ADULT CARE SERVICES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ADULT CARE SERVICES INC (EIN 86-0938851)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-01-24
- IRS object ID
- 202340249349301004
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-01-24T10:44:20-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 464652261 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SC AUDIT & ACCOUNTING SOLUTIONS LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1565 PLAZA WEST DR | AddressLine1Txt |
| City | Prescott | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86303 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860938851 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADULT CARE SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ADUL | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 844 SUNSET AVENUE | AddressLine1Txt |
| City | PRESCOTT | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86305 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | YVONNE NAPOLITANO | PersonNm |
| Person Title | EXECUTIVE DIREC | PersonTitleTxt |
| Phone | 9287712335 | PhoneNum |
| Signature | 2023-01-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | YVONNE | PersonFirstNm |
| Person Last | NAPOLITANO | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | C Stephen Crandall CPA | PreparerPersonNm |
| PTIN | P01762116 | PTIN |
| Phone | 9287786760 | PhoneNum |
| Preparation | 2023-01-24 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| OOB Security Verification | 00 | OOBSecurityVerificationCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-03-07 01:45:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | YVONNE NAPOLITANO | PrincipalOfficerNm |
| Gross Receipts | $306,074 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ADULTCARESERVICES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE MANAGEMENT SUPPORT FOR RELATED NON-PROFIT ORGANIZATIONS WHICH PROVIDE RESIDENTIAL MEMORY CARE, EDUCATIONAL AND ADULT DAY SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 115 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $497,765 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,540 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $306,000 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $282,000 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,674 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,461 | CYInvestmentIncomeAmt |
| PY Other Revenue | $46 | PYOtherRevenueAmt |
| CY Other Revenue | $73 | CYOtherRevenueAmt |
| PY Total Revenue | $810,485 | PYTotalRevenueAmt |
| CY Total Revenue | $306,074 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $288,851 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $312,790 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $300,456 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $119,885 | PYOtherExpensesAmt |
| CY Other Expenses | $94,800 | CYOtherExpensesAmt |
| PY Total Expenses | $721,526 | PYTotalExpensesAmt |
| CY Total Expenses | $395,256 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $88,959 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$89,182 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $976,730 | TotalAssetsBOYAmt |
| Total Assets EOY | $828,316 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $33,386 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,294 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $943,344 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $816,022 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE MANAGEMENT SUPPORT FOR RELATED NON-PROFIT ORGANIZATIONS WHICH PROVIDE RESIDENTIAL MEMORY CARE, EDUCATIONAL AND ADULT DAY SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $340,968 | ExpenseAmt |
| Revenue | $282,000 | RevenueAmt |
| Desc | PERFORMED MANAGEMENT SERVICES FOR ADULT DAY CARE SERVICES, INC. AND ADULT RESIDENTIALCARE SERVICES, INC., BOTH 501(C)(3) ORGANIZATIONS. | Desc |
| Total Program Service Expenses | $340,968 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 115 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | YVONNE NAPOLITANO | PersonNm |
| Phone | 9287712335 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 844 SUNSET AVENUE | AddressLine1Txt |
| City | PRESCOTT | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86305 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| YVONNE NAPOLITANO | |||||||
| PRESIDENT & ED | 20.00 | 20.00 | Yes (X) | $127,467 | $0 | $0 | |
| MICHAEL WHITE | |||||||
| BOARD MEMBER | 0.50 | 1.00 | $0 | $0 | $0 | Yes (X) | |
| SUSAN DRYSDALE | |||||||
| BOARD MEMBER | 0.50 | 1.00 | $0 | $0 | $0 | Yes (X) | |
| LISA REYES | |||||||
| BOARD MEMBER | 0.50 | 1.00 | $0 | $0 | $0 | Yes (X) | |
| BOB BEYEA | |||||||
| CHAIRMAN | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| LYNNN HARRIS | |||||||
| VICE CHAIRMAN | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MICHAEL GEBOY | |||||||
| SECRETARY | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $127,467 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $8,540 | AllOtherContributionsAmt |
