FLORIDA LIVING OPTIONS INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
FLORIDA LIVING OPTIONS INC (EIN 36-4467489)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-14
IRS object ID
201511349349303801
Schema version
2013v4.0
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)
Return2015-05-14T11:31:34-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1117 E MAIN ST STE 210AddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN364467489EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FLORIDA LIVING OPTIONS INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlFLORBusinessNameControlTxt
Phone3093431550PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1851 WEST LUMSDEN ROADAddressLine1
CityBRANDONCity
StateFLState
ZIP Code33511ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLES D WESTBAYPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3093431550PhoneNum
Signature2015-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBEN MCMAHANPreparerPersonNm
PTINP00702421PTIN
Phone3093428026PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHARLES D WESTBAYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1851 WEST LUMSDEN ROADAddressLine1
CityBRANDONCity
StateFLState
ZIP Code33511ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$38,323,286GrossReceiptsAmt
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 Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee1087TotalEmployeeCnt
Total Volunteers45TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,100PYContributionsGrantsAmt
CY Contributions Grants$16,911CYContributionsGrantsAmt
PY Program Service Revenue$30,102,375PYProgramServiceRevenueAmt
CY Program Service Revenue$38,305,308CYProgramServiceRevenueAmt
PY Investment Income-$2,034PYInvestmentIncomeAmt
CY Investment Income-$5,520CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$30,108,441PYTotalRevenueAmt
CY Total Revenue$38,316,699CYTotalRevenueAmt
PY Grants And Similar Paid$5,040PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,901,018PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$21,248,966CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$16,525,136PYOtherExpensesAmt
CY Other Expenses$19,010,059CYOtherExpensesAmt
PY Total Expenses$32,431,194PYTotalExpensesAmt
CY Total Expenses$40,259,025CYTotalExpensesAmt
PY Revenues Less Expenses-$2,322,753PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,942,326CYRevenuesLessExpensesAmt
Total Assets BOY$8,283,936TotalAssetsBOYAmt
Total Assets EOY$11,587,093TotalAssetsEOYAmt
Total Liabilities BOY$8,314,757TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,560,240TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$30,821NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,973,147NetAssetsOrFundBalancesEOYAmt
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$37,819,528ExpenseAmt
Revenue$38,305,308RevenueAmt
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$37,819,528TotalProgramServiceExpensesAmt
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 Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1087EmployeeCnt
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 Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
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
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RON WILSON RFMS INCBusinessNameLine1
FieldValueIRS element (for citing)
Phone3093431550PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1285 SOUTH FARMHAM STREETAddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (8 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
VICE PRESIDENT2.000.00Yes (X)Yes (X)$6,000$0$0
JOHN THOMPSON
SECRETARY2.000.00Yes (X)Yes (X)$6,000$0$0
DALE FENWICK
DIRECTOR2.000.00Yes (X)$4,500$0$0
SIDNEY CLEVINGER
DIRECTOR2.000.00Yes (X)$1,500$0$0
RON WILSON FLASC INC
CFO10.00Yes (X)$0$0$0
VERNON ZEGER
ADMINISTRATOR40.000.00$122,991$0$10,112Yes (X)
KARI BOICE
ADMINISTRATOR40.000.00$120,054$0$6,000Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$265,545TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$16,112TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
FLASC INC
285 SOUTH FARNHAM STREETGALESBURGIL61401ADMINISTRATIVE SERVICES$647,759
QUALITY CARE REHAB INC
8477 SOUTH SUNCOAST BLVDHOMOSASSAFL34446PHYSICAL THERAPY SERVICES$396,382
LTC SUPPORT SERVICES LLC
285 SOUTH FARNHAM STREETGALESBURGIL61401SUPPORT SERVICES$388,240
MCGLADREY LLP
5155 PAYSPHERE CIRCLECHICAGOIL60674ACCOUNTING SERVICES$143,965
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
All Other Contributions$16,911AllOtherContributionsAmt
Total Contributions$16,911TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE & MEDICAID623000$25,837,092$25,837,092
RESIDENT PRIVATE PAY623000$10,343,263$10,343,263
HOSPICE SERVICES623000$1,711,830$1,711,830
GOVERNMENT VA FEES623000$119,474$119,474
RESPITE SERVICES623000$87,612$87,612

