2020-01-27T13:35:32-06:00 2019-06-30 420714325 RSM US LLP 117 E MAIN ST STE 210 GALESBURG IL 61401 990 2018-07-01 364467489 FLORIDA LIVING OPTIONS INC FLOR 3093431550 851 WEST LUMSDEN ROAD BRANDON FL 33511 CHARLES D WESTBAY PRESIDENT 3093431550 2020-01-22 1 MICHAEL BASS P00458970 3093428026 66.98.98.135 2020-01-22 14:13:33 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 421562DF22E954DFA13C35F99EBFD9DE88605A98 2018 2020-09-23 17:36:50Z CHARLES D WESTBAY 851 WEST LUMSDEN ROAD BRANDON FL 33511 48420390 0 X N/A X 2001 FL TO PROVIDE & OPERATE NURSING HOMES, ASSISTED LIVING FACILITIES & RETIREMENT HOUSING. 5 5 1245 45 0 0 432834 659255 46280910 47735119 7789 25381 0 0 46721533 48419755 0 0 0 0 22835524 21969625 0 0 0 26522340 26603272 49357864 48572897 -2636331 -153142 13098063 15567938 18239196 20862213 -5141133 -5294275 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 44204992 47735119 ALL PROGRAM SERVICES RELATE TO PROVIDING AND OPERATING SKILLED NURSING FACILITES, ASSISTED LIVING FACILITIES AND INDEPENDENT LIVING FACILITIES FOR QUALIFYING RESIDENTS. THE ORGANIZATION OPERATES 8 FACILITIES WITH A COMBINED TOTAL OF 702 BEDS WITHIN THESE FACILITIES. 44204992 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 62 0 1245 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 2.00 X X 3000 0 0 JOHN CROCK VICE PRESIDENT 2.00 X X 3000 0 0 JOHN THOMPSON SECRETARY 2.00 X X 3000 0 0 DALE FENWICK DIRECTOR 2.00 X 3000 0 0 KENNETH HARKINS DIRECTOR 2.00 X 3000 0 0 RON WILSON FLASC INC CFO 10.00 X 0 0 0 JOSEPH CASSIBA ADMINISTRATOR 40.00 X 133147 0 9842 KIMLA MINER NURSING DIRECTOR 40.00 X 101998 0 10872 250145 0 20714 2 0 0 0 CONSONUS REHAB PO BOX 4800 PORTLAND OR 972084800 THERAPY SERVICES 4143575 FLASC INC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 ADMINISTRATIVE SERVICES 822828 LTC SUPPORT SERVICES LLC 285 SOUTH FARNHAM STREET GALESBURG FL 61401 SUPPORT SERVICES 490110 3 659255 659255 MEDICARE & MEDICAID 623000 29926592 29926592 RESIDENT PRIVATE PAY 623000 17580551 17580551 OTHER PROGRAM SERVICE 623000 227976 227976 47735119 26016 26016 635 -635 -635 -635 48419755 47735119 0 25381 X 21000 21000 18996180 18397003 599177 109872 106406 3466 1400015 1355856 44159 1442558 1397057 45501 1322196 860845 461351 372829 372829 38288 38288 13760 13760 5578502 5578502 384696 346227 38469 301047 239575 61472 41082 32866 8216 7006595 6800290 206305 88439 84193 4246 2305 2075 230 374234 374234 742706 705571 37135 778094 649742 128352 SUPPLIES & SMALL EQUIP. 4879180 4879119 61 UNCOLLECTIBLE CHARGES 2098045 2098045 MEDICAID ASSESSMENT TAX 1746790 1746790 EQUIPMENT RENT & MAINT. 434628 434397 231 399856 214244 185612 48572897 44204992 4367905 0 1244544 1176969 245477 2335685 6830169 7090221 727095 1006657 11005619 7098731 4003244 3906888 10000 10000 37534 41518 13098063 15567938 10664424 9708481 182460 90598 7140000 10760827 252312 302307 18239196 20862213 X -5141133 -5294275 -5141133 -5294275 13098063 15567938 -153142 0 X X 1 X 0 1 0 X 56887 44205 60684 432834 659255 1253865 45376707 47256018 46882429 46280910 47735119 233531183 45433594 47300223 46943113 46713744 48394374 234785048 0 0 0 234785048 5530 2762 2562 10675 26016 47545 5530 2762 2562 10675 26016 47545 45439124 47302985 46945675 46724419 48420390 234832593 0.99980 0.99990 0.00020 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13760 13760 44204992 44218752 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 13154 10492 11467 13760 48873 250000 250000 250000 250000 1000000 1500000 5853335 3234725 2618610 5133696 3864006 1269690 18588 18588 3906888 RESIDENT SECURITY DEPOSITS 3045 RESIDENT TRUST LIABILITIES 41518 REFUNDABLE BALANCES 112976 DUE TO THIRD PARTY PAYORS 144768 302307 X PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2015. LTC SUPPORT SERVICES (LTC) TWO DIRECTORS COMMON TO FLO & LTC: JOHN CROCK & CHARLES WESTBAY. 499368 SUPPORT SERVICES ARE PROVIDED BY LTC SUPPORT SERVICES, LLC., AS DESCRIBED IN SCHEDULE O RELATIVE TO PART VI, SECTION A, LINE 3. JOHN CROCK, WHO IS A DIRECTOR OF FLORIDA LIVING OPTIONS, INC., AND LTC SUPPORT SERVICES, LLC, RECEIVED DIRECTOR'S FEES OF $0 FROM LTC SUPPORT SERVICES, LLC. FOR THE FISCAL YEAR ENDING JUNE 30, 2019. CHARLES WESTBAY, WHO IS ALSO A DIRECTOR OF FLORIDA LIVING OPTIONS, INC., AND LTC SUPPORT SERVICES, LLC, RECEIVED DIRECTOR'S FEES OF $0 FROM LTC SUPPORT SERVICES, LLC. FOR THE FISCAL YEAR ENDING JUNE 30, 2019. 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 2018 IS $175,578. 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 IX, LINE 11G LAB, XRAY & AMBULANCE FEES: PROGRAM SERVICE EXPENSES 483,476. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 483,476. PHARMACY CONSULTANT: PROGRAM SERVICE EXPENSES 44,149. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,149. MEDICAL RECORDS CONSULTANT: PROGRAM SERVICE EXPENSES 1,053. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,053. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 104,600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 104,600. PHYSICAL THERAPY SERVICES: PROGRAM SERVICE EXPENSES 2,259,640. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,259,640. OCCUPATIONAL THERAPY SERVICES: PROGRAM SERVICE EXPENSES 1,904,349. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,904,349. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 617,552. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 617,552. OTHER OUTSIDE CONSULTANTS: PROGRAM SERVICE EXPENSES 163,683. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 163,683. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. FIRST FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364467494 OPERATES A SKILLED NURSING FACILITY & AN ASSISTED LIVNG FACILITY FL 11417487 2625906 N/A SECOND FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364467496 OPERATES A SKILLED NURSING FACILITY FL 14974692 5422221 N/A THIRD FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364467499 OPERATES AN ASSISTED LIVING FACILITY FL 2531363 361191 N/A FOURTH FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364469681 OPERATES AN ASSISTED LIVING FACILITY FL 2549106 835485 N/A FIFTH FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 331094306 OPERATES AN INDEPENDENT LIVING FACILITY FL 1704562 472098 N/A SIXTH FLORIDA LIVING OPTIONS LLC 4100 SW 33RD AVENUE OCALA FL 34474 263708014 OPERATES AN INDEPENDENT LIVING FACILITY FL 1728721 93289 N/A SEVENTH FLORIDA LIVING OPTIONS LLC 5381 DESOTO ROAD SARASOTA FL 34243 371660137 OPERATES A SKILLED NURSING FACILITY FL 13513824 2873720 N/A