ADULT CARE SERVICES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ADULT CARE SERVICES INC (EIN 86-0938851)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-04-29
IRS object ID
202241199349300929
Schema version
2020v4.0
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)
Return2022-04-29T16:43:26-07:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN261390040PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SLATER & RUTHERFORD PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12086 WILLOW CREEK RDAddressLine1Txt
CityPRESCOTTCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86301ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN860938851EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Adult Care Services IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlADULBusinessNameControlTxt
Phone9287712335PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1844 Sunset AveAddressLine1Txt
CityPrescottCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86305ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonYvonne NapolitanoPersonNm
Person TitleExecutive DirecPersonTitleTxt
Signature2022-04-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstYvonnePersonFirstNm
Person LastNapolitanoPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAdam Rutherford CPAPreparerPersonNm
PTINP01074806PTIN
Phone9287780079PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerYvonne NapolitanoPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1844 Sunset AveAddressLine1Txt
CityPrescottCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86305ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$819,123GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.adultcareservices.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionProvide management support for related non-profit organizations which provide residential memory care, educational and adult day services.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee127TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$68PYContributionsGrantsAmt
CY Contributions Grants$497,765CYContributionsGrantsAmt
PY Program Service Revenue$351,000PYProgramServiceRevenueAmt
CY Program Service Revenue$306,000CYProgramServiceRevenueAmt
PY Investment Income$21,209PYInvestmentIncomeAmt
CY Investment Income$6,674CYInvestmentIncomeAmt
CY Other Revenue$46CYOtherRevenueAmt
PY Total Revenue$372,277PYTotalRevenueAmt
CY Total Revenue$810,485CYTotalRevenueAmt
CY Grants And Similar Paid$288,851CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$303,503PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$312,790CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$8,373CYTotalFundraisingExpenseAmt
PY Other Expenses$120,265PYOtherExpensesAmt
CY Other Expenses$119,885CYOtherExpensesAmt
PY Total Expenses$423,768PYTotalExpensesAmt
CY Total Expenses$721,526CYTotalExpensesAmt
PY Revenues Less Expenses-$51,491PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$88,959CYRevenuesLessExpensesAmt
Total Assets BOY$1,783,042TotalAssetsBOYAmt
Total Assets EOY$976,730TotalAssetsEOYAmt
Total Liabilities BOY$525,833TotalLiabilitiesBOYAmt
Total Liabilities EOY$33,386TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,257,209NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$943,344NetAssetsOrFundBalancesEOYAmt
MissionQuality Care. Quality Service. Quality of Life.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$635,439ExpenseAmt
Revenue$306,000RevenueAmt
DescPerformed management services for Adult Day Care Services, Inc. and Adult Residential Care Services, Inc., both 501(c)(3) organizations.Desc
Total Program Service Expenses$635,439TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee127EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonYvonne NapolitanoPersonNm
Phone9287712335PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1844 Sunset AveAddressLine1Txt
CityPrescottCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86305ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Yvonne Napolitano
President & ED20.0021.00Yes (X)$128,480$0$0
Bob Beyea
Chairman1.002.00Yes (X)$0$0$0Yes (X)
Elizabeth Harris
Director1.002.00$0$0$0Yes (X)
Michael Geboy
Secretary1.002.00Yes (X)$0$0$0Yes (X)
Michael White
Director1.002.00$0$0$0Yes (X)
Lisa Reyes
Director1.002.00$0$0$0Yes (X)
Lynn Harris
Vice Chairman1.002.00Yes (X)$0$0$0Yes (X)
Dr Susan Drysdale
Director1.002.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$128,480TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$497,400GovernmentGrantsAmt
All Other Contributions$365AllOtherContributionsAmt
Total Contributions$497,765TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescManagement FeesDesc
Business561000BusinessCd
Total Revenue Column$306,000TotalRevenueColumnAmt
Related Or Exempt Func Income$306,000RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$306,000TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,891TotalRevenueColumnAmt
Related Or Exempt Func Income$10,891RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$4,421OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$8,638OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$4,217OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,217TotalRevenueColumnAmt
Related Or Exempt Func Income-$4,217RelatedOrExemptFuncIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther RevenueDesc
Business900099BusinessCd
Total Revenue Column$46TotalRevenueColumnAmt
Related Or Exempt Func Income$46RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$46OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$810,485TotalRevenueColumnAmt
Related Or Exempt Func Income$312,720RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$288,851TotalAmt
Program Services$288,851ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$65,925TotalAmt
Program Services$62,786ProgramServicesAmt
Fundraising$3,139FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$173,831TotalAmt
Program Services$173,831ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,240TotalAmt
Program Services$7,145ProgramServicesAmt
Fundraising$95FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$48,323TotalAmt
Program Services$47,690ProgramServicesAmt
Fundraising$633FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,471TotalAmt
Program Services$17,242ProgramServicesAmt
Fundraising$229FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$17,899TotalAmt
Management And General$17,899ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,150TotalAmt
Management And General$17,150ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,371TotalAmt
Program Services$10,443ProgramServicesAmt
Management And General$19,589ManagementAndGeneralAmt
Fundraising$3,339FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,322TotalAmt
Program Services$10,116ProgramServicesAmt
Fundraising$206FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,005TotalAmt
Management And General$2,945ManagementAndGeneralAmt
Fundraising$60FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$57TotalAmt
Management And General$57ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,495TotalAmt
Program Services$1,495ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,106TotalAmt
Program Services$5,004ProgramServicesAmt
Fundraising$102FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,473TotalAmt
Program Services$7,324ProgramServicesAmt
Fundraising$149FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmtProgram ServicesProgramServicesAmt
Repairs & maintenance$7,786$7,630$156
Telecommunications$6,887$6,749$138
Supplies$3,962$3,883$79
Education & Community Outreach$2,329$2,329

