FURP.ORG / PUBLIC DATA EXPLORER

ALLIANCE FOUNDATION OF FLORIDA INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ALLIANCE FOUNDATION OF FLORIDA INC (EIN 58-2476611)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-06-26
IRS object ID
201431779349301058
Schema version
2013v3.0
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)
Return2014-06-26T15:26:28-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN593070669PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOORE STEPHENS LOVELACE PABusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11201 SOUTH ORLANDO AVENUE SUITE 400AddressLine1
CityWINTER PARKCity
StateFLState
ZIP Code32789ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN582476611EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ALLIANCE FOUNDATION OF FLORIDA INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlALLIBusinessNameControlTxt
Phone7033597200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13989 CHAIN BRIDGE ROADAddressLine1
CityFAIRFAXCity
StateVAState
ZIP Code22030ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT P HOSTLERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7033597200PhoneNum
Signature2014-06-26SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMELANIE A MCPEAKPreparerPersonNm
PTINP01346034PTIN
Phone4077405400PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT P HOSTLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13989 CHAIN BRIDGE ROADAddressLine1
CityFAIRFAXCity
StateVAState
ZIP Code22030ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$20,835,752GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressNONEWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO PROVIDE NURSING CARE AND HOUSING WHICH SATISFIES THE PHYSICAL, RECREATIONAL AND/OR EMOTIONAL NEEDS OF ELDERLY, LOW INCOME, MENTALLY OR PHYSICALLY CHALLENGED AND/OR DISABLED INDIVIDUALS.ActivityOrMissionDesc
Voting Members Governing Body2VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee599TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$18,303,381PYProgramServiceRevenueAmt
CY Program Service Revenue$18,490,110CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$1,394,420PYOtherRevenueAmt
CY Other Revenue$1,903,232CYOtherRevenueAmt
PY Total Revenue$19,697,801PYTotalRevenueAmt
CY Total Revenue$20,393,342CYTotalRevenueAmt
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$9,962,658PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,203,927CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,972,570PYOtherExpensesAmt
CY Other Expenses$9,196,698CYOtherExpensesAmt
PY Total Expenses$18,935,228PYTotalExpensesAmt
CY Total Expenses$19,400,625CYTotalExpensesAmt
PY Revenues Less Expenses$762,573PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$992,717CYRevenuesLessExpensesAmt
Total Assets BOY$4,825,642TotalAssetsBOYAmt
Total Assets EOY$5,752,960TotalAssetsEOYAmt
Total Liabilities BOY$3,187,787TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,122,388TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,637,855NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,630,572NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE NURSING CARE AND HOUSING WHICH SATISFIES THE PHYSICAL, RECREATIONAL AND/OR EMOTIONAL NEEDS OF ELDERLY, LOW INCOME, MENTALLY OR PHYSICALLY CHALLENGED AND/OR DISABLED INDIVIDUALS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$16,892,019ExpenseAmt
Revenue$17,707,419RevenueAmt
DescSKILLED NURSING & ASSISTED LIVING CARE & HOUSING - TO PROVIDE NURSING CARE AND HOUSING TO RESIDENTS, COMPRISING 115,685 BED-DAYS, IN THREE FLORIDA FACILITIES, INDIGO PALMS, LLC, INDIGO PALMS OF MAITLAND, LLC AND INDIGO PALMS AT ASTORIA GARDENS, LLC.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$395,906ExpenseAmt
Revenue$782,691RevenueAmt
DescOUTSIDE NURSING SERVICES - TO PROVIDE THERAPY STAFF AND/OR SERVICES TO ELDERLY, LOW INCOME, MENTALLY OR PHYSICALLY CHALLENGED AND/OR DISABLED INDIVIDUALS TO SATISFY THEIR PHYSICAL, RECREATIONAL AND/OR EMOTIONAL NEEDS AS MAY BE REQUIRED BY SUCH INDIVIDUAL'S PLAN OF TREATMENT, CARE PLAN AND/OR AS PRESCRIBED BY PHYSICIAN.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,015,102ExpenseAmt
Revenue$1,903,232RevenueAmt
DescDURABLE MEDICAL EQUIPMENT - TO PROVIDE MEDICAL EQUIPMENT AND SERVICES TO ELDERLY, LOW INCOME, MENTALLY OR PHYSICALLY CHALLENGED AND/OR DISABLED INDIVIDUALS TO SATISFY THEIR PHYSICAL, RECREATIONAL AND/OR EMOTIONAL NEEDS AS MAY BE REQUIRED BY SUCH INDIVIDUAL'S PLAN OF TREATMENT, CARE PLAN AND/OR AS PRESCRIBED BY PHYSICIAN.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$18,303,027TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 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 EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document36IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee599EmployeeCnt
