2019-05-15T08:02:24-07:00 2018-06-30 990 2017-07-01 371869372 CONCORDIA OF FLORIDA INC CONC 8136322428 4100 East Fletcher Avenue Tampa FL 33613 Michael Falbo CFO 7243521571 2019-05-14 24.101.31.146 2017 2019-02-21 02:37:17Z X CONCORDIA VILLAGE OF TAMPA Keith Frndak 134 Marwood Road Cabot PA 15243 24747029 0 X www.concordialm.org X 2017 FL The organization strives to serve our aging community with a continuum of high quality care-giving options, provided in a Christian environment, and to serve those with limited funds to the best of our ability. 8 1 370 163 0 0 0 7000050 0 4569301 0 149537 0 57878 0 11776766 0 0 0 0 0 3014458 0 0 0 0 1631640 0 4646098 0 7130668 0 30302285 0 22375452 0 7926833 Concordia Village of Tampa strives to serve our aging community with a continuum of high quality care-giving options, provided in a Christian environment, and to serve those with limited funds to the best of our ability. We provide high-quality independent living, personal care, and skilled nursing services to those individuals entrusted to our care. 0 0 4141501 11771973 In May of 2018 Concordia Lutheran Ministries purchased the facility and began the process of renovating and reinvigorating the premise. The facility serves the elderly population through a continuum of care including independent living with home health assistance, assisted living and skilled nursing care. This includes a secured level of care of Alzheimer's patients in the assisted and skilled levels. All services and amenities to improve the quality of daily living are provided. These services include health care, housing, home health, dietary, security, maintenance, social services, activities and related services to over 485 residents/patients. Medicaid patients are served in our skilled care facility and assisted living through the diversion plan as well as assistance from Veteran's aid and attendance program. We educate the community regarding senior living services as well as current elder population programs like brown bag lunch for the homeless, assembled by staff, senior's driving program through AARP, offering mobile DMV to facilitate driver's license or identifications needs and a partnership with University of South Florida. USF partnership includes Osher Life Long Learning which offers classes at our facility and lead by USF faculty, hosting of pharmaceutical program where students have the opportunity to learn and review medications uses and applications as well as a major participant of their management program where students experience a day in our facility conversing with managers and learning business skills. 0 0 0 4141501 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 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 0 0 0 1 89 0 1 370 1 0 0 0 0 0 0 X 8 1 0 0 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 FL X X Ailyn Millares 8136322428 4100 East Fletcher Avenue Tampa FL 33613 X Keith Frndak- See Sched O Chief Executive Officer/President & Chairman of Board 5 45 X X 0 603342 73978 Brian Hortert - See Sched O Chief Operating Officer 1 44 X X 0 267611 72233 Kimberly Young - See Sched O Chief Financial Officer 1 44 X X 0 214737 66424 Michael Falbo - See Sched O Director of Finance 1 44 X 0 100935 16888 Hope Rouda - See Sched O Executive Director CLM 1 44 X 0 107813 15575 Natalie Mckay -See Sched O Skilled Nursing Administrator CLHHC 1 44 X 0 117852 16740 Martin Trettel - See Sched O Board Member CVN President 1 44 X 0 207389 58064 Kimbery Guy - See Sched O Board Member 1 0 X 0 0 0 Lisa Lyons - See Sched O Concordia of Florida Executive Director 40.00 0.00 X 168521 0 0 168521 1619679 319902 0 0 1 0 0 0 0 0 7000000 0 50 0 7000050 Resident Care Revenue 623000 4569301 4569301 0 0 0 0 0 0 4569301 17310 17310 0 0 0 0 0 0 0 0 0 0 8723 0 0 0 8723 0 8723 8723 0 0 13102490 0 12970263 0 132227 0 132227 132227 0 0 0 49155 49155 0 0 49155 11776766 4776716 0 0 0 0 0 0 0 0 0 0 29855 0 29855 0 0 0 0 0 2210621 2032882 177739 0 83861 74704 9157 0 466704 417176 49528 0 223417 202210 21207 0 0 0 0 0 122 0 122 0 10000 0 10000 0 0 0 0 0 0 0 29 0 29 0 224812 189920 34892 0 17800 0 17800 0 17841 6656 11185 0 5391 20 5371 0 0 0 0 0 248219 242881 5338 0 56436 11279 45157 0 0 0 0 0 6997 2218 4779 0 58333 58333 0 0 0 0 0 0 78765 78765 0 0 173468 173468 0 0 EMR, Pharmacy, & Medical Supplies 239772 239772 0 0 Maintenance Costs 36147 36147 0 0 Food Service Cost 273500 273500 0 0 184008 101570 82438 0 4646098 4141501 504597 0 0 1718552 0 0 0 0 0 2759160 0 0 0 0 0 0 0 11926 0 1021860 10656204 78766 0 10577438 0 14115021 0 0 0 0 98328 0 30302285 3278873 458333 18638246 0 22375452 X 0 6914302 0 1012531 0 0 0 7926833 0 30302285 X 7130668 -4794 0 0 0 800959 X 0 1 1 0 X 0 0 0 0 7000050 7000050 0 0 0 0 5313855 5313855 0 0 0 0 132 132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12314037 12314037 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12314037 17310 17310 0 0 0 0 17310 17310 8810 8810 0 0 0 0 12340157 12340157 X Schedule A, Part III, Line 12 Schedule A, Part III, Section B line 12 - Other income relates to recycling revenue and cell tower income for license to use the space. 