SHADY REST CARE PAVILION INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SHADY REST CARE PAVILION INC (EIN 65-0850574)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-15
IRS object ID
201622289349300627
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)
Return2016-08-15T08:44:55-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN592213319PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SUPLEE SHEA CRAMER & ROCKLEIN PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 SOUTH OSPREY AVENUEAddressLine1Txt
CitySARASOTACityNm
State AbbreviationFLStateAbbreviationCd
ZIP342367834ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN650850574EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHADY REST CARE PAVILION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSHADBusinessNameControlTxt
Phone2399318401PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12310 NORTH AIRPORT ROADAddressLine1Txt
CityFORT MYERSCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33907ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWESTON EDWARDSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2399318401PhoneNum
Signature2016-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS R CRAMERPreparerPersonNm
PTINP00456445PTIN
Phone9413663600PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PAGE REHABILITATION AND HEALTHCARE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerWESTON EDWARDSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12310 N AIRPORT RDAddressLine1Txt
CityFORT MYERSCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33907ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,726,422GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionOPERATION OF A SKILLED NURSING FACILITYActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee378TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$15,488,599PYProgramServiceRevenueAmt
CY Program Service Revenue$16,661,816CYProgramServiceRevenueAmt
PY Investment Income$4,478PYInvestmentIncomeAmt
CY Investment Income$5,479CYInvestmentIncomeAmt
PY Other Revenue$53,636PYOtherRevenueAmt
CY Other Revenue$59,127CYOtherRevenueAmt
PY Total Revenue$15,546,713PYTotalRevenueAmt
CY Total Revenue$16,726,422CYTotalRevenueAmt
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$10,029,435PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,561,936CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,265,150PYOtherExpensesAmt
CY Other Expenses$5,770,609CYOtherExpensesAmt
PY Total Expenses$15,294,585PYTotalExpensesAmt
CY Total Expenses$16,332,545CYTotalExpensesAmt
PY Revenues Less Expenses$252,128PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$393,877CYRevenuesLessExpensesAmt
Total Assets BOY$8,821,974TotalAssetsBOYAmt
Total Assets EOY$9,407,338TotalAssetsEOYAmt
Total Liabilities BOY$2,210,697TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,402,184TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,611,277NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,005,154NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE SKILLED NURSING CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$16,332,545ExpenseAmt
Revenue$16,720,943RevenueAmt
DescPROVIDE SKILLED NURSING CAREDesc
Total Program Service Expenses$16,332,545TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 RequiredYes (1)ScheduleJRequiredInd
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 Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document47IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee378EmployeeCnt
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
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 Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FONDA POTTSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2399318406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12310 NORTH AIRPORT ROAD FT MYERSAddressLine1Txt
CityFT MYERSCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33907ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT L MURRAY
CHAIR2.00Yes (X)Yes (X)$0$0$0
ROBERT MCCURDY
VICE - CHAIR2.00Yes (X)Yes (X)$0$0$0
TRICIA M MOLZOW
SECRETARY2.00Yes (X)Yes (X)$0$0$0
SHEILA CARLSON
TREASURER2.00Yes (X)Yes (X)$0$0$0
ARIE J VANDUIJN
DIRECTOR1.00Yes (X)$0$0$0
SANDRA WHARTON
DIRECTOR1.00Yes (X)$0$0$0
JO STECHER
DIRECTOR1.00Yes (X)$0$0$0
WESTON R EDWARDS
PRESIDENT/CEO20.00Yes (X)$175,580$0$11,475
FONDA POTTS
CFO40.00$115,884$0$10,118Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$291,464TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$21,593TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EVERGREEN REHABILITATION LLC
136 ST MATTHEWS AVENUE SUITE 300LOUISVILLEKY40207THERAPY SERVICES$1,466,503
OMNICARE INC
PO BOX 715268COLUMBUSOH43271PATIENT PHARMACEUTICALS$615,523
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$16,661,816TotalRevenueColumnAmt
Related Or Exempt Func Income$16,661,816RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$16,661,816TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,479TotalRevenueColumnAmt
Exclusion$5,479ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business623000BusinessCd
Total Revenue Column$59,127TotalRevenueColumnAmt
Related Or Exempt Func Income$59,127RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$59,127OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,726,422TotalRevenueColumnAmt
Related Or Exempt Func Income$16,720,943RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,479ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$303,778TotalAmt
Program Services$303,778ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,092,184TotalAmt
Program Services$8,092,184ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$180,249TotalAmt
Program Services$180,249ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,386,595TotalAmt
Program Services$1,386,595ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$599,130TotalAmt
Program Services$599,130ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,478TotalAmt
Program Services$4,478ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$32,738TotalAmt
Program Services$32,738ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$106,379TotalAmt
Program Services$106,379ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,160TotalAmt
Program Services$9,160ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$510,000TotalAmt
Program Services$510,000ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,684TotalAmt
Program Services$17,684ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1TotalAmt
Program Services$1ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,506TotalAmt
Program Services$6,506ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$159,354TotalAmt
Program Services$159,354ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PURCHASED SERVICES$2,040,274$2,040,274
OTHER SUPPLIES$1,847,971$1,847,971
OTHER SERVICES$814,186$814,186
OTHER RENTALS$132,515$132,515

