FLORIDA LIVING OPTIONS INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
FLORIDA LIVING OPTIONS INC (EIN 36-4467489)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-04-25
IRS object ID
201611169349301001
Schema version
2014v6.0
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)
Return2016-04-25T10:30:50-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1117 E MAIN ST STE 210AddressLine1Txt
CityGALESBURGCityNm
State AbbreviationILStateAbbreviationCd
ZIP61401ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN364467489EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FLORIDA LIVING OPTIONS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFLORBusinessNameControlTxt
Phone3093431550PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1851 WEST LUMSDEN ROADAddressLine1Txt
CityBRANDONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33511ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLES D WESTBAYPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3093431550PhoneNum
Signature2016-03-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL BASSPreparerPersonNm
PTINP00458970PTIN
Phone3093428026PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHARLES D WESTBAYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1851 WEST LUMSDEN ROADAddressLine1Txt
CityBRANDONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33511ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$45,439,124GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO PROVIDE & OPERATE NURSING HOMES,ASSISTED LIVING FACILITIES & RETIREMENT HOUSING FOR ELDERLY.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee1339TotalEmployeeCnt
Total Volunteers45TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$16,911PYContributionsGrantsAmt
CY Contributions Grants$56,887CYContributionsGrantsAmt
PY Program Service Revenue$38,305,308PYProgramServiceRevenueAmt
CY Program Service Revenue$45,376,707CYProgramServiceRevenueAmt
PY Investment Income-$5,520PYInvestmentIncomeAmt
CY Investment Income$3,733CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$38,316,699PYTotalRevenueAmt
CY Total Revenue$45,437,327CYTotalRevenueAmt
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$21,248,966PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$24,125,365CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$19,010,059PYOtherExpensesAmt
CY Other Expenses$20,478,470CYOtherExpensesAmt
PY Total Expenses$40,259,025PYTotalExpensesAmt
CY Total Expenses$44,603,835CYTotalExpensesAmt
PY Revenues Less Expenses-$1,942,326PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$833,492CYRevenuesLessExpensesAmt
Total Assets BOY$11,587,093TotalAssetsBOYAmt
Total Assets EOY$12,841,317TotalAssetsEOYAmt
Total Liabilities BOY$13,560,240TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,980,972TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,973,147NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,139,655NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$41,490,854ExpenseAmt
Revenue$45,376,707RevenueAmt
DescALL PROGRAM SERVICES RELATE TO PROVIDING AND OPERATING NURSING HOMES, ASSISTED LIVING FACILITIES & RETIREMENT HOUSING FOR THE ELDERLY. THE ORGANIZATION OPERATES 8 FACILITIES WITH A COMBINED TOTAL OF 688 BEDS WITHIN THESE FACILITIES.Desc
Total Program Service Expenses$41,490,854TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
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 EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document37IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1339EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
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 Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RON WILSON RFMS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3093431550PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1285 SOUTH FARMHAM STREETAddressLine1Txt
CityGALESBURGCityNm
State AbbreviationILStateAbbreviationCd
ZIP61401ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHARLES D WESTBAY
PRESIDENT2.000.00Yes (X)Yes (X)$4,500$0$0
JOHN CROCK
DIRECTOR2.000.00Yes (X)$4,500$0$0
JOHN THOMPSON
SECRETARY2.000.00Yes (X)Yes (X)$4,500$0$0
DALE FENWICK
DIRECTOR2.000.00Yes (X)$4,500$0$0
SIDNEY CLEVINGER
DIRECTOR2.000.00Yes (X)$3,000$0$0
KENNETH HARKINS
DIRECTOR2.000.00Yes (X)$0$0$0
RON WILSON FLASC INC
CFO10.00Yes (X)$0$0$0
VERNON ZEGER
ADMINISTRATOR40.000.00$132,817$0$15,475Yes (X)
KARI BOICE
ADMINISTRATOR40.000.00$120,054$0$12,936Yes (X)
CHERLYN DELEONABREU
ADMINISTRATOR40.000.00$113,244$0$6,053Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$387,115TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$34,464TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
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
FLASC INC
285 SOUTH FARNHAM STREETGALESBURGIL61401ADMINISTRATIVE SERVICES$732,828
LTC SUPPORT SERVICES LLC
285 SOUTH FARNHAM STREETGALESBURGFL61401SUPPORT SERVICES$321,438
FAS WINDOWS & DOORS LLC
3020 MERCY DRIVEORLANDOFL32808CONSTRUCTION CONTRACTOR$275,042
ZACKARY GROUP
18865 STATE RD 54 173LUTZFL33558CONSTRUCTION CONTRACTOR$176,975
MCGLADREY LLP
5155 PAYSPHERE CIRCLECHICAGOIL60674ACCOUNTING SERVICES$119,250
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$56,887AllOtherContributionsAmt
Total Contributions$56,887TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE & MEDICAID623000$31,287,187$31,287,187
RESIDENT PRIVATE PAY623000$11,486,251$11,486,251
HOSPICE SERVICES623000$2,275,227$2,275,227
RESPITE SERVICES623000$58,649$58,649
GOVERNMENT VA FEES623000$395$395

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$268,998TotalRevenueColumnAmt
Related Or Exempt Func Income$268,998RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$45,376,707TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,530TotalRevenueColumnAmt
Exclusion$5,530ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,797OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,797OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,797TotalRevenueColumnAmt
Exclusion-$1,797ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,437,327TotalRevenueColumnAmt
Related Or Exempt Func Income$45,376,707RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,733ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$26,451TotalAmt
Management And General$26,451ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$20,615,025TotalAmt
Program Services$20,120,089ProgramServicesAmt
Management And General$494,936ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$199,139TotalAmt
Program Services$194,358ProgramServicesAmt
Management And General$4,781ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,506,129TotalAmt
Program Services$1,469,969ProgramServicesAmt
Management And General$36,160ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,778,621TotalAmt
Program Services$1,735,919ProgramServicesAmt
Management And General$42,702ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,024,428TotalAmt
Program Services$628,854ProgramServicesAmt
Management And General$395,574ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$109,989TotalAmt
Management And General$109,989ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$162,636TotalAmt
Management And General$162,636ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$7,961TotalAmt
Management And General$7,961ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$671,132TotalAmt
Program Services$671,132ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$360,876TotalAmt
Program Services$324,788ProgramServicesAmt
Management And General$36,088ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$253,153TotalAmt
Program Services$200,275ProgramServicesAmt
Management And General$52,878ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$71,199TotalAmt
Program Services$56,959ProgramServicesAmt
Management And General$14,240ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,571,688TotalAmt
Program Services$7,348,086ProgramServicesAmt
Management And General$223,602ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$151,200TotalAmt
Program Services$121,030ProgramServicesAmt
Management And General$30,170ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$23,753TotalAmt
Program Services$21,378ProgramServicesAmt
Management And General$2,375ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$93,842TotalAmt
Program Services$93,842ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$644,922TotalAmt
Program Services$612,676ProgramServicesAmt
Management And General$32,246ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$470,399TotalAmt
Program Services$390,094ProgramServicesAmt
Management And General$80,305ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES & SMALL EQUIP.$4,984,305$4,980,758$3,547
MEDICAID ASSESSMENT TAX$1,977,658$1,977,658
UNCOLLECTIBLE CHARGES$1,230,863$1,230,863
EQUIPMENT RENT & MAINT.$402,580$401,973$607

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$265,886TotalAmt
Program Services$141,016ProgramServicesAmt
Management And General$124,870ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$44,603,835TotalAmt
Program Services$41,490,854ProgramServicesAmt
Management And General$3,112,981ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$703,884BOYAmt
EOY$926,016EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$790,267BOYAmt
EOY$1,418,037EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,731,269BOYAmt
EOY$5,678,041EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$429,750BOYAmt
EOY$831,830EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,008,341LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,270,644LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,761,986BOYAmt
EOY$3,737,697EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$124,994BOYAmt
EOY$196,465EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$44,943BOYAmt
EOY$53,231EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,587,093BOYAmt
EOY$12,841,317EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,165,716BOYAmt
EOY$6,409,272EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$141,424BOYAmt
EOY$154,217EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$6,440,000BOYAmt
EOY$7,090,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$813,100BOYAmt
EOY$327,483EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,560,240BOYAmt
EOY$13,980,972EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,973,147BOYAmt
EOY-$1,139,655EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,973,147BOYAmt
EOY-$1,139,655EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,587,093BOYAmt
EOY$12,841,317EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$833,492ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,769CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,138CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,100CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,911CurrentTaxYearMinus1YearAmt
Current Tax Year$56,887CurrentTaxYearAmt
Total$105,805TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,725,519CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,720,520CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,102,375CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,305,308CurrentTaxYearMinus1YearAmt
Current Tax Year$45,376,707CurrentTaxYearAmt
Total$169,230,429TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,741,288CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,728,658CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,110,475CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,322,219CurrentTaxYearMinus1YearAmt
Current Tax Year$45,433,594CurrentTaxYearAmt
Total$169,336,234TotalAmt

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$169,336,234PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$623CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,064CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,884CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,067CurrentTaxYearMinus1YearAmt
Current Tax Year$5,530CurrentTaxYearAmt
Total$12,168TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$623CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,064CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,884CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,067CurrentTaxYearMinus1YearAmt
Current Tax Year$5,530CurrentTaxYearAmt
Total$12,168TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,741,911CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,731,722CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,112,359CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,323,286CurrentTaxYearMinus1YearAmt
Current Tax Year$45,439,124CurrentTaxYearAmt
Total$169,348,402TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$7,961FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$7,961FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$41,490,854FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$41,498,815FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$6,041CurrentYearMinus3Amt
Current Year Minus2$7,028CurrentYearMinus2Amt
Current Year Minus1$13,655CurrentYearMinus1Amt
Current Year$7,961CurrentYearAmt
Total$34,685TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,490,365OtherCostOrOtherBasisAmt
Depreciation$1,893,278DepreciationAmt
Book Value$1,597,087BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,872,179OtherCostOrOtherBasisAmt
Depreciation$2,122,238DepreciationAmt
Book Value$1,749,941BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$645,797OtherCostOrOtherBasisAmt
Depreciation$255,128DepreciationAmt
Book Value$390,669BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,737,697TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
RESIDENT SECURITY DEPOSITS$19,640
RESIDENT TRUST LIABILITIES$53,231
REFUNDABLE BALANCES$254,612
FieldValueIRS element (for citing)
Total Liability$327,483TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$44,206,463TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$44,206,463RevenueSubtotalAmt
Other Revenues Not Included$1,230,864OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,230,864RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$45,437,327TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$43,372,971TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$43,372,971ExpensesSubtotalAmt
Other Expenses Not Included$1,230,864OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,230,864ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$44,603,835TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 CONSOLIDATED 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 2012.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR DOUBTFUL ACCOUNTS 1,230,864.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR DOUBTFUL ACCOUNTS 1,230,864.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LTC SUPPORT SERVICES (LTC)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionTWO DIRECTORS COMMON TO FLO & LTC: JOHN CROCK & CHARLES WESTBAY.RelationshipDescriptionTxt
Transaction$291,600TransactionAmt
TransactionSUPPORT 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 $3,000 FROM LTC SUPPORT SERVICES, LLC. FOR THE FISCAL YEAR ENDING JUNE 30, 2015. CHARLES WESTBAY, WHO IS ALSO A DIRECTOR OF FLORIDA LIVING OPTIONS, INC., AND LTC SUPPORT SERVICES, LLC, RECEIVED DIRECTOR'S FEES OF $4,500 FROM LTC SUPPORT SERVICES, LLC. FOR THE FISCAL YEAR ENDING JUNE 30, 2015.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE 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 12.5% OF LTC SUPPORT SERVICES, LLC. THE REMAINING 87.5% 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 11EACH 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 12CALL 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 18A 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 19THE 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 XII, LINE 2C:THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtDirect Controlling NADirectControllingNACd
FIRST FLORIDA LIVING OPTIONS LLC
851 W LUMSDEN RDBRANDONFL33511364467494OPERATES A NURSING HOME & ASSISTED LIVNG FACILITY FOR THE ELDERLY.FL$12,155,812$3,537,448N/A
SECOND FLORIDA LIVING OPTIONS LLC
851 W LUMSDEN RDBRANDONFL33511364467496OPERATES A NURSING HOME FOR THE ELDERLY.FL$12,699,009$2,744,358N/A
THIRD FLORIDA LIVING OPTIONS LLC
851 W LUMSDEN RDBRANDONFL33511364467499OPERATES AN ASSISTED LIVING FACILITY FOR THE ELDERLY.FL$2,234,547$338,873N/A
FOURTH FLORIDA LIVING OPTIONS LLC
851 W LUMSDEN RDBRANDONFL33511364469681OPERATES AN ASSISTED LIVING FACILITY FOR THE ELDERLY.FL$2,421,159$539,762N/A
FIFTH FLORIDA LIVING OPTIONS LLC
851 W LUMSDEN RDBRANDONFL33511331094306OPERATES AN INDEPENDENT LIVING RETIREMENT CENTER FOR THE ELDERLY.FL$1,623,425$345,912N/A
SIXTH FLORIDA LIVING OPTIONS LLC
4100 SW 33RD AVENUEOCALAFL34474263708014OPERATES AN INDEPENDENT LIVING RETIREMENT CENTER FOR THE ELDERLY.FL$1,291,185$78,461N/A
SEVENTH FLORIDA LIVING OPTIONS LLC
5381 DESOTO ROADSARASOTAFL34243371660137OPERATES A NURSING HOME FOR THE ELDERLY.FL$13,012,190$3,349,021N/A
EIGHTH FLORIDA LIVING OPTIONS LLC
4100 SW 33RD AVENUEOCALAFL34474320446056NO ACTIVITYFL$0$0N/A

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1RFMS INC MEDICAL BENEFIT PLAN TRUSTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1285 S FARNHAM STREETAddressLine1Txt
CityGALESBURGCityNm
State AbbreviationILStateAbbreviationCd
ZIP61401ZIPCd
FieldValueIRS element (for citing)
EIN367042729EIN
Primary ActivitiesMEDICAL, ST DISABILITY & DEATH BENEFITS FOR ELIGIBLE EMPLOYEESPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Exempt Code Section501(C)(9)ExemptCodeSectionTxt
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 Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RFMS INC MEDICAL BENEFIT PLAN TRUSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeRTransactionTypeTxt
Involved$826,530InvolvedAmt
Method Of Amount DeterminationCOST OF PREMIUMSMethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART II AND PART V:FormAndLineReferenceDesc
ExplanationTHE RFMS, INC. MEDICAL BENEFIT PLAN TRUST IS A SELF-INSURED BENEFIT PROGRAM FUNDED BY THE EMPLOYERS AND PARTICIPANTS WITHIN THE PLAN. PARTICIPANTS IN THE PLAN ARE CURRENT AND FORMER EMPLOYEES OF THE FOLLOWING SPONSORS: RFMS, INC., LTC SUPPORT SERVICES, LLC, COMMUNITY LIVING OPTIONS, INC., SMSLC, LLC, FRANCES HOUSE, INC., UNLIMITED DEVELOPMENT, INC., KENSINGTON OF GALESBURG, INC., ACHIEVEMENT UNLIMITED, INC., PINNACLE OPPORTUNITIES, INC., PIONEER CONCEPTS, INC., RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., DESERT HEALTHCARE FACILITIES, INC., FLORIDA LIVING OPTIONS, INC., AND HIGHLAND ESTATES RESORT, LLC. PLAN ASSETS ARE HELD IN A VOLUNTARY EMPLOYEES' BENEFIT ASSOCIATION (VEBA) TRUST. THE PLAN IS SUBJECT TO THE PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA), AS AMENDED. NO TRUSTEE FEES OR MANAGEMENT FEES ARE PAID BY THE RFMS, INC. MEDICAL BENEFIT PLAN TRUST. THE AMOUNT OF PREMIUMS RECEIVED BY THE RFMS, INC. MEDICAL BENEFIT PLAN TRUST IS FOR THE PLAN'S FISCAL YEAR ENDING OCTOBER 31, 2014.ExplanationTxt

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