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,043TotalAmt
Program Services$1,183ProgramServicesAmt
Management And General$1,812ManagementAndGeneralAmt
Fundraising$48FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$721,526TotalAmt
Program Services$635,439ProgramServicesAmt
Management And General$77,714ManagementAndGeneralAmt
Fundraising$8,373FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$830,591BOYAmt
EOY$219,013EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$333,279BOYAmt
EOY$327,997EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$61,535BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$169,309LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$67,502LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$108,406BOYAmt
EOY$101,807EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$449,231BOYAmt
EOY$327,913EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,783,042BOYAmt
EOY$976,730EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$28,433BOYAmt
EOY$33,386EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$497,400BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$525,833BOYAmt
EOY$33,386EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,022,999BOYAmt
EOY$663,820EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$234,210BOYAmt
EOY$279,524EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,257,209BOYAmt
EOY$943,344EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,783,042BOYAmt
EOY$976,730EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$88,959ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$65,026NetUnrlzdGainsLossesInvstAmt
Investment Expense-$1,844InvestmentExpenseAmt
Other Changes In Net Assets-$466,006OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations2SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
Adult Day Care Services
74242529310Yes (true)$0$72,000
Adult Residential Care Services
86086230310Yes (true)$0$234,000
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Other Support Sum$306,000OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (true)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (true)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (true)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Activities TestYes (X)ActivitiesTestInd
Parent Supported OrgYes (X)ParentSupportedOrgInd
Activities Further Exempt PrpsYes (true)ActivitiesFurtherExemptPrpsInd
Activities Engaged Org InvlmntYes (true)ActivitiesEngagedOrgInvlmntInd
Appoint Elect Majority OfficerYes (true)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (true)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Section D, Line 3: Role The Organization's Supported Orgs. PlayedAdult 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.
Part IV, Section E, Line 2a: Identify Supported Orgs. and Explain How Activities Furthered Exempt PuAdult Care Services (the supporting organization) provides management services, including all accounting, payroll, and human resource functions, for both supported organizations. ACS is responsible for hiring all employees for both supported organizations. As both supported organizations are service-oriented organizations that provide services for adults with special needs, especially dementias, having qualified employees directly furthers the exempt-purposes of the supported organizations.
Part IV, Section E, Line 2b: Reasons For The Organization's PositionAdult Care Services (the supporting organization) provides management services, including all accounting, payroll, and human resource functions, for both supported organizations. ACS is responsible for hiring all employees for both supported organizations. If ACS did not provide these fundamental management services, the supported organizations would have to provide the services for themselves.
Part IV, Section E, Line 3a: Organization Has Power to Appoint Or Elect Governing PersonsAdult 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.
Part IV, Section E, Line 3b: Role Played in Management of Policies, Programs, & ActivitiesAdult 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