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$206,037TotalRevenueColumnAmt
Related Or Exempt Func Income$206,037RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$38,305,308TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,067TotalRevenueColumnAmt
Exclusion$1,067ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$6,587OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$6,587OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,587TotalRevenueColumnAmt
Exclusion-$6,587ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,316,699TotalRevenueColumnAmt
Related Or Exempt Func Income$38,305,308RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$5,520ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$24,600TotalAmt
Management And General$24,600ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,111,368TotalAmt
Program Services$17,641,333ProgramServicesAmt
Management And General$470,035ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$168,786TotalAmt
Program Services$164,406ProgramServicesAmt
Management And General$4,380ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,396,435TotalAmt
Program Services$1,360,194ProgramServicesAmt
Management And General$36,241ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,547,777TotalAmt
Program Services$1,507,608ProgramServicesAmt
Management And General$40,169ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,054,266TotalAmt
Program Services$655,708ProgramServicesAmt
Management And General$398,558ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$44,293TotalAmt
Management And General$44,293ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$143,354TotalAmt
Management And General$143,354ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$13,655TotalAmt
Management And General$13,655ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$583,218TotalAmt
Program Services$583,218ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$328,495TotalAmt
Program Services$295,646ProgramServicesAmt
Management And General$32,849ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$244,877TotalAmt
Program Services$193,820ProgramServicesAmt
Management And General$51,057ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$62,794TotalAmt
Program Services$50,235ProgramServicesAmt
Management And General$12,559ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,115,888TotalAmt
Program Services$7,874,938ProgramServicesAmt
Management And General$240,950ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$148,698TotalAmt
Program Services$128,402ProgramServicesAmt
Management And General$20,296ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$35,230TotalAmt
Program Services$31,714ProgramServicesAmt
Management And General$3,516ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$78,818TotalAmt
Program Services$78,818ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$615,564TotalAmt
Program Services$584,786ProgramServicesAmt
Management And General$30,778ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$355,680TotalAmt
Program Services$293,136ProgramServicesAmt
Management And General$62,544ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES & SMALL EQUIP.$4,361,185$4,357,296$3,889
MEDICAID ASSESSMENT TAX$1,545,966$1,545,966
UNCOLLECTIBLE CHARGES$692,501$692,501
EQUIPMENT RENT & MAINT.$344,600$343,946$654

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$240,977TotalAmt
Program Services$128,358ProgramServicesAmt
Management And General$112,619ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$40,259,025TotalAmt
Program Services$37,819,528ProgramServicesAmt
Management And General$2,439,497ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$414,206BOYAmt
EOY$703,884EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$72,847BOYAmt
EOY$790,267EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,865,124BOYAmt
EOY$5,731,269EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$492,067BOYAmt
EOY$429,750EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,391,868LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,629,882LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,271,130BOYAmt
EOY$3,761,986EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$43,568BOYAmt
EOY$44,943EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,283,936BOYAmt
EOY$11,587,093EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,201,717BOYAmt
EOY$6,165,716EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$113,351BOYAmt
EOY$141,424EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$3,790,000BOYAmt
EOY$6,440,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$209,689BOYAmt
EOY$813,100EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,314,757BOYAmt
EOY$13,560,240EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$30,821BOYAmt
EOY-$1,973,147EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$30,821BOYAmt
EOY-$1,973,147EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,283,936BOYAmt
EOY$11,587,093EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,942,326ReconcilationRevenueExpnssAmt
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$21,706CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,769CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,138CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,100CurrentTaxYearMinus1YearAmt
Current Tax Year$16,911CurrentTaxYearAmt
Total$70,624TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,456,682CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,725,519CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,720,520CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,102,375CurrentTaxYearMinus1YearAmt
Current Tax Year$38,305,308CurrentTaxYearAmt
Total$150,310,404TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,478,388CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,741,288CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,728,658CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,110,475CurrentTaxYearMinus1YearAmt
Current Tax Year$38,322,219CurrentTaxYearAmt
Total$150,381,028TotalAmt

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$150,381,028PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$963CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$623CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,064CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,884CurrentTaxYearMinus1YearAmt
Current Tax Year$1,067CurrentTaxYearAmt
Total$7,601TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$963CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$623CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,064CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,884CurrentTaxYearMinus1YearAmt
Current Tax Year$1,067CurrentTaxYearAmt
Total$7,601TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,479,351CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,741,911CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,731,722CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,112,359CurrentTaxYearMinus1YearAmt
Current Tax Year$38,323,286CurrentTaxYearAmt
Total$150,388,629TotalAmt
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$13,655FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$13,655FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$37,819,528FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$37,833,183FilingOrganizationsTotalAmt

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$5,501CurrentYearMinus3Amt
Current Year Minus2$6,041CurrentYearMinus2Amt
Current Year Minus1$7,028CurrentYearMinus1Amt
Current Year$13,655CurrentYearAmt
Total$32,225TotalAmt

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$3,312,048OtherCostOrOtherBasisAmt
Depreciation$1,661,905DepreciationAmt
Book Value$1,650,143BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,633,566OtherCostOrOtherBasisAmt
Depreciation$1,756,252DepreciationAmt
Book Value$1,877,314BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$446,254OtherCostOrOtherBasisAmt
Depreciation$211,725DepreciationAmt
Book Value$234,529BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,761,986TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
RESIDENT SECURITY DEPOSITS$28,685
RESIDENT TRUST LIABILITIES$44,943
REFUNDABLE BALANCES$157,672
OUTSTANDING CHECKS IN EXCESS OF BANK BALANCE$581,800
FieldValueIRS element (for citing)
Total Liability$813,100TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$37,624,198TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$37,624,198RevenueSubtotalAmt
Other Revenues Not Included$692,501OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$692,501RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$38,316,699TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$39,566,524TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$39,566,524ExpensesSubtotalAmt
Other Expenses Not Included$692,501OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$692,501ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$40,259,025TotalExpensesPerForm990Amt

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 2010.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR DOUBTFUL ACCOUNTS 692,501.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR DOUBTFUL ACCOUNTS 692,501.

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)BusinessNameLine1
FieldValueIRS element (for citing)
Relationship DescriptionTWO DIRECTORS COMMON TO FLO & LTC: JOHN CROCK & CHARLES WESTBAY.RelationshipDescriptionTxt
Transaction$321,438TransactionAmt
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 $0 FROM LTC SUPPORT SERVICES, LLC. FOR THE FISCAL YEAR ENDING JUNE 30, 2014. 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, 2014.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 (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary 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$11,313,621$3,878,966N/A
SECOND FLORIDA LIVING OPTIONS LLC
851 W LUMSDEN RDBRANDONFL33511364467496OPERATES A NURSING HOME FOR THE ELDERLY.FL$11,896,084$2,549,670N/A
THIRD FLORIDA LIVING OPTIONS LLC
851 W LUMSDEN RDBRANDONFL33511364467499OPERATES AN ASSISTED LIVING FACILITY FOR THE ELDERLY.FL$2,057,268$361,162N/A
FOURTH FLORIDA LIVING OPTIONS LLC
851 W LUMSDEN RDBRANDONFL33511364469681OPERATES AN ASSISTED LIVING FACILITY FOR THE ELDERLY.FL$2,346,405$361,502N/A
FIFTH FLORIDA LIVING OPTIONS LLC
851 W LUMSDEN RDBRANDONFL33511331094306OPERATES AN INDEPENDENT LIVING RETIREMENT CENTER FOR THE ELDERLY.FL$1,595,554$422,791N/A
SIXTH FLORIDA LIVING OPTIONS LLC
4100 SW 33RD AVENUEOCALAFL34474263708014OPERATES AN INDEPENDENT LIVING RETIREMENT CENTER FOR THE ELDERLY.FL$818,005$90,581N/A
SEVENTH FLORIDA LIVING OPTIONS LLC
5381 DESOTO ROADSARASOTAFL34243371660137OPERATES A NURSING HOME FOR THE ELDERLY.FL$8,289,762$2,747,372N/A

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1RFMS INC MEDICAL BENEFIT PLAN TRUSTBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1285 S FARNHAM STREETAddressLine1
CityGALESBURGCity
StateILState
ZIP Code61401ZIPCode
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 TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeRTransactionTypeTxt
Involved$608,114InvolvedAmt
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 RESIDENTIAL CENTERS, INC., COMMUNITY LIVING OPTIONS, INC., SMSLC, LLC, FRANCES HOUSE, INC., UNLIMITED DEVELOPMENT, INC., KENSINGTON OF GALESBURG, INC., ACHIEVEMENT UNLIMITED, INC., CONCEPTS PLUS, INC., PINNACLE OPPORTUNITIES, INC., PIONEER CONCEPTS, INC., RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., RESIDENTIAL ALTERNATIVES OF IOWA, 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. 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, 2013.ExplanationTxt

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