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$89,363TotalAmt
Program Services$89,363ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,332,545TotalAmt
Program Services$16,332,545ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$945,970BOYAmt
EOY$569,192EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$306,458BOYAmt
EOY$306,733EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,307,247BOYAmt
EOY$3,205,508EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$100,319BOYAmt
EOY$106,912EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$39,861BOYAmt
EOY$60,721EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,122,119BOYAmt
EOY$5,158,272EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,821,974BOYAmt
EOY$9,407,338EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$978,836BOYAmt
EOY$1,303,236EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$288,076BOYAmt
EOY$288,076EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$943,785BOYAmt
EOY$810,872EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,210,697BOYAmt
EOY$2,402,184EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,611,277BOYAmt
EOY$7,005,154EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,611,277BOYAmt
EOY$7,005,154EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,821,974BOYAmt
EOY$9,407,338EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$393,877ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,541,384CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,582,283CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,135,824CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,488,599CurrentTaxYearMinus1YearAmt
Current Tax Year$16,661,816CurrentTaxYearAmt
Total$77,409,906TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,541,384CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,582,283CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,135,824CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,488,599CurrentTaxYearMinus1YearAmt
Current Tax Year$16,661,816CurrentTaxYearAmt
Total$77,409,906TotalAmt

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$77,409,906PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,681CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,213CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,912CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,478CurrentTaxYearMinus1YearAmt
Current Tax Year$5,479CurrentTaxYearAmt
Total$34,763TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,681CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,213CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,912CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,478CurrentTaxYearMinus1YearAmt
Current Tax Year$5,479CurrentTaxYearAmt
Total$34,763TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$48,232CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,962CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$63,125CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,635CurrentTaxYearMinus1YearAmt
Current Tax Year$59,127CurrentTaxYearAmt
Total$267,081TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,598,297CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,634,458CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,205,861CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,546,712CurrentTaxYearMinus1YearAmt
Current Tax Year$16,726,422CurrentTaxYearAmt
Total$77,711,750TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99610PublicSupportCY509Pct
Public Support PY5090.99600PublicSupportPY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
Investment Income PY0.00050InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$5,975DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$5,975TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationREPRESENTATIVES OF THE ORGANIZATION DID ENGAGE IN LOBBYING ACTIVITIES. DURING THE STATE OF FLORIDA LEGISLATIVE SESSION, SOME FACILITY MANAGEMENT AND FAMILY MEMBERS TRAVELED TO TALLAHASSEE TO MEET WITH LEGISLATORS AND PARTICIPATED IN LOBBY WEDNESDAYS SPONSORED BY FHCA. TOTAL EXPENSES WERE $9,305 WHICH INCLUDED EXPENSES FOR TRAVEL, LODGING, AND MEALS OF $4,641 AND PAID MANAGEMENT TIME OF APPROXIMATELY $4,664.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
ACCOUNTS RECEIVABLE - OTHER$96,741
DUE FROM SHADY REST FOUNDATION, INC.$4,193,715
DUE FROM PAGE HEALTHCARE, INC.$88,589
DUE FROM ALL ABOUT HOME CARE, INC.$744,272
DUE FROM MEDICAID$34,955
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,158,272TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED EXPENSES$769,463
DUE TO MEDICARE$41,409
FieldValueIRS element (for citing)
Total Liability$810,872TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 2B:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HAS A RESIDENT PERSONAL FUNDS ACCOUNT REQUIRED BY REGULATION FOR SKILLED NURSING HOME FACILITIES. THE BALANCE IN THE FUND AT 9/30/14 WAS $40,934. THE INDIVIDUAL ACCOUNTS CAN BE ESTABLISHED BY RESIDENTS AND FUNDS ARE HELD UNTIL THEY ARE EITHER WITHDRAWN BY THE RESIDENT OR DISTRIBUTED TO THE RESIDENT OR PERSONAL REPRESENTATIVE UPON DEATH OR DISCHARGE FROM THE FACILITY. THE FACILITY HOLDS THE FUNDS IN AN INTEREST-BEARING BANK ACCOUNT DETERMINED BY THE FACILITY AND INTEREST IS ALLOCATED MONTHLY TO THE INDIVIDUAL ACCOUNTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonWESTON R EDWARDSPersonNm
TitlePRESIDENT/CEOTitleTxt
Base Compensation Filing Org$136,143BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$39,437OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$6,807DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$4,668NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$187,055TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11AN 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 15THE 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 19THE 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
SHADY REST FOUNDATION INC
2310 N AIRPORT ROADFORT MYERSFL33907300274280PROVIDE A FACILITY AND SUPPORT TO SHADY REST CARE PAVILION, INC.FL501(C)(3)7N/A0
ALL ABOUT HOME CARE INC
2310 N AIRPORT ROADFORT MYERSFL33907208542270PROVIDE HOME HEALTH SERVICESFL501(C)(3)3N/A0
PAGE HEALTHCARE INC
2310 N AIRPORT ROADFORT MYERSFL33907208542312PROVIDE MANAGEMENT SERVICES TO RELATED ORGANIZATIONSFL501(C)(3)11N/A0
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 OrgYes (1)LoansOrGuaranteesToOtherOrgInd
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 OrgYes (1)RentalOfFcltsFromOthOrgInd
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 OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
SHADY REST FOUNDATION INC
K$510,000
SHADY REST FOUNDATION INC
P$172,155
ALL ABOUT HOME CARE INC
Q$123,567
SHADY REST FOUNDATION INC
D$4,193,715
ALL ABOUT HOME CARE INC
D$744,272
PAGE HEALTHCARE INC
D$88,589
PAGE HEALTHCARE INC
P$26,633

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