FURP.ORG / PUBLIC DATA EXPLORER

FAULKNER - PROGRESSIVE ELDERCARE SERVICES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
FAULKNER - PROGRESSIVE ELDERCARE SERVICES INC (EIN 47-4340752)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202013189349307171
Schema version
2019v5.1
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)
Return2020-11-13T13:06:07-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN752795393PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JTAYLOR & ASSOCIATES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14800 OVERTON PLAZA SUITE 360AddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP761094430ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN474340752EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FAULKNER-PROGRESSIVE ELDERCARE SERVICESBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlFAULBusinessNameControlTxt
Phone5013292149PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12603 DAVE WARD DRIVEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATHERN FISHERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5013292149PhoneNum
Signature2020-11-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHAYDEN GRAHMPreparerPersonNm
PTINP01774656PTIN
Phone8179245900PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address23.115.76.225IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-06IPDt
IP Tm11:49:03IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF3E00574380C76D31703178BC8086836EF342AB3AtSubmissionCreationDeviceId
At Submission Filing Device Id456763AA9762FC16C55478175DFFF7B177C2EE06AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CONWAY HEALTHCARE & REHABILITATION CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKATHERN FISHERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12603 DAVE WARD DRIVEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,267,223GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CONWAYHC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionTO FACILITATE COMPASSIONATE HEALTH CARE WITH CLINICAL QUALITY AND SERVICE EXCELLENCE IN A DIGNIFIED AND RESPECTFUL "HOME" ENVIRONMENT FOR ELDERS WHO REQUIRE LONG-TERM CARE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$5,473,670PYProgramServiceRevenueAmt
CY Program Service Revenue$3,266,896CYProgramServiceRevenueAmt
PY Investment Income$459PYInvestmentIncomeAmt
CY Investment Income$327CYInvestmentIncomeAmt
PY Other Revenue$1,048PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$5,475,177PYTotalRevenueAmt
CY Total Revenue$3,267,223CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,440,909PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,486,043CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,477,207PYOtherExpensesAmt
CY Other Expenses$1,977,254CYOtherExpensesAmt
PY Total Expenses$5,918,116PYTotalExpensesAmt
CY Total Expenses$3,463,297CYTotalExpensesAmt
PY Revenues Less Expenses-$442,939PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$196,074CYRevenuesLessExpensesAmt
Total Assets BOY$740,049TotalAssetsBOYAmt
Total Assets EOY$282,914TotalAssetsEOYAmt
Total Liabilities BOY$1,581,666TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,320,605TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$841,617NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,037,691NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION PROVIDES AFFORDABLE SKILLED NURSING AND REHABILITATIVE CARE TO ILL, INFIRM, MEDICALLY DISABLED AND ELDERLY INDIVIDUALS IN A NON-TRADITIONAL LONG-TERM CARE ENVIRONMENT UTILIZING THE "CULTURE CHANGE OR "PERSON-CENTERED" CARE MODEL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$3,334,741ExpenseAmt
Revenue$3,266,896RevenueAmt
DescTHE ORGANIZATION ACTS IN CONCERT WITH PROGRESSIVE ELDERCARE SERVICES, INC. (PES, INC.) TO FORM A NETWORK OF NURSING FACILITIES TO SERVE AS LOCATIONS FOR PROMOTING, DEVELOPING AND ADMINISTERING "CULTURE CHANGE," PERSON-CENTERED, LONG-TERM CARE FOR ILL, INFIRM, MEDICALLY DISABLED AND ELDERLY INDIVIDUALS. THE "CULTURE CHANGE" MODEL OF CARE IS DESIGNED TO EMPOWER ELDERS AND STAFF TO PARTICIPATE IN THE ESTABLISHMENT OF PATHWAYS THAT RESULT IN A HIGH DEGREE OF CHOICE, AUTONOMY, DIGNITY AND SELF-DETERMINATION FOR THE ELDERS SERVED. IT IS ANTICIPATED THAT WITH CONCERTED EFFORTS THE ORGANIZATION WILL INCREASE THE AVAILABILITY AND QUALITY OF HEALTH CARE FOR ITS RESPECTIVE COMMUNITIES, RESULTING IN BETTER HEALTH OUTCOMES AND QUALITY OF LIFE FOR THE ELDERLY. IN 2019, THE ORGANIZATION SERVED 128 RESIDENTS.Desc
