FURP.ORG / PUBLIC DATA EXPLORER

POLK - PROGRESSIVE ELDERCARE SERVICES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
POLK - PROGRESSIVE ELDERCARE SERVICES INC (EIN 47-4341779)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-09
IRS object ID
201742829349300634
Schema version
2016v3.0
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)
Return2017-10-09T13:26:05-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN431594752PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MUELLER PROST LCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17733 FORSYTH BLVD SUITE 1200AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN474341779EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1POLK - PROGRESSIVE ELDERCAREBusinessNameLine1Txt
Business Name Line2SERVICES INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPOLKBusinessNameControlTxt
Phone4793943511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1306 HORNBECK AVEAddressLine1Txt
CityMENACityNm
State AbbreviationARStateAbbreviationCd
ZIP71953ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonVICKI HUGHESPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4793943511PhoneNum
Signature2017-09-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKARYN A NUNNPreparerPersonNm
PTINP00958489PTIN
Phone3148622070PhoneNum
Preparation2017-09-01PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1RICH MOUNTAIN NURSING AND REHABILITATION CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerVICKI HUGHESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1306 HORNBECK AVEAddressLine1Txt
CityMENACityNm
State AbbreviationARStateAbbreviationCd
ZIP71953ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,132,229GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RICHMOUNTAINHC.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 Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$2,323,900PYProgramServiceRevenueAmt
CY Program Service Revenue$7,132,228CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$1CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,323,900PYTotalRevenueAmt
CY Total Revenue$7,132,229CYTotalRevenueAmt
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$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,460,345PYOtherExpensesAmt
CY Other Expenses$6,810,429CYOtherExpensesAmt
PY Total Expenses$2,460,345PYTotalExpensesAmt
CY Total Expenses$6,810,429CYTotalExpensesAmt
PY Revenues Less Expenses-$136,445PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$321,800CYRevenuesLessExpensesAmt
Total Assets BOY$1,119,058TotalAssetsBOYAmt
Total Assets EOY$1,351,460TotalAssetsEOYAmt
Total Liabilities BOY$1,255,503TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,166,105TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$136,445NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$185,355NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION PROVIDES AFFORDABLE SKILLED NURSING AND REHABILATIVE 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 Change0SignificantChangeInd
Expense$6,471,905ExpenseAmt
Revenue$7,132,228RevenueAmt
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 2016 THE ORGANIZATION SERVED 184 RESIDENTS.Desc
Total Program Service Expenses$6,471,905TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document23IRPDocumentCnt
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
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 Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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