FieldValueIRS element (for citing)
Beginning Year Balance$334,211BeginningYearBalanceAmt
Investment Earnings Or Losses$57,714InvestmentEarningsOrLossesAmt
Other Expenditures$110,886OtherExpendituresAmt
Administrative Expenses$1,515AdministrativeExpensesAmt
End Year Balance$279,524EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$322,049BeginningYearBalanceAmt
Investment Earnings Or Losses$23,833InvestmentEarningsOrLossesAmt
Other Expenditures$9,357OtherExpendituresAmt
Administrative Expenses$2,314AdministrativeExpensesAmt
End Year Balance$334,211EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$310,109BeginningYearBalanceAmt
Investment Earnings Or Losses$22,458InvestmentEarningsOrLossesAmt
Other Expenditures$10,428OtherExpendituresAmt
End Year Balance$322,139EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$302,969BeginningYearBalanceAmt
Investment Earnings Or Losses$17,351InvestmentEarningsOrLossesAmt
Other Expenditures$10,211OtherExpendituresAmt
End Year Balance$310,109EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$287,087BeginningYearBalanceAmt
Investment Earnings Or Losses$31,157InvestmentEarningsOrLossesAmt
Other Expenditures$15,275OtherExpendituresAmt
End Year Balance$302,969EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.36000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.64000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$82,104OtherCostOrOtherBasisAmt
Book Value$82,104BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,079OtherCostOrOtherBasisAmt
Depreciation$3,500DepreciationAmt
Book Value$7,579BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,652OtherCostOrOtherBasisAmt
Depreciation$5,528DepreciationAmt
Book Value$12,124BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,077OtherCostOrOtherBasisAmt
Depreciation$19,077DepreciationAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,397OtherCostOrOtherBasisAmt
Depreciation$39,397DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$101,807TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$411,349TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$65,026NetUnrealizedGainsInvstAmt
Revenue Not Reported$65,026RevenueNotReportedAmt
Revenue Subtotal$346,323RevenueSubtotalAmt
Investment Expenses Not Incld-$1,844InvestmentExpensesNotIncldAmt
Other Revenues Not Included$466,006OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$464,162RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$810,485TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$721,526TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$721,526ExpensesSubtotalAmt
Total Expenses Per Form990$721,526TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.Based on the analysis of endowment fund earnings of the past 12 quarters no more than 5% of the funds earnings will be appropriated by the Board of Directors for distribution, remaining earnings will be reinvested.
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SIntercompany Allocation of PPP Funds $466006

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessBoard review of form 990 during next board meeting following completion.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBoard members sign off on conflict of interest policy each year.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementBoard of Directors researched comparable executive director wages and used results to determine reasonableness of executive director's compensation.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableAvailable upon request
Other Changes In Net Assets Or Fund Balances - Other DecreasesIntercompany allocation of PPP Funds = -$466006

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Adult Day Care Services Inc
844 Sunset AvePrescottAZ86305742425293Adult day health servicesAZ501(c)(3)10NAfalse
Adult Residential Care Services Inc
844 Sunset AvePrescottAZ86305860862303Assisted living facilityAZ501(c)(3)10NAfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Adult Day Care Services Inc
b$15,714
Adult Day Care Services Inc
l$72,000Receipts
Adult Day Care Services Inc
o$393,130Payroll
Adult Day Care Services Inc
r$147,000Allocation
Adult Residential Care Services Inc
b$273,137Transactions
Adult Residential Care Services Inc
l$234,000Receipts
Adult Residential Care Services Inc
o$3,393,889Payroll
Adult Residential Care Services Inc
p$960Expense
Adult Residential Care Services Inc
r$319,007Allocation

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