ADULT CARE SERVICES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ADULT CARE SERVICES INC (EIN 86-0938851)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-01-29
IRS object ID: 202100299349301610
Schema version: 2019v5.0
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
Form 990
Schedule A
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-01-29T12:09:52-08:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	261390040	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	SCHUTTE & HILGENDORF PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2086 WILLOW CREEK ROAD	AddressLine1Txt
City	PRESCOTT	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86301	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	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
Phone	9287712335	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	844 Sunset Ave	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
Signature	2021-01-29	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Adam Rutherford CPA	PreparerPersonNm
PTIN	P01074806	PTIN
Phone	9287780079	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Yvonne Napolitano	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	844 Sunset Ave	AddressLine1Txt
City	Prescott	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86305	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$372,277	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	130	TotalEmployeeCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$261	PYContributionsGrantsAmt
CY Contributions Grants	$68	CYContributionsGrantsAmt
PY Program Service Revenue	$408,000	PYProgramServiceRevenueAmt
CY Program Service Revenue	$351,000	CYProgramServiceRevenueAmt
PY Investment Income	$24,031	PYInvestmentIncomeAmt
CY Investment Income	$21,209	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$432,292	PYTotalRevenueAmt
CY Total Revenue	$372,277	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$257,399	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$303,503	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$11,344	CYTotalFundraisingExpenseAmt
PY Other Expenses	$110,686	PYOtherExpensesAmt
CY Other Expenses	$120,265	CYOtherExpensesAmt
PY Total Expenses	$368,085	PYTotalExpensesAmt
CY Total Expenses	$423,768	CYTotalExpensesAmt
PY Revenues Less Expenses	$64,207	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$51,491	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,373,143	TotalAssetsBOYAmt
Total Assets EOY	$1,783,042	TotalAssetsEOYAmt
Total Liabilities BOY	$16,212	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$525,833	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,356,931	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,257,209	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	$370,607	ExpenseAmt
Desc	Performed management services for Adult Day Care Services, Inc. and Adult Residential Care Services, Inc., both 501(c)(3) organizations.	Desc
Total Program Service Expenses	$370,607	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	Yes (true)	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
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	6	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	false	BackupWthldComplianceInd
Employee	130	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
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
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 Ave	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	21.00	Yes (X)	$122,026	$0	$0
Bob Beyea
Chairman	1.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
Elizabeth Harris
Director	1.00	2.00		$0	$0	$0	Yes (X)
Michael Geboy
Secretary	1.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
Michael White
Director	1.00	2.00		$0	$0	$0	Yes (X)
Lynn Harris
Vice Chairman	1.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
Dr Susan Drysdale
Director	1.00	2.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$122,026	TotalReportableCompFromOrgAmt
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
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$68	AllOtherContributionsAmt
Total Contributions	$68	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Management Fees	Desc
Business	561000	BusinessCd
Total Revenue Column	$351,000	TotalRevenueColumnAmt
Related Or Exempt Func Income	$351,000	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$351,000	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,209	TotalRevenueColumnAmt
Related Or Exempt Func Income	$21,209	RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$372,277	TotalRevenueColumnAmt
Related Or Exempt Func Income	$372,209	RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$60,911	TotalAmt
Program Services	$57,865	ProgramServicesAmt
Fundraising	$3,046	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$173,830	TotalAmt
Program Services	$173,830	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,619	TotalAmt
Program Services	$8,507	ProgramServicesAmt
Fundraising	$112	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$43,370	TotalAmt
Program Services	$42,807	ProgramServicesAmt
Fundraising	$563	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$16,773	TotalAmt
Program Services	$16,555	ProgramServicesAmt
Fundraising	$218	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$8,986	TotalAmt
Management And General	$8,986	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$16,280	TotalAmt
Management And General	$16,280	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,314	TotalAmt
Management And General	$2,314	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$20,426	TotalAmt
Management And General	$13,929	ManagementAndGeneralAmt
Fundraising	$6,497	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,665	TotalAmt
Program Services	$3,592	ProgramServicesAmt
Fundraising	$73	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$25,747	TotalAmt
Program Services	$25,747	ProgramServicesAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$58	TotalAmt
Fundraising	$58	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,853	TotalAmt
Program Services	$2,853	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$14	TotalAmt
Program Services	$14	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$284	TotalAmt
Management And General	$284	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,579	TotalAmt
Program Services	$9,387	ProgramServicesAmt
Fundraising	$192	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,279	TotalAmt
Program Services	$9,093	ProgramServicesAmt
Fundraising	$186	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt
Communications	$9,460	$9,271	$189
Repairs & Maintenance	$7,167	$7,024	$143
Postage and Shipping	$2,293	$2,247	$46
Operations Other	$1,057	$1,036	$21