FieldValueIRS element (for citing)
PersonBRUCE MELDERPersonNm
Phone3184438167PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12230 S MACARTHUR DRIVEAddressLine1Txt
CityALEXANDRIACityNm
State AbbreviationLAStateAbbreviationCd
ZIP71301ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
VICKI HUGHES
PRESIDENT, DIRECTOR5.0040.00Yes (X)Yes (X)$0$78,847$10,607
JAMES EARL TURNER
DIRECTOR5.00Yes (X)$0$0$0
SHERRI MCCOURTNEY
DIRECTOR5.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$78,847TotReportableCompRltdOrgAmt
Total Other Compensation$10,607TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CAREPLUS STAFFING SERVICES LLC
PO BOX 11592ALEXANDRIALA71315EMPLOYEE LEASING$2,475,000
MASTERTEN LLC
2230 S MACARTHUR DRIVEALEXANDRIALA71301REAL ESTATE LESSOR$852,801
PROCARE THERAPY SERVICES LLC
PO BOX 12071ALEXANDRIALA71315REHABILITATION & ADMIN$582,063
SOUTHERN ADMINISTRATIVE SERVICES
2230 S MACARTHURALEXANDRIALA71301GENERAL AND ADMINISTRATION$297,401
HEALTHCARE SERVICES GROUP
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020HOUSEKEEPING SERVICES$172,891
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT CARE REVENUE623000$7,131,717$7,131,717
OTHER RESIDENT CARE RE623000$511$511
FieldValueIRS element (for citing)
Total Program Service Revenue$7,132,228TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1TotalRevenueColumnAmt
Exclusion$1ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,132,229TotalRevenueColumnAmt
Related Or Exempt Func Income$7,132,228RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1ExclusionAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$259,512TotalAmt
Program Services$25,951ProgramServicesAmt
Management And General$233,561ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,168TotalAmt
Management And General$2,168ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$54,200TotalAmt
Management And General$54,200ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$554,388TotalAmt
Program Services$554,388ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,198TotalAmt
Program Services$4,198ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,733TotalAmt
Program Services$16,733ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$129,995TotalAmt
Program Services$129,995ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,008,930TotalAmt
Program Services$960,781ProgramServicesAmt
Management And General$48,149ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,493TotalAmt
Program Services$3,493ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,499TotalAmt
Program Services$16,499ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$362,528TotalAmt
Program Services$362,082ProgramServicesAmt
Management And General$446ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
CONTRACT LEASE EXPENSE$3,548,859$3,548,859
MEDICAL SUPPLIES$354,093$354,093
FOOD EXPENSE$233,555$233,555
BILLING SERVICES$54,000$54,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$207,278TotalAmt
Program Services$207,278ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,810,429TotalAmt
Program Services$6,471,905ProgramServicesAmt
Management And General$338,524ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$279,402BOYAmt
EOY$383,059EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$735,906BOYAmt
EOY$866,954EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,907BOYAmt
EOY$9,341EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$105,196LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$18,999LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$74,180BOYAmt
EOY$86,197EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,663BOYAmt
EOY$5,909EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,119,058BOYAmt
EOY$1,351,460EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,113,848BOYAmt
EOY$1,166,105EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$141,655BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,255,503BOYAmt
EOY$1,166,105EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$136,445BOYAmt
EOY$185,355EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$136,445BOYAmt
EOY$185,355EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,119,058BOYAmt
EOY$1,351,460EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$321,800ReconcilationRevenueExpnssAmt
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 Minus1 Year$2,323,900CurrentTaxYearMinus1YearAmt
Current Tax Year$7,132,228CurrentTaxYearAmt
Total$9,456,128TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$2,323,900CurrentTaxYearMinus1YearAmt
Current Tax Year$7,132,228CurrentTaxYearAmt
Total$9,456,128TotalAmt

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$9,456,128PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$1CurrentTaxYearAmt
Total$1TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year$1CurrentTaxYearAmt
Total$1TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$2,323,900CurrentTaxYearMinus1YearAmt
Current Tax Year$7,132,229CurrentTaxYearAmt
Total$9,456,129TotalAmt
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 14FormAndLineReferenceDesc
ExplanationTHE ENTITY WAS CREATED ON JUNE 10,2015.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,776OtherCostOrOtherBasisAmt
Depreciation$9,144DepreciationAmt
Book Value$41,632BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,651OtherCostOrOtherBasisAmt
Depreciation$8,468DepreciationAmt
Book Value$40,183BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,769OtherCostOrOtherBasisAmt
Depreciation$1,387DepreciationAmt
Book Value$4,382BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$86,197TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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 VII, SECTION AVICKI HUGHES, DIRECTOR OF THE ORGANIZATION, IS ALSO AN EMPLOYEE FOR PROGRESSIVE ELDERCARE SERVICES, INC. (PARENT). SHE IS NOT COMPENSATED FOR HER ROLE AS A DIRECTOR OF THE ORGANIZATION, BUT RECEIVES A SALARY FOR HER ROLE AS AN EMPLOYEE OF PROGRESSIVE ELDERCARE SERVICES, INC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PROGRESSIVE ELDERCARE SERVICES INC (PARENT)BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line138 WARNOCK SPRINGS ROADAddressLine1Txt
CityMAGNOLIACityNm
State AbbreviationARStateAbbreviationCd
ZIP71753ZIPCd
FieldValueIRS element (for citing)
EIN273040964EIN
Primary ActivitiesFACILITATE THE OPERATION OF LONG-TERM CARE FACILITIESPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 10PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
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 OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd