SHADY REST CARE PAVILION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SHADY REST CARE PAVILION INC (EIN 65-0850574)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-17
IRS object ID
201542299349302524
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)
Return2015-08-17T11:57:01-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN592213319PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SUPLEE SHEA CRAMER & ROCKLEIN PABusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 SOUTH OSPREY AVENUEAddressLine1
CitySARASOTACity
StateFLState
ZIP Code342367834ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN650850574EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHADY REST CARE PAVILION INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSHADBusinessNameControlTxt
Phone2399318406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12310 NORTH AIRPORT ROADAddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33907ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWESTON EDWARDSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2399318406PhoneNum
Signature2015-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS R CRAMERPreparerPersonNm
PTINP00456445PTIN
Phone9413663600PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PAGE REHABILITATION AND HEALTHCARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerWESTON EDWARDSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12310 N AIRPORT RDAddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33907ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$15,546,713GrossReceiptsAmt
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 Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee389TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$15,135,824PYProgramServiceRevenueAmt
CY Program Service Revenue$15,488,599CYProgramServiceRevenueAmt
PY Investment Income$6,912PYInvestmentIncomeAmt
CY Investment Income$4,478CYInvestmentIncomeAmt
PY Other Revenue$63,125PYOtherRevenueAmt
CY Other Revenue$53,636CYOtherRevenueAmt
PY Total Revenue$15,205,861PYTotalRevenueAmt
CY Total Revenue$15,546,713CYTotalRevenueAmt
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$10,117,136PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,029,435CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,943,981PYOtherExpensesAmt
CY Other Expenses$5,265,150CYOtherExpensesAmt
PY Total Expenses$15,061,117PYTotalExpensesAmt
CY Total Expenses$15,294,585CYTotalExpensesAmt
PY Revenues Less Expenses$144,744PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$252,128CYRevenuesLessExpensesAmt
Total Assets BOY$8,113,078TotalAssetsBOYAmt
Total Assets EOY$8,821,974TotalAssetsEOYAmt
Total Liabilities BOY$1,753,929TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,210,697TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,359,149NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,611,277NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE SKILLED NURSING CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,294,585ExpenseAmt
Grant$0GrantAmt
Revenue$15,542,235RevenueAmt
DescPROVIDE SKILLED NURSING CAREDesc
Total Program Service Expenses$15,294,585TotalProgramServiceExpensesAmt
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 Document48IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee389EmployeeCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 POTTSBusinessNameLine1
FieldValueIRS element (for citing)
Phone2399318406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12310 NORTH AIRPORT ROAD FT MYERSAddressLine1
CityFT MYERSCity
StateFLState
ZIP Code33907ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (10 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
ALBERT WINCHELL
DIRECTOR1.00Yes (X)$0$0$0
WESTON R EDWARDS
PRESIDENT/CEO25.00Yes (X)$157,394$0$11,875
FONDA POTTS
CFO40.00$123,254$0$10,013Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$280,648TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$21,888TotalOtherCompensationAmt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
EVERGREEN REHABILITATION LLC
136 ST MATTHEWS AVE SUITE 300LOUISVILLEKY40207THERAPY SERVICES$1,070,742
OMNICARE INC
PO BOX 715268COLUMBUSOH43271PATIENT PHARMACEUTICAL SERVICES$564,340
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT REVENUEDesc
Business623000BusinessCd
Total Revenue Column$15,488,599TotalRevenueColumnAmt
Related Or Exempt Func Income$15,488,599RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$15,488,599TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,478TotalRevenueColumnAmt
Exclusion$4,478ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business623000BusinessCd
Total Revenue Column$53,636TotalRevenueColumnAmt
Related Or Exempt Func Income$53,636RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$53,636OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,546,713TotalRevenueColumnAmt
Related Or Exempt Func Income$15,542,235RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,478ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$293,257TotalAmt
Program Services$293,257ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,961,274TotalAmt
Program Services$7,961,274ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$173,366TotalAmt
Program Services$173,366ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,106,753TotalAmt
Program Services$1,106,753ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$494,785TotalAmt
Program Services$494,785ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$38,942TotalAmt
Program Services$38,942ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,939TotalAmt
Program Services$25,939ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$111,776TotalAmt
Program Services$111,776ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,627TotalAmt
Program Services$8,627ProgramServicesAmt

Occupancy OccupancyGrp

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

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,528TotalAmt
Program Services$28,528ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,619TotalAmt
Program Services$6,619ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$151,675TotalAmt
Program Services$151,675ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PURCHASED SERVICES$1,867,124$1,867,124
OTHER SUPPLIES$1,684,900$1,684,900
OTHER SERVICES$678,668$678,668
OTHER RENTALS$100,956$100,956

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$51,396TotalAmt
Program Services$51,396ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,294,585TotalAmt
Program Services$15,294,585ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$712,061BOYAmt
EOY$945,970EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$306,680BOYAmt
EOY$306,458EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,065,082BOYAmt
EOY$2,307,247EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$104,166BOYAmt
EOY$100,319EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$30,092BOYAmt
EOY$39,861EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,894,997BOYAmt
EOY$5,122,119EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,113,078BOYAmt
EOY$8,821,974EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$608,046BOYAmt
EOY$978,836EOYAmt

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$857,807BOYAmt
EOY$943,785EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,753,929BOYAmt
EOY$2,210,697EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,359,149BOYAmt
EOY$6,611,277EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,359,149BOYAmt
EOY$6,611,277EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,113,078BOYAmt
EOY$8,821,974EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$252,128ReconcilationRevenueExpnssAmt
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$15,205,349CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,541,384CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,582,283CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,135,824CurrentTaxYearMinus1YearAmt
Current Tax Year$15,488,599CurrentTaxYearAmt
Total$75,953,439TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,205,349CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,541,384CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,582,283CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,135,824CurrentTaxYearMinus1YearAmt
Current Tax Year$15,488,599CurrentTaxYearAmt
Total$75,953,439TotalAmt

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$75,953,439PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,395CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,681CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,213CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,912CurrentTaxYearMinus1YearAmt
Current Tax Year$4,478CurrentTaxYearAmt
Total$41,679TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,395CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,681CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,213CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,912CurrentTaxYearMinus1YearAmt
Current Tax Year$4,478CurrentTaxYearAmt
Total$41,679TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$54,241CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48,232CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,962CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,125CurrentTaxYearMinus1YearAmt
Current Tax Year$53,635CurrentTaxYearAmt
Total$262,195TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,271,985CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,598,297CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,634,458CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,205,861CurrentTaxYearMinus1YearAmt
Current Tax Year$15,546,712CurrentTaxYearAmt
Total$76,257,313TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99600PublicSupportCY509Pct
Public Support PY5090.99560PublicSupportPY509Pct
Investment Income CY0.00050InvestmentIncomeCYPct
Investment Income PY0.00090InvestmentIncomePYPct
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$9,305DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$9,305TotalLobbyingExpendituresAmt
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)
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
ACCOUNTS RECEIVABLE - OTHER$96,810
DUE FROM SHADY REST FOUNDATION, INC.$4,021,560
DUE FROM PAGE HEALTHCARE, INC.$61,955
DUE FROM ALL ABOUT HOME CARE, INC.$867,839
DEPOSITS$39,000
DUE FROM MEDCIAD$34,955
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,122,119TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED EXPENSES$902,376
DUE TO MEDICARE$41,409
FieldValueIRS element (for citing)
Total Liability$943,785TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$15,546,713TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$15,546,713RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,546,713TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,294,585TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$15,294,585ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$15,294,585TotalExpensesPerForm990Amt

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$144,139BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$13,255OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$7,207DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$4,668NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$169,269TotalCompensationFilingOrgAmt
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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary 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$367,560
ALL ABOUT HOME CARE INC
Q$228,783
SHADY REST FOUNDATION INC
D$4,021,560
ALL ABOUT HOME CARE INC
D$867,839
PAGE HEALTHCARE INC
D$61,955
PAGE HEALTHCARE INC
P$15,427

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