| Noncash Contributions | $60 | NoncashContributionsAmt |
| Total Contributions | $8,540 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MANAGEMENT FEES | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $282,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $282,000 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $282,000 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,461 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,461 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $73 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $73 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $306,074 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $297,534 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,467 | TotalAmt |
| Program Services | $127,467 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,300 | TotalAmt |
| Program Services | $100,300 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,526 | TotalAmt |
| Program Services | $6,526 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,099 | TotalAmt |
| Program Services | $48,099 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,064 | TotalAmt |
| Program Services | $18,064 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $583 | TotalAmt |
| Management And General | $583 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,283 | TotalAmt |
| Management And General | $6,283 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,651 | TotalAmt |
| Management And General | $25,651 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,403 | TotalAmt |
| Program Services | $9,403 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34 | TotalAmt |
| Management And General | $34 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137 | TotalAmt |
| Program Services | $137 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,481 | TotalAmt |
| Program Services | $3,481 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,589 | TotalAmt |
| Program Services | $15,589 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| REPAIRS AND MAINTENANCE | $11,229 | $11,229 | |
| COMMUNICATIONS | $7,279 | $7,279 | |
| EMPLOYEE TRAINING | $2,826 | $2,826 | |
| SUPPLIES | $5,460 | $5,460 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,845 | TotalAmt |
| Program Services | $3,616 | ProgramServicesAmt |
| Management And General | $3,229 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,256 | TotalAmt |
| Program Services | $340,968 | ProgramServicesAmt |
| Management And General | $54,288 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,013 | BOYAmt |
| EOY | $418,817 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,997 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,018 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $173,960 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $70,983 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,807 | BOYAmt |
| EOY | $102,977 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,913 | BOYAmt |
| EOY | $304,504 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $976,730 | BOYAmt |
| EOY | $828,316 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,386 | BOYAmt |
| EOY | $12,294 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,386 | BOYAmt |
| EOY | $12,294 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $663,820 | BOYAmt |
| EOY | $559,348 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $279,524 | BOYAmt |
| EOY | $256,674 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $943,344 | BOYAmt |
| EOY | $816,022 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $976,730 | BOYAmt |
| EOY | $828,316 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$89,182 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$36,561 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | -$1,579 | InvestmentExpenseAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 2 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (2 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| ADULT DAY CARE SERVICES | ||||
| 742425293 | 10 | Yes (true) | $0 | $144,000 |
| ADULT RESIDENTIAL CARE SERVICE | ||||
| 860862303 | 10 | Yes (true) | $0 | $138,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 2 | SupportedOrganizationsTotalCnt |
| Other Support Sum | $282,000 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (true) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (true) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (true) | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (true) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (true) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Have a significant voice Part IV Sect D line 3 | ADULT CARE SERVICES (THE SUPPORTING ORGANIZATION) SHARES A BOARD OF DIRECTORS WITH THE 2 SUPPORTED ORGANIZATIONS. THEREFORE, THE BOARD THAT MANAGES THE SUPPORTED ORGANIZATIONS HAS A SIGNIFICANT VOICE IN THE SUPPORTING ORGANIZATIONS INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE SUPPORTING ORGANIZATIONS INCOME AND ASSETS AT ALL TIMES DURING THE YEAR. |
