2023-05-15T15:38:55-05:00 2022-06-30 420714325 RSM US LLP 117 E MAIN ST STE 210 GALESBURG IL 61401 990 2021-07-01 364467489 FLORIDA LIVING OPTIONS INC FLOR 3093431550 285 SOUTH FARNHAM STREET GALESBURG IL 61401 CHARLES D WESTBAY PRESIDENT 3093431550 2023-05-15 1 CHARLES WESTBAY XXX-XX-XXXX MICHAEL BASS P00458970 3093428026 2023-05-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z CHARLES D WESTBAY 285 SOUTH FARNHAM STREET GALESBURG IL 61401 2298460 0 X N/A X 2001 FL TO PROVIDE & OPERATE NURSING HOMES, ASSISTED LIVING FACILITIES & RETIREMENT HOUSING. X 5 5 648 0 0 0 396203 1559677 28332865 166201 9879 -2661350 0 567097 28738947 -368375 0 0 0 0 13300563 17434 0 0 0 14702329 1535215 28002892 1552649 736055 -1921024 12450569 5692196 18298921 13148286 -5848352 -7456090 X THE MISSION OF THE ORGANIZATION IS ARTICULATED IN ITS ARTICLES OF INCORPORATION AS FOLLOWS:THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES, INCLUDING, FOR SUCH PURPOSES, THE MAKING OF DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF INTERNAL REVENUE CODE OF 1986, AS AMENDED. IN FURTHERANCE OF THESE PURPOSES, THE CORPORATION MAY BUILD, LEASE, ACQUIRE AND OTHERWISE OWN AND OPERATE HOUSING, NURSING FACILITIES, CONTINUOUS CARE RETIREMENT COMMUNITIES AND OTHER RELATED FACILITIES AND SERVICES FOR THE ELDERLY, MENTALLY RETARDED, MENTALLY ILL, DEVELOPMENTALLY DISABLED AND OTHER LIKE CONDITIONS WITHOUT REGARD TO RACE, RELIGION, COLOR, SEX, CREED OR NATIONAL ORIGIN OF SAID PERSONS. 0 0 963976 163940 ALL PROGRAM SERVICES RELATE TO PROVIDING AND OPERATING SKILLED NURSING FACILITIES, ASSISTED LIVING FACILITIES AND INDEPENDENT LIVING FACILITIES FOR QUALIFYING RESIDENTS. THE ORGANIZATION OPERATED 8 FACILITIES WITH A COMBINED TOTAL OF 702 BEDS WITHIN THESE FACILITIES. THE ORGANIZATION SOLD THESE FACILITIES DURING TAX YEAR 2021. 963976 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 42 0 1 648 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X RON WILSON RFMS INC 3093431550 285 SOUTH FARMHAM STREET GALESBURG IL 61401 X CHARLES D WESTBAY PRESIDENT & DIRECTOR 2.00 X X 3000 0 0 JOHN CROCK VICE PRESIDENT & DIRECTOR 2.00 X X 3000 0 0 JOHN THOMPSON SECRETARY & DIRECTOR 2.00 X X 3000 0 0 DALE FENWICK DIRECTOR 2.00 X 3000 0 0 KENNETH HARKINS DIRECTOR 2.00 X 1500 0 0 RON WILSON FLASC INC CFO 10.00 X 0 0 0 13500 0 0 0 0 0 0 CONSONUS REHAB PO BOX 4800 PORTLAND OR 972084800 THERAPY SERVICES 1384081 FUDGE BROADWATER PA 650 16TH STREET NORTH SAINT PETERSBURG FL 33705 LEGAL SERVICES 683394 ANDREWS LAW FIRM TRUST ACCOUNT 3220 HENDERSON BLVD TAMPA FL 33609 LEGAL SERVICES 468234 FLASC INC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 ADMINISTRATIVE SERVICES 377424 LTC SUPPORT SERVICES LLC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 SUPPORT SERVICES 189754 6 1559557 120 1559677 MEDICARE & MEDICAID 623000 101644 101644 RESIDENT PRIVATE PAY 623000 64557 62296 2261 166201 5485 5485 2666835 -2666835 -2666835 -2666835 REVERSAL OF UNCOLLECTI 900099 567097 567097 567097 -368375 163940 0 -2091992 3619 3510 109 12490 12115 375 1325 1285 40 7274 3637 3637 482569 482569 53967 53967 33783 30405 3378 1426 1004 422 6970 5576 1394 2185 2185 169292 169292 517326 439727 77599 SUPPLIES & SMALL EQUIP. 56004 56004 EQUIPMENT RENT & MAINT. 11294 11294 193125 173975 19150 1552649 963976 588673 0 4539972 3570676 1689841 1875051 2723868 120245 658431 115328 0 0 2806583 0 10000 10000 21874 896 12450569 5692196 5599007 2596875 10643265 10521411 2056649 30000 18298921 13148286 X -5848352 -7456090 -5848352 -7456090 12450569 5692196 -1921024 313286 0 X X 0 0 0 X 432834 659255 75772 28030 1559677 2755568 46280910 47735119 34750654 28699767 101644 157568094 46713744 48394374 34826426 28727797 1661321 160323662 0 0 0 160323662 10675 26016 16462 11120 5485 69758 10675 26016 16462 11120 5485 69758 46724419 48420390 34842888 28738917 1666806 160393420 0.99960 0.99970 0.00040 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 759061 759061 138859 34715 0 0 1000000 1000000 1000000 138859 3138859 4708289 13760 11022 7735 32517 250000 250000 250000 34715 784715 1177073 0 REFUNDABLE ADVANCES 30000 30000 EQUIPMENT AND LEASEHOLD IMPROVEMENTS 2021-08-02 1841705 BOOK VALUE 371087901 FRANCES HOUSE INC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 501(C)(3) EQUIPMENT AND LEASEHOLD IMPROVEMENTS 2021-08-02 444284 BOOK VALUE 371079626 COMMUNITY LIVING OPTIONS INC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 501(C)(3) EQUIPMENT AND LEASEHOLD IMPROVEMENTS 2021-08-02 91981 BOOK VALUE SURREY PLACE OCALA INDEPENDENT LIVING CENTER LLC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 LLC EQUIPMENT AND LEASEHOLD IMPROVEMENTS 2021-08-02 428613 BOOK VALUE SARASOTA SENIOR LIVING LLC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 LLC 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION RECEIVES SUPPORT SERVICES FROM LTC SUPPORT SERVICES, LLC, AN UNRELATED COMPANY. THESE SERVICES INCLUDE OVERSIGHT, TRAINING, REGULATORY COMPLIANCE, QUALITY ASSURANCE PROGRAMS, HUMAN RESOURCE SUPPORT, MARKETING AND MAINTENANCE. FLORIDA LIVING OPTIONS, INC., OWNS 14.28% OF LTC SUPPORT SERVICES, LLC. THE REMAINING 85.72% OF LTC SUPPORT SERVICES, LLC, IS OWNED BY UNRELATED EXEMPT ORGANIZATIONS. THE ORGANIZATION ALSO HAS A NEGOTIATED ARMS LENGTH ADMINISTRATIVE SERVICES CONTRACT WITH FLASC, INC., AN UNRELATED COMPANY, TO OBTAIN SERVICES SUCH AS CASH MANAGEMENT, ACCOUNTING AND FINANCIAL REPORTING, PAYROLL AND EMPLOYEE BENEFITS, INFORMATION TECHNOLOGY, REGULATORY MATTERS, AND OTHER GENERAL BUSINESS AND FINANCIAL MANAGEMENT SERVICES AS REQUIRED. FORM 990, PART VI, SECTION B, LINE 11B EACH MEMBER OF THE BOARD OF DIRECTORS RECEIVES A PAPER COPY OF FORM 990 FOR THEIR REVIEW AND COMMENT PRIOR TO ITS FILING. THE BOARD ALSO REVIEWS IN DETAIL EACH FORM 990 FILED BY THE ORGANIZATION AT ITS REGULARLY SCHEDULED BOARD MEETINGS. ON AN ANNUAL BASIS, EACH BOARD MEMBER ATTENDS A TRAINING SESSION THAT PROVIDES UPDATES ON CURRENT EXEMPT ORGANIZATION TAX COMPLIANCE MATTERS. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO ATTEST TO THEIR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE BOARD OF DIRECTORS REVIEWS ALL COMPLETED CONFLICT OF INTEREST STATEMENTS TO DETERMINE IF ANY CONFLICTS EXIST WHICH WOULD REQUIRE RESTRICTION ON PARTICIPATION IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN ANY TRANSACTIONS INVOLVING THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 18 A PAPER COPY OF FORM 990 IS PROVIDED UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE VIA THE GUIDESTAR.ORG WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXCEPT THROUGH PUBLIC FILING REQUIREMENTS. FORM 990, PART VII, SECTION A, COLUMN F: RON WILSON IS EMPLOYED BY RFMS, INC., AN UNRELATED ORGANIZATION WHICH HAS AN ADMINISTRATIVE SERVICES CONTRACT WITH FLORIDA LIVING OPTIONS, INC. THE TYPE OF SERVICES PROVIDED BY RFMS, INC., ARE DETAILED IN THE SCHEDULE O EXPLANATION ABOVE RELATIVE TO FORM 990, PART VI, SECTION A, LINE 3. RON WILSON IS THE CHIEF FINANCIAL OFFICER OF RFMS, INC. HIS COMPENSATION REPORTED ON HIS RFMS, INC. FORM W-2, BOX 5 FOR CALENDAR YEAR 2021 IS $185,821.49. THIS COMPENSATION AMOUNT HAS NOT BEEN PRORATED BASED ON TIME SPENT FOR EACH OF THE FIFTEEN ORGANIZATIONS TO WHOM SERVICES ARE PROVIDED BY RFMS, INC. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS CHANGED FROM THE PRIOR YEAR DUE TO NO LONGER HAVING AN AUDIT. SECOND FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364467496 OPERATES A SKILLED NURSING FACILITY FL 9868 88175 N/A THIRD FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364467499 OPERATES AN ASSISTED LIVING FACILITY FL -7683 12607 N/A FOURTH FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364469681 OPERATES AN ASSISTED LIVING FACILITY FL 23808 9645 N/A FIFTH FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 331094306 OPERATES AN INDEPENDENT LIVING FACILITY FL -2273 80234 N/A SIXTH FLORIDA LIVING OPTIONS LLC 4100 SW 33RD AVENUE OCALA FL 34474 263708014 OPERATES AN INDEPENDENT LIVING FACILITY FL 0 10244 N/A SEVENTH FLORIDA LIVING OPTIONS LLC 5381 DESOTO ROAD SARASOTA FL 34243 371660137 OPERATES A SKILLED NURSING FACILITY FL 16745 33905 N/A FIRST FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364467494 OPERATED A SKILLED NURSING FACILITY & AN ASSISTED LIVING FACILITY FL 0 0 N/A