN | 1 | 911143445 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt | 0 | 38442 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt | 1 | 4074 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt | 0 | 501(C)(3) |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt | 1 | 501(C)(3) |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt | 0 | BOOK VALUE |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt | 1 | BOOK VALUE |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt | 0 | 201 7TH STREET |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt | 1 | 201 7TH STREET |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm | 0 | HOQUIAM |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm | 1 | HOQUIAM |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd | 0 | WA |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd | 1 | WA |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd | 0 | 98550 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd | 1 | 98550 |
| IRS990ScheduleN/OwnerOfSuccessorInd | 0 | 0 |
| IRS990ScheduleN/ReceiveCompensationInd | 0 | 0 |
| IRS990ScheduleN/RequiredToNotifyAGInd | 0 | 1 |
| IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt | 0 | EXPLANATION OF INVOLVEMENT: NORM SPRAGUE, A BOARD MEMBER, ALSO SERVES ON THE BOARD OF DIRECTORS OF HARBORS HOME HEALTH & HOSPICE. TOM MAYR, THE CFO, ALSO SERVES AS THE CFO OF HARBORS HOME HEALTH & HOSPICE. |
| IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 2E: |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | IN APRIL 2018, PERSONAL SERVICE PROVIDERS CEASED OPERATIONS. IN DECEMBER 2018, PERSONAL SERVICE PROVIDERS WAS DISSOLVED. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | THE ORGANIZATION COMPENSATED HARBORS HOME HEALTH & HOSPICE, AN UNRELATED 501(C)(3) ORGANIZATION, TO PROVIDE MANAGEMENT SERVICES THROUGH MAY 2018. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | PERSONAL SERVICE PROVIDERS FILED ARTICLES OF DISSOLUTION WITH THE WASHINGTON SECRETARY OF STATE AS OF DECEMBER 31, 2018. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | FORM 990 WAS PREPARED BY A CERTIFIED PUBLIC ACCOUNTING FIRM AND REVIEWED BY THE FINANCIAL MANAGER, THEN DISTRIBUTED TO THE BOARD PRIOR TO FILING. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | THE 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. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | THE SERVICES OF THE CFO ARE PROVIDED AS PART OF THE MANAGEMENT CONTRACT WITH HARBORS HOME HEALTH & HOSPICE. HIS COMPENSATION IS DETERMINED BY HARBORS HOME HEALTH & HOSPICE. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | THE 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. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART III, LINE 3 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION A, LINE 3 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION A, LINE 4 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION B, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART VI, SECTION B, LINE 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990/SchoolOperatingInd | 0 | 0 |
| IRS990/SignificantChangeInd | 0 | 1 |
| IRS990/SignificantNewProgramSrvcInd | 0 | 0 |
| IRS990/SubjectToExcsTaxNetInvstIncInd | 0 | 0 |
| IRS990/SubjectToProxyTaxInd | 0 | 0 |
| IRS990/SubjToTaxRmnrtnExPrchtPymtInd | 0 | 0 |
| IRS990/TaxablePartyNotificationInd | 0 | 0 |
| IRS990/TaxExemptBondsInd | 0 | 0 |
| IRS990/TempOrPermanentEndowmentsInd | 0 | 0 |
| IRS990/TerminateOperationsInd | 0 | 1 |
| IRS990/TotalAssetsBOYAmt | 0 | 460572 |
| IRS990/TotalAssetsEOYAmt | 0 | 0 |
| IRS990/TotalAssetsGrp/BOYAmt | 0 | 460572 |
| IRS990/TotalAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/TotalCompGreaterThan150KInd | 0 | 0 |
| IRS990/TotalEmployeeCnt | 0 | 70 |
| IRS990/TotalFunctionalExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt | 0 | 127210 |
| IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt | 0 | 582042 |
| IRS990/TotalFunctionalExpensesGrp/TotalAmt | 0 | 709252 |
| IRS990/TotalGrossUBIAmt | 0 | 0 |
| IRS990/TotalLiabilitiesBOYAmt | 0 | 132770 |
| IRS990/TotalLiabilitiesEOYAmt | 0 | 0 |
| IRS990/TotalLiabilitiesGrp/BOYAmt | 0 | 132770 |
| IRS990/TotalLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt | 0 | 327802 |
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Displayed year
2018 • Form 990Detailed filing. Detailed filing data is available for this year.