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 Members2GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
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 PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBERT P HOSTLERBusinessNameLine1
FieldValueIRS element (for citing)
Phone7033597200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13989 CHAIN BRIDGE ROADAddressLine1
CityFAIRFAXCity
StateVAState
ZIP Code22030ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT P HOSTLER
PRESIDENT28.002.00Yes (X)Yes (X)$0$349,297$34,140
THOMAS K LEE
DIRECTOR2.00Yes (X)$0$1,000$0
JIM S PURDUM
SECRETARY38.002.00Yes (X)$0$90,222$15,300
DAVID M BUSHEY
CFO38.002.00Yes (X)$0$138,999$34,140
RANDOLPH L KERNON
ADMINISTRATOR39.001.00$141,371$3,250$19,325Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$141,371TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$582,768TotReportableCompRltdOrgAmt
Total Other Compensation$102,905TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
US FOODS
438 W KALEY STORLANDOFL32806FOOD$418,232
GUARDIAN PHARMACY
10 AVIATOR WAYORMOND BEACHFL32174DRUGS$253,117
CARE AMERICA
210 N WESTMONTEALTAMONTE SPRINGSFL32714DRUGS$195,751
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PRIVATE, INS & OTHER PMTS623000$8,808,591$8,808,591
MEDICARE/MEDICAID PAYMENTS623000$8,379,709$8,379,709
VETERAN'S ADMINISTRATION623000$519,119$519,119

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$782,691TotalRevenueColumnAmt
Related Or Exempt Func Income$782,691RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$18,490,110TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Personal$2,345,642PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Personal$442,410PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Personal$1,903,232PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,903,232TotalRevenueColumnAmt
Related Or Exempt Func Income$1,903,232RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,393,342TotalRevenueColumnAmt
Related Or Exempt Func Income$20,393,342RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,851,310TotalAmt
Program Services$8,851,310ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$18,153TotalAmt
Program Services$18,153ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$479,006TotalAmt
Program Services$479,006ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$855,458TotalAmt
Program Services$855,458ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$977,596TotalAmt
Management And General$977,596ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$51,756TotalAmt
Management And General$51,756ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,086,245TotalAmt
Program Services$1,086,245ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$140,711TotalAmt
Program Services$140,711ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,852,436TotalAmt
Program Services$1,852,436ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$181,062TotalAmt
Program Services$181,062ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$68,246TotalAmt
Management And General$68,246ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$334,990TotalAmt
Program Services$334,990ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,193,415TotalAmt
Program Services$1,193,415ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SUPPLIES$913,045$913,045
FOOD$803,621$803,621
UTILITIES$690,708$690,708
MISCELLANEOUS$578,003$578,003

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$324,864TotalAmt
Program Services$324,864ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,400,625TotalAmt
Program Services$18,303,027ProgramServicesAmt
Management And General$1,097,598ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$293,658BOYAmt
EOY$579,781EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,285,787BOYAmt
EOY$1,363,913EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$331,956BOYAmt
EOY$494,023EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$128,651BOYAmt
EOY$162,861EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,948,537LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,118,619LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,086,430BOYAmt
EOY$829,918EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,565,550BOYAmt
EOY$2,263,029EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,283BOYAmt
EOY$1,731EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$131,327BOYAmt
EOY$57,704EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,825,642BOYAmt
EOY$5,752,960EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,852,838BOYAmt
EOY$2,900,677EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$58,538BOYAmt
EOY$68,868EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$276,411BOYAmt
EOY$152,843EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,187,787BOYAmt
EOY$3,122,388EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$1,637,855BOYAmt
EOY$2,630,572EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,637,855BOYAmt
EOY$2,630,572EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,825,642BOYAmt
EOY$5,752,960EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$992,717ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
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$17,469,719CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,046,287CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,255,434CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,697,801CurrentTaxYearMinus1YearAmt
Current Tax Year$20,393,342CurrentTaxYearAmt
Total$94,862,583TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,469,719CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,046,287CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,255,434CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,697,801CurrentTaxYearMinus1YearAmt
Current Tax Year$20,393,342CurrentTaxYearAmt
Total$94,862,583TotalAmt

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$94,862,583PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,415CurrentTaxYearMinus4YearsAmt
Total$7,415TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,415CurrentTaxYearMinus4YearsAmt
Total$7,415TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,477,134CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,046,287CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,255,434CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,697,801CurrentTaxYearMinus1YearAmt
Current Tax Year$20,393,342CurrentTaxYearAmt
Total$94,869,998TotalAmt
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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$818,751OtherCostOrOtherBasisAmt
Depreciation$588,299DepreciationAmt
Book Value$230,452BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,871,733OtherCostOrOtherBasisAmt
Depreciation$1,344,901DepreciationAmt
Book Value$526,832BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$258,053OtherCostOrOtherBasisAmt
Depreciation$185,419DepreciationAmt
Book Value$72,634BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$829,918TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
DUE FROM DNS$631,399C
DUE FROM IM HOLDINGS$164,422C
DUE FROM INDIGO PALMS LLC$642,974C
FAIRFAX SENIOR LIVING CO$824,234C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$2,263,029TotalBookValueProgramRltdAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 2B:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION MAINTAINS A RESIDENT TRUST FUND FOR ITS RESIDENTS. RESIDENT FUNDS ARE DEPOSITED INTO THE TRUST FUND FROM VARIOUS SOURCES AND ARE DISBURSED FROM THE TRUST FUND, AS DIRECTED BY THE RESIDENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT P HOSTLER
PRESIDENT$0$239,619$0$0$0$109,678$0$0$0$34,140$0$383,437$0$0
DAVID M BUSHEY
CFO$0$138,999$0$0$0$0$0$0$0$34,140$0$173,139$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationPERIODIC BONUSES ARE PAID, BASED ON OVERALL PERFORMANCE AND ASSESSMENTS BY PRESIDENT AND/OR COMPENSATION COMMITTEE AND AS AUTHORIZED BY BOARD OF DIRECTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS DELEGATED MANAGEMENT DUTIES TO FAIRFAX SENIOR LIVING (FSLC), A RELATED FOR-PROFIT CORPORATION THAT IS WHOLLY OWNED BY THE CORPORATION. THE ORGANIZATION'S CHIEF FINANCIAL OFFICER IS AN EMPLOYEE OF THE MANAGEMENT COMPANY. FSLC PROVIDES OVERSIGHT MANAGEMENT SERVICE TO EACH OF THE COMPANIES. THERE ARE NO CONTRACTS OUTSIDE THE RELATED PARTY COMPANIES. INSURANCE AND CASH FLOW/BANKING MATTERS ARE HANDLED BY FSLC.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 THAT IS PREPARED BY THE CONTROLLER IN CONSULTATION WITH THE PRESIDENT'S OFFICE IS SUBMITTED TO EXTERNAL ACCOUNTANTS FOR DETAILED REVIEW AND COMMENT BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S BOARD OF DIRECTORS HAS ADOPTED A CONFLICT OF INTEREST POLICY AND REQUIRES DISCLOSURE OF CERTAIN INTERESTS (COLLECTIVELY, THE "COI POLICIES"). THE ORGANIZATION HAS DESIGNATED AND EMPLOYS CORPORATE AND REGIONAL RISK MANAGERS TO REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THE COI POLICIES. THE ORGANIZATION'S POLICIES AND PROCEDURES GOVERNING CONFLICTS OF INTEREST ARE PROVIDED TO ALL EMPLOYEES AT TIME OF EMPLOYMENT, AND THE ORGANIZATION MAINTAINS AND MONITORS A COMPLAINT AND COMPLIANCE HOTLINE.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S COMPENSATION OF THE CEO/PRESIDENT IS ESTABLISHED BASED ON CONSULTATION WITH AN INDEPENDENT CONSULTANT AND THE USE OF DATA FROM COMPARABLE ORGANIZATIONS. APPROVAