2020-08-17T13:30:10-05:00 2019-09-30 592213319 SUPLEE SHEA CRAMER & ROCKLEIN PA 800 SOUTH OSPREY AVENUE SARASOTA FL 342367834 990 2018-10-01 650850574 SHADY REST CARE PAVILION INC SHAD 2394182550 4100 CENTER POINTE DRIVE NO 112 FORT MYERS FL 339169460 WESTON EDWARDS PRESIDENT 2394182550 2020-08-17 1 THOMAS R CRAMER P00456445 9413663600 74.93.34.33 2020-08-17 11:55:40 ED P 1B160AD7D319BEA4F97D97A592E597C025ADCF65 1B160AD7D319BEA4F97D97A592E597C025ADCF65 2018 2020-09-23 17:36:50Z PAGE REHABILITATION AND HEALTHCARE CENTER WESTON EDWARDS 4100 CENTER POINTE DRIVE NO 112 FORT MYERS FL 339169460 3949640 0 X N/A X 1998 FL OPERATION OF A SKILLED NURSING FACILITY 6 6 451 30 0 0 0 0 15800656 3928048 3303 2081 50465 19511 15854424 3949640 0 0 0 0 10096833 3652009 0 0 0 6272702 2194827 16369535 5846836 -515111 -1897196 9452442 1692710 4415727 222966 5036715 1469744 TO PROVIDE SKILLED NURSING CARE. 0 0 5846836 3947559 PROVIDE SKILLED NURSING CARE 5846836 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 47 0 1 451 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 1 0 FL X FONDA POTTS 2394182550 4100 CENTER POINTE DRIVE SUITE 112 FORT MYERS FL 339169460 ROBERT L MURRAY CHAIR 2.00 X X 0 0 0 ROBERT C MCCURDY VICE CHAIR 2.00 X X 0 0 0 SHEILA CARLSON TREASURER 2.00 X X 0 0 0 SANDRA WHARTON SECRETARY 2.00 X X 0 0 0 ARIE J VANDUIJN DIRECTOR 1.00 X 0 0 0 JO STECHER DIRECTOR 1.00 X 0 0 0 JAMES TAMBLYN DIRECTOR 1.00 X 0 0 0 WESTON EDWARDS PRESIDENT/CEO 20.00 X 154578 0 10634 FONDA POTTS CFO 40.00 X 144872 0 9857 299450 0 20491 2 0 1 0 ENCORE REHABILITATION SERVICES 33533 W 12TH MILE ROAD FARMINGTON HILLS MI 48331 REHABILITATION SERVICES 1172578 OMNICARE INC PO BOX 78000 DETROIT MI 482781668 PATIENT PHARMACEUTICALS 306143 2 RESIDENT REVENUE 623000 3928048 3928048 3928048 2081 2081 OTHER INCOME 623000 19511 19511 19511 3949640 3947559 0 2081 299450 299450 2593400 2593400 58412 58412 501058 501058 199689 199689 1740 1740 30252 30252 161446 161446 480 480 170000 170000 5622 5622 3907 3907 4450 4450 156788 156788 BAD DEBTS 510312 510312 PURCHASED SERVICES 454617 454617 OTHER SERVICES 342113 342113 OTHER SUPPLIES 284551 284551 68549 68549 5846836 5846836 0 0 1256444 468148 3074109 701786 105021 0 20597 235871 4996271 286905 9452442 1692710 1261201 31319 750000 0 2404526 191647 4415727 222966 X 5036715 1469744 5036715 1469744 9452442 1692710 -1897196 -1669775 0 X 0 0 0 X 16661816 16540449 16465779 15800656 3928048 69396748 16661816 16540449 16465779 15800656 3928048 69396748 0 0 0 69396748 5479 4231 7938 3303 2081 23032 5479 4231 7938 3303 2081 23032 59127 13506 52835 50465 19606 195539 16726422 16558186 16526552 15854424 3949735 69615319 0.99690 0.99690 0.00030 0.00030 X 1 0 0 ACCOUNTS RECEIVABLE - OTHER 87896 DUE FROM SHADY REST FOUNDATION, INC. 196131 DUE FROM PAGE HEALTHCARE, INC. 2878 286905 ACCRUED EXPENSES 1718 DUE TO ALL ABOUT HOME CARE, INC. 189929 191647 X X X 0 0 0 0 0 0 0 0 0 WESTON EDWARDS PRESIDENT/CEO 137089 0 0 0 17489 0 6854 0 3780 0 165212 0 0 0 FONDA POTTS CFO 122270 0 0 0 22602 0 6114 0 3743 0 154729 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990 AND RETURNS THE DRAFT TO MANAGEMENT OF THE ORGANIZATION. MANAGEMENT CHECKS THE RETURN AND HAS ANY SUGGESTED CHANGES MADE BEFORE DISTRIBUTING IT TO THE BOD MEMBERS. THE RETURN IS SENT TO ALL BOD MEMBERS WITH THEIR MONTHLY BOARD PACKETS SO THAT THE RETURN CAN BE REVIEWED BEFORE THE MONTHLY BOD MEETING. AT THE MEETING, AN OVERVIEW OF THE RETURN IS PROVIDED AND ANY QUESTIONS ARE ANSWERED. AFTER THE BOARD MEETING, THE 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS TO DETERMINE COMPENSATION FOR THE CEO (TOP MANAGEMENT OFFICIAL) IS DIRECTED BY THE EXECUTIVE COMMITTEE OF THE BOD. THE EVALUATION IS DONE AFTER THE FINANCIAL AUDIT IS COMPLETED EACH FISCAL YEAR AND REPRESENTS MEASURABLE JOB PERFORMANCE STANDARDS. A REFERENCE BOOK, NURSING HOME SALARY AND BENEFITS REPORT, IS ORDERED EACH YEAR AND IS USED AS A BENCHMARK FOR ALL LEVELS OF MANAGEMENT AND STAFF FOR HIRING AND MARKET FACTOR INCREASES. IN ADDITION, MARKET FACTOR SURVEYS ARE CONDUCTED ANNUALLY BY THE HUMAN RESOURCES DEPARTMENT AND DATA IS OBTAINED FROM SIMILAR ORGANIZATIONS IN OUR GEOGRAPHIC AREA. OTHER OFFICERS OR KEY EMPLOYEES ARE EVALUATED ANNUALLY IN WRITING ACCORDING TO THEIR JOB DESCRIPTIONS BY THEIR SUPERVISORS. IF MERIT INCREASES ARE BEING GIVEN TO MANAGERS, THE MERIT INCREASES ARE GIVEN ACCORDING TO A SCALE OF POINTS EARNED AND USING THE SAME PERCENTAGE INCREASES AS ALL STAFF AND MANAGEMENT RECEIVE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION HAS CERTAIN GOVERNANCE INFORMATION AVAILABLE THROUGH THE CORPORATE FILING WITH THE STATE AND THE REPORTING CONTAINED IN THE 990. IN ADDITION, THE ANNUAL FINANCIAL AUDIT IS AVAILABLE AND DISTRIBUTED TO INTERESTED PARTIES (INSURANCE COMPANIES, BANKS, ETC.) IN ANY ADMINISTRATIVE MEETING OF THE ORGANIZATION, A FINANCIAL UPDATE IS PROVIDED. EACH MONTH IN FAMILY COUNCIL, A FINANCIAL REPORT IS GIVEN TO THE FAMILIES THAT ATTEND. THE PRESIDENT/CEO IS INTERVIEWED ROUTINELY BY THE NEWS MEDIA IN REGARD TO REIMBURSEMENT ISSUES, AND SHARES FINANCIAL INFORMATION REGARDING THE FINANCIAL IMPACT ON THE ORGANIZATION. AS FAR AS THE ANNUAL AHCA SURVEY INFORMATION, IT IS BOTH AVAILABLE IN THE FACILITY LOBBY FOR INTERESTED PARTIES AND POSTED ON THE MEDICARE.GOV WEBSITE. SHADY REST FOUNDATION INC 4100 CENTER POINTE DRIVE SUITE 112 FORT MYERS FL 339169460 300274280 PROVIDE A FACILITY AND SUPPORT TO SHADY REST CARE PAVILION, INC. FL 501(C)(3) 7 N/A 0 ALL ABOUT HOME CARE INC 4100 CENTER POINTE DRIVE SUITE 112 FORT MYERS FL 339169460 208542270 PROVIDE HOME HEALTH SERVICES FL 501(C)(3) 3 N/A 0 PAGE HEALTHCARE INC 4100 CENTER POINTE DRIVE SUITE 112 FORT MYERS FL 339169460 208542312 PROVIDE MANAGEMENT SERVICES TO RELATED ORGANIZATIONS FL 501(C)(3) 11 N/A 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 SHADY REST FOUNDATION INC K 170000 SHADY REST FOUNDATION INC P 4717022 ALL ABOUT HOME CARE INC Q 147506 SHADY REST FOUNDATION INC D 196131 ALL ABOUT HOME CARE INC E 189929 PAGE HEALTHCARE INC D 2878