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$803	TotalAmt
Program Services	$779	ProgramServicesAmt
Management And General	$24	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$423,768	TotalAmt
Program Services	$370,607	ProgramServicesAmt
Management And General	$41,817	ManagementAndGeneralAmt
Fundraising	$11,344	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$445,425	BOYAmt
EOY	$830,591	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$333,948	BOYAmt
EOY	$333,279	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$33,565	BOYAmt
EOY	$61,535	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$172,631	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$64,225	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$115,259	BOYAmt
EOY	$108,406	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$444,946	BOYAmt
EOY	$449,231	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,373,143	BOYAmt
EOY	$1,783,042	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,212	BOYAmt
EOY	$28,433	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
EOY	$497,400	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,212	BOYAmt
EOY	$525,833	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	$1,134,882	BOYAmt
EOY	$1,022,999	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$222,049	BOYAmt
EOY	$234,210	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,356,931	BOYAmt
EOY	$1,257,209	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,373,143	BOYAmt
EOY	$1,783,042	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$51,491	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$14,666	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$33,565	PriorPeriodAdjustmentsAmt
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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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	$111,000
Adult Residential Care Services
860862303	10	Yes (true)	$0	$240,000

Field	Value	IRS element (for citing)
Supported Organizations Total	2	SupportedOrganizationsTotalCnt
Other Support Sum	$351,000	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)
Activities Test	Yes (X)	ActivitiesTestInd
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Activities Further Exempt Prps	Yes (true)	ActivitiesFurtherExemptPrpsInd
Activities Engaged Org Invlmnt	Yes (true)	ActivitiesEngagedOrgInvlmntInd
Appoint Elect Majority Officer	Yes (true)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (true)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part IV, Section D, Line 3: Role The Organization's Supported Orgs. Played	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.
Part IV, Section E, Line 2a: Identify Supported Orgs. and Explain How Activities Furthered Exempt Pu	Adult 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 Position	Adult 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 Persons	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.
Part IV, Section E, Line 3b: Role Played in Management of Policies, Programs, & Activities	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$287,087	BeginningYearBalanceAmt
Investment Earnings Or Losses	$31,157	InvestmentEarningsOrLossesAmt
Other Expenditures	$15,275	OtherExpendituresAmt
End Year Balance	$302,969	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$275,436	BeginningYearBalanceAmt
Investment Earnings Or Losses	$11,380	InvestmentEarningsOrLossesAmt
Other Expenditures	-$271	OtherExpendituresAmt
End Year Balance	$287,087	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.30000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.30000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.40000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,079	OtherCostOrOtherBasisAmt
Depreciation	$2,333	DepreciationAmt
Book Value	$8,746	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,974	OtherCostOrOtherBasisAmt
Depreciation	$5,481	DepreciationAmt
Book Value	$15,493	BookValueAmt

Equipment EquipmentGrp

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

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,397	OtherCostOrOtherBasisAmt
Depreciation	$37,334	DepreciationAmt
Book Value	$2,063	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$108,406	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	PPP Loan	Desc
Amt	$497,400	Amt

Field	Value	IRS element (for citing)
Total Liability	$497,400	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$355,297	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$14,666	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$14,666	RevenueNotReportedAmt
Revenue Subtotal	$369,963	RevenueSubtotalAmt
Investment Expenses Not Incld	$2,314	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$2,314	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$372,277	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$421,454	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$421,454	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$2,314	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$2,314	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$423,768	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4: Intended uses of the endowment fund.	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review Process	Board review of form 990 during next board meeting following completion.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	Board members sign off on conflict of interest policy each year.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	Board 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 Available	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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Adult Day Care Services Inc
844 Sunset Ave	Prescott	AZ	86305	742425293	Adult day health services	AZ	501(c)(3)	10	NA	false
Adult Residential Care Services Inc
844 Sunset Ave	Prescott	AZ	86305	860862303	Assisted living facility	AZ	501(c)(3)	10	NA	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	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	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	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