| Power to regularly appoint or elect Part IV Sect E line 3a | ADULT CARE SERVICES (THE SUPPORTING ORGANIZATION) SHARES A BOARD OF DIRECTORS WITH THE 2 SUPPORTED ORGANIZATIONS. THEREFORE, THE BOARD THAT MANAGES THE SUPPORTING ORGANIZATION HAS THE POWER TO REGULARLY APPOINT OR ELECT A MAJORITY OF THE OFFICERS OF EACH SUPPORTED ORGANIZATION. |
| Substantial degree of direction Part IV Sect E line 3b | ADULT CARE SERVICES (THE SUPPORTING ORGANIZATION) SHARES A BOARD OF DIRECTORS WITH THE 2 SUPPORTED ORGANIZATIONS AND PROVIDES MANAGEMENT SERVICES, INCLUDING ALL ACCOUNTING, PAYROLL, AND HUMAN RESOURCE FUNCTIONS, FOR BOTH SUPPORTED ORGANIZATIONS. THE BOARD THAT MANAGES THE SUPPORTING ORGANIZATION HAS THE POWER TO EXERCISE A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF THE SUPPORTED ORGANIZATIONS. IN ADDITION, THE EXECUTIVE DIRECTOR OF THE SUPPORTING ORGANIZATION ALSO SERVES AS THE DIRECTOR OF ONE OF THE SUPPORTED ORGANIZATIONS AND WORKS CLOSELY WITH THE DIRECTOR OF THE OTHER SUPPORTED ORGANIZATION. |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $279,524 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$21,445 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,405 | AdministrativeExpensesAmt |
| End Year Balance | $256,674 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $334,211 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $57,714 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $110,886 | OtherExpendituresAmt |
| Administrative Expenses | $1,515 | AdministrativeExpensesAmt |
| End Year Balance | $279,524 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $322,049 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $23,833 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $9,357 | OtherExpendituresAmt |
| Administrative Expenses | $2,314 | AdministrativeExpensesAmt |
| End Year Balance | $334,211 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $310,109 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $22,458 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $10,428 | OtherExpendituresAmt |
| End Year Balance | $322,139 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $302,969 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17,351 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $10,211 | OtherExpendituresAmt |
| End Year Balance | $310,109 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.38970 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.61030 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $82,104 | InvestmentCostOrOtherBasisAmt |
| Book Value | $82,104 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $11,079 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $4,667 | DepreciationAmt |
| Book Value | $6,412 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $17,652 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $7,429 | DepreciationAmt |
| Book Value | $10,223 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $19,077 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $19,077 | DepreciationAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $44,048 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $39,810 | DepreciationAmt |
| Book Value | $4,238 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $102,977 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $271,092 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$36,561 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$36,561 | RevenueNotReportedAmt |
| Revenue Subtotal | $307,653 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | -$1,579 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | -$1,579 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $306,074 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $395,256 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $395,256 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $395,256 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | BOARD MEMBERS REVIEW FORM 990 DURING NEXT BOARD MEETING FOLLOWING COMPLETION. |
| Conflict of interest policy compliance Part VI line 12c | BOARD MEMBERS SIGN OFF ON CONFLICT OF INTEREST POLICY EACH YEAR. |
| CEO executive director top management comp Part VI line 15a | BOARD OF DIRECTORS RESEARCHED COMPARABLE EXECUTIVE DIRECTOR WAGES AND USED RESULTS TO DETERMINE REASONABLENESS OF EXECUTIVE DIRECTORS COMPENSATION. |
| Governing documents etc available to public Part VI line 19 | AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ADULT DAY CARE SERVICES INC | ||||||||||
| 844 SUNSET AVE | PRESCOTT | AZ | 86305 | 742425293 | ADULT DAY HEALTH SERVICES | AZ | 501C3 | 10 | N/A | false |
| ADULT RESIDENTIAL CARE SERVICES INC | ||||||||||
| 844 SUNSET AVE | PRESCOTT | AZ | 86305 | 860862303 | ASSISTED LIVING FACILITY | AZ | 501C3 | 10 | N/A | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ADULT DAY CARE SERVICES INC | ||
| L | $144,000 | RECEIPTS |
| ADULT DAY CARE SERVICES INC | ||
| O | $438,621 | PAYROLL |
| ADULT RESIDENTIAL CARE SERVICES | ||
| B | $1,934,767 | PAYROLL |
| ADULT RESIDENTIAL CARE SERVICES | ||
| L | $138,000 | RECEIPTS |
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