Total Program Service Expenses$3,334,741TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DUANE BLACKWELLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3184438167PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12230 S MACARTHUR DRIVE SUITE 9AddressLine1Txt
CityALEXANDRIACityNm
State AbbreviationLAStateAbbreviationCd
ZIP71301ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KATHERN FISHER
PRESIDENT/SECRETARY/TREASURER40.00Yes (X)Yes (X)$56,661$0$0
ODIE PHILLIPS
DIRECTOR5.00Yes (X)$0$0$0
RONALD BYRD
DIRECTOR5.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$56,661TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CAREPLUS STAFFING SERVICES
2230 S MACARTHUR DRIVE SUITE 9ALEXANDRIALA71301EMPLOYEE LEASING SERVICES$1,807,072
SOUTHERN ADMINISTRATIVE SERVICES LLC
2230 S MACARTHUR DRIVE SUITE 9ALEXANDRIALA71301ADMINISTRATIVE & GENERAL SERVICES$190,707
HEALTHCARE SERVICES GROUP
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020HOUSEKEEPING SERVICES$124,477
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT CARE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$3,266,896TotalRevenueColumnAmt
Related Or Exempt Func Income$3,266,896RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,266,896TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$327TotalRevenueColumnAmt
Exclusion$327ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,267,223TotalRevenueColumnAmt
Related Or Exempt Func Income$3,266,896RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$327ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$56,661TotalAmt
Program Services$11,332ProgramServicesAmt
Management And General$45,329ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,236,721TotalAmt
Program Services$1,236,721ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$72,037TotalAmt
Program Services$72,037ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$120,624TotalAmt
Program Services$117,156ProgramServicesAmt
Management And General$3,468ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$49,687TotalAmt
Program Services$44,718ProgramServicesAmt
Management And General$4,969ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$810TotalAmt
Management And General$810ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$36,055TotalAmt
Management And General$36,055ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$643,608TotalAmt
Program Services$643,608ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,292TotalAmt
Program Services$3,292ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$29,098TotalAmt
Program Services$29,098ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$103,808TotalAmt
Program Services$93,427ProgramServicesAmt
Management And General$10,381ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$397,783TotalAmt
Program Services$377,894ProgramServicesAmt
Management And General$19,889ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,896TotalAmt
Program Services$3,896ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,013TotalAmt
Program Services$1,013ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,070TotalAmt
Program Services$10,070ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$182,186TotalAmt
Program Services$174,531ProgramServicesAmt
Management And General$7,655ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$281,844$281,844
GENERAL & ADMINISTRATIV$95,581$95,581
OTHER ADMINISTRATIVE FE$36,000$36,000
BAD DEBT$28,000$28,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$74,523TotalAmt
Program Services$74,523ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,463,297TotalAmt
Program Services$3,334,741ProgramServicesAmt
Management And General$128,556ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$309,042BOYAmt
EOY$198,974EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$357,579BOYAmt
EOY$17,504EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,262BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$98,503LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,477LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$54,691BOYAmt
EOY$61,026EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,475BOYAmt
EOY$5,410EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$740,049BOYAmt