0 0 0 0 1012531 0 -1012531 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 0 0 0 0 1 0 1 1 0 4700000 4700000 0 3528576 40293 3488283 0 0 0 0 0 889028 36170 852858 0 1538600 2303 1536297 10577438 0 Due to Affiliates 13620267 Residents Fund Liability 4432819 Security Deposits 585160 18638246 X Schedule D, Part V, Line 4 Temporarily restricted for the use of facility and/or to support other non-profit organizations. Schedule D, Part X, Line 2 The organization is a not-for-profit corporation as described in Section 501(c)(3) of the internal revenue Code and is exempt from federal income taxes on its income under Section 501(a) of the Internal Revenue Code. Accordingly, no provision for income taxes has been provided. The Organization follows the guidance for accounting for uncertainty in income taxes recognized in an organization's consolidated financial statements that prescribes a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. The standard also provides guidance on derecognition, classification, interest and penalties, accounting in interim periods and disclosure. Management has determined that this guidance had no material effect on the consolidated financial statements. The organization's policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses. There were no interest or penalties recognized on the statements of operations as a result of the guidance. 0 1 0 0 0 0 0 0 0 Keith Frndak- See Sched O Chief Executive Officer/President & Chairman of Board 0 526692 0 76650 0 0 0 67300 0 6678 0 677320 0 73978 Kimberly Young - See Sched O Chief Financial Officer 0 210387 0 4350 0 17386 0 37290 0 11748 0 281161 0 49038 Brian Hortert - See Sched O Chief Operating Officer 0 256561 0 11050 0 19544 0 39750 0 12939 0 339844 0 52689 Martin Trettel - See Sched O Board Member CVN President 0 204239 0 3150 0 19487 0 31898 0 6678 0 265452 0 38576 Lisa Lyons - See Sched O Concordia of Florida Executive Director 168521 0 0 0 0 0 0 0 0 0 168521 0 0 0 Schedule J, Part I, Line 4 Certain individuals received contributions associated with a supplemental non qualified 457 deferred compensation plan. Form 990, Part I, Line 5 Concordia of Florida begun its operations in May 2018. The calendar year end 2018 information was used to present total number of individual employed in calendar year. Form 990, Part I, Line 8 The contribution from parent company is to be used for support of the organization and other non-profit organizations. Form 990, Part VI, Section A, Line 6 Concordia Lutheran Ministries is the sole member. Form 990, Part VI, Section A, Line 7a The board of directors of Concordia Lutheran Ministries has the ability to elect members of the board of directors for this organization. Form 990, Part VI, Section A, Line 7b Concordia Lutheran Ministries is the sole member of the organization. The board of directors of Concordia Lutheran Ministries holds reserve power over the decisions of the board of directors of this organization. Form 990, Part VI, Section A, Line 9 Officer's address is 134 Marwood Road Cabot, PA 16023, for Falbo, Michael; Frndak, Keith; Hortert, Brian; McKay, Natalie; Rouda, Hope; Trettel, Martin; Young, Kimberly. Guy, Kimberly address is Baycare Health System 2985 Drew St., Clearwater, Florida . Form 990, Part VI, Section B, Line 11b The Concordia Lutheran Ministries Board of Directors maintains reserve powers on the binding decisions made by the board of directors of this organization due to reserve power maintained by the board. It has been decided to present Form 990 of this organization to the board of directors of Concordia Lutheran Ministries for review prior to submission of this form. Additionally, any independent board member of this organization was offered an opportunity to review Form 990 prior to submission as well. Form 990, Part VI, Section B, Line 12c Concordia of Florida, annually requires its board members, officers, and key employees to complete a conflict of interest form. During board meetings, if an interested party has a conflict, he/she recuses themselves from voting. Form 990, Part VI, Section B, Line 15 The board reviews comparability analysis for compensation and approves annually. Form 990, Part VI, Section C, Line 19 The organization makes its Form 990, governing documents, conflict of interest and financial information available to the public upon request. Form 990, Part VII, Section A, Line 1a The following board members serve on a purely volunteer basis. Any compensation received are for services in a managerial capacity for the organization and not for services as a board member. Keith Frndak is the CEO, President and Chairman of the Board & Chief Executive Officer; - Brian Hortert is the Chief Operating Officer;- Kimberly Young, is the Chief Financial Officer'- Michael Falbo is the Director of Finance ; - Hope Rouda is the Executive Director of CLM; - Natalie McKay is the Skilled Nursing Administrator CLHHC; - Martin Trettel is the president for Concordia Visiting Nurses; Lisa Lyons is the Executive Director for Concordia of Florida. Form 990, Part XI, Line 9 The $800,959, represents the initial setup of temporary restricted asset of $1,007,136 less the initial emergency fund credited during closing of $206,177. Concordia Lutheran Health & Human Care 134 Marwood Road Cabot PA 16023 250969458 Provide skilled nursing, personal care, independent living, and rehabilitative services PA 501(c)(3) 509(a)(2) Concordia Lutheran Ministries 0 Concordia Lutheran Ministries Foundation 134 Marwood Road Cabot PA 16023 205138266 Raise and receive funds for the furtherance of the mission and purposes of affiliated 501(c)(3) orgs PA 501(c)(3) 509(a)(3) Concordia Lutheran Ministries 0 Rebecca Residence dba Concordia at Rebecca Residence 3746 Cedar Ridge Road Allison Park PA 15101 250974311 Provide skilled nursing, personal care, independent living, and rehabilitative services PA 501(c)(3) 509(a)(2) Concordia Lutheran Health and Human Care 0 Concorcia Visiting Nurses of Ohio 613 North Pike Road Cabot PA 16023 463845269 Home Health Services OH 501(c)(3) 509(a)(2) Concordia Community Support Services 0 Concordia Lutheran Ministries 134 Marwood Road Cabot PA 16023 205138278 Manage, oversee, and carry out the purpose of the affiliated 501(c)(3) organizations PA 501(c)(3) 509(a)(3) N/A 0 Concordia of Monroeville 4363 Northern Pike Monroeville PA 15146 251475192 To provide skilled nursing, personal care, independent living and rehabilitation services PA 501(c)(3) 509(a)(2) Concordia Lutheran Ministries of Pittsburgh 0 Good Samaritan Hospice of Pittsburgh 116 Browns Hill Road Suite 100 Valencia PA 16059 151818793 Provide inpatient and community hospice patient care PA 501(c)(3) 509(a)(2) Concordia Lutheran Health and Human Care 0 Cedars Home Health Care Services 4363 Northern Pike Monroeville PA 15146 251875508 Home Health Services PA 501(c)(3) 509(a)(2) Concordia Tele CareGivers 0 Concordia Community Support Services 613 North Pike Road Suite B Cabot PA 16023 473508524 Provide oversight, management and strategic planning PA 501(c)(3) 509(a)(3) Concordia Lutheran Ministries 0 Concordia Lutheran Ministries of Pittsburgh 1300 Bower Hill Road Pittsburgh PA 15243 270209886 Provide skilled nursing, personal care, independent living, and rehabilitative services PA 501(c)(3) 509(a)(2) Concordia Lutheran Ministries 0 Concordia Visiting Nurse 613 North Pike Road Cabot PA 16023 421704067 Provide home health care services PA 501(c)(3) 509(a)(2) Concordia Community Support Services 0 Concordia Physician Practice 134 Marwood Road Cabot PA 16023 473951584 To provide primary physician services PA 501(c)(3) 509(a)(2) Concordia Lutheran Ministries 0 Concordia Tele-Caregivers 613 North Pike Road Suite A Cabot PA 16023 251881783 Provide private duty non-medical services PA 501(c)(3) 509(a)(1) Concordia Community Support Services 0 Concordia Hospice of Washington 613 North Pike Road Suite B Cabot PA 16023 812448411 Provide inpatient and community hospice patient care PA 501(c)(3) 509(a)(2) Concordia Community Support Services 0 Conordia of Ohio 970 Sumner Parkway Copley OH 44321 611682165 Provide skilled nursing, personal care, independent living, and rehabilitative services OH 501(c)(3) 509(a)(2) Concordia Lutheran Ministries 0 Providence Pharmacy Services 615 North Pike Road Cabot PA 16023 223885810 Provides institutional pharmacy services and consulting as the limited partnership PA Concordia Providence LLC Related 0 0 0 0 0 Concordia Medical Equipment 615 North Pike Road Cabot PA 16023 204386767 Rental/sales of medical equipment and supplies PA Concordia Lutheran Ministries C 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 An extension was filed and approved in September 2018.