EOY$282,914EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,581,666BOYAmt
EOY$1,320,605EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,581,666BOYAmt
EOY$1,320,605EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$841,617BOYAmt
EOY-$1,037,691EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$841,617BOYAmt
EOY-$1,037,691EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$740,049BOYAmt
EOY$282,914EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$196,074ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,091,681CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,129,535CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,041,658CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,473,670CurrentTaxYearMinus1YearAmt
Current Tax Year$3,266,896CurrentTaxYearAmt
Total$23,003,440TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,091,681CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,129,535CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,041,658CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,473,670CurrentTaxYearMinus1YearAmt
Current Tax Year$3,266,896CurrentTaxYearAmt
Total$23,003,440TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$23,003,440PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$55CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,507CurrentTaxYearMinus1YearAmt
Current Tax Year$327CurrentTaxYearAmt
Total$1,889TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$55CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,507CurrentTaxYearMinus1YearAmt
Current Tax Year$327CurrentTaxYearAmt
Total$1,889TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,091,681CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,129,535CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,041,713CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,475,177CurrentTaxYearMinus1YearAmt
Current Tax Year$3,267,223CurrentTaxYearAmt
Total$23,005,329TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A PART III, SECTION B, LINE 14:FormAndLineReferenceDesc
ExplanationTHE ENTITY WAS CREATED ON JUNE 10, 2015.ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,251OtherCostOrOtherBasisAmt
Depreciation$2,257DepreciationAmt
Book Value$6,994BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,972OtherCostOrOtherBasisAmt
Depreciation$797DepreciationAmt
Book Value$7,175BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,824OtherCostOrOtherBasisAmt
Depreciation$27,619DepreciationAmt
Book Value$46,205BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,456OtherCostOrOtherBasisAmt
Depreciation$6,804DepreciationAmt
Book Value$652BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$61,026TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3AS OF CALENDAR YEAR 2019, THE LEASE RELATED TO OPERATING THE NURSING FACILITY WAS NOT RENEWED. DUE TO THE NON-RENEWED LEASE, THE ONLY PROGRAM HAS ENDED. THE STEPS TO WIND DOWN THE ENTITY ARE BEING EVALUATED AT THIS TIME.
FORM 990, PART VI, SECTION A, LINE 3ADMINISTRATIVE DUTIES ARE DELEGATED TO A MANAGEMENT COMPANY, SOUTHERN ADMINISTRATIVE SERVICES, LLC.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S PARENT ENTITY, PROGRESSIVE ELDERCARE SERVICES, INC., IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7APROGRESSIVE ELDERCARE SERVICES, INC. HAS THE POWER TO ELECT THE DIRECTORS OF THE ENTITY.
FORM 990, PART VI, SECTION A, LINE 7B(I) PROGRESSIVE ELDERCARE SERVICES, INC. HAS THE POWER TO HIRE AND FIRE THE PRESIDENT OF THE ENTITY. (II) PROGRESSIVE ELDERCARE SERVICES, INC. HAS THE POWER TO ESTABLISH AND IMPLEMENT THE ADMISSIONS POLICY OF THE ENTITY; AND (III) PROGRESSIVE ELDERCARE SERVICES, INC. HAS THE POWER TO ESTABLISH AND IMPLEMENT THE "CULTURE CHANGE" POLICY OF THE ENTITY.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD MEMBERS RECEIVE A COPY OF THE FORM 990 TO REVIEW PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH DIRECTOR DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION DOES NOT EMPLOY ANY EMPLOYEES, BUT HAS AN AGREEMENT FOR THE ADMINISTRATOR AND ADDITIONAL SERVICES WITH ITS MEMBER, PROGRESSIVE ELDERCARE SERVICES, INC. PROGRESSIVE ELDERCARE SERVICES, INC. SETS COMPENSATION, AND THE ORGANIZATION'S INDEPENDENT DIRECTORS ACCEPT OR RATIFY THE SUBJECT EMPLOYMENT AGREEMENT.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ANNUAL FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART IX, LINE 11GOUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 443,138. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 443,138. MEDICAID QUALITY ASSURANCE FEE: PROGRAM SERVICE EXPENSES 200,470. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 200,470.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PROGRESSIVE ELDERCARE SERVICES INC
38 WARNOCK SPRINGS RDMAGNOLIAAR71753273040964FACILITATE THE OPERATION OF LONG-TERM CARE FACILITIES.AR501(C)(3)LINE 12C, III-FIN/A0
BENTON - PROGRESSIVE ELDERCARE SERVICES INC
1149 W NEW HOPE ROADROGERSAR72758823443270OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
CAMDEN - PROGRESSIVE ELDERCARE SERVICES INC
1411 COUNTRY CLUB ROADCAMDENAR71701474341182OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
CLARK PROGRESSIVE ELDERCARE SERVICES INC
2701 TWIN RIVERS DRIVEARKADELPHIAAR71923823432960OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
CRAWFORD - PROGRESSIVE ELDERCARE SERVICES INC
228 POINTER TRAIL WESTVAN BURENAR72956823441195OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
GARLAND - PROGRESSIVE ELDERCARE SERVICES INC
610 CARPENTER DAM RDHOT SPRINGSAR71901474341033OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
GRANT - PROGRESSIVE ELDERCARE SERVICES INC
113 SOUTH BRIARWOOD DRSHERIDANAR72150474341949OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
LAWRENCE - PROGRESSIVE ELDERCARE SERVICES INC
1500 WEST MAIN STWALNUT RIDGEAR72476474342057OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
MALVERN - PROGRESSIVE ELDERCARE SERVICES INC
105 RESSELL VILLE ROADMALVERNAR72104474340191OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
MONTICELLO - PROGRESSIVE ELDERCARE SERVICES INC
1194 N CHESTER STREETMONTICELLOAR71655823447385OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
PINES - PROGRESSIVE ELDERCARE SERVICES INC
524 CARPENTER DAM ROADHOT SPRINGSAR71901474341429OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
POLK - PROGRESSIVE ELDERCARE SERVICES INC
306 HORNBECK AVEMENAAR71953474341779OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
PRAIRIE - PROGRESSIVE ELDERCARE SERVICES INC
2216 WEST MAIN STDES ARCAR72040474340873OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
PROGRESSIVE ELDERCARE SERVICES - BRYANT INC
22515 INTERSTATE 30BRYANTAR72022273043003OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
PROGRESSIVE ELDERCARE SERVICES - CHICOT INC
903 BORGOGNONI DRIVELAKE VILLAGEAR71653273042957OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
PROGRESSIVE ELDERCARE SERVICES - CLEVELAND INC
701 S MAIN STRISONAR71665273685963OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
PROGRESSIVE ELDERCARE SERVICES - COLUMBIA INC
38 WARNOCK SPRINGS ROADMAGNOLIAAR71753452768181OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
PROGRESSIVE ELDERCARE SERVICES - CONWAY INC
12 HOSPITAL DRIVEMORRILTONAR72110273042331OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
PROGRESSIVE ELDERCARE SERVICES - CROSS INC
1100 EAST MARTIN DRIVEWYNNEAR72396273041062OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
PROGRESSIVE ELDERCARE SERVICES - DREW INC
1052 OLD WARREN ROADMONTICELLOAR71655273042765OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
PROGRESSIVE ELDERCARE SERVICES - GREEN INC
2200 CHATEAU BLVDPARAGOULDAR72450452768282OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
PROGRESSIVE ELDERCARE SERVICES - MORRILTON INC
1000 BROOKRIDGEMORRILTONAR72110273042642OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
PROGRESSIVE ELDERCARE SERVICES - SALINE INC
19701 INTERSTATE 30BENTONAR72015273043118OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
PROGRESSIVE ELDERCARE SERVICES - SEARCY INC
942 HWY 65 NORTHMARSHALLAR72650452768360OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
RANDOLPH - PROGRESSIVE ELDERCARE SERVICES INC
105 COUNTRY CLUB ROADPOCAHONTASAR72455474341640OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
SHARP - PROGRESSIVE ELDERCARE SERVICES INC
66 OZBIRN LANEASH FLATAR72513474340608OPERATION OF LONG-TERM CARE FACILITY.AR501(C)(3)LINE 100PROGRESSIVE ELDERCARE SERVICES INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PROGRESSIVE ELDERCARE SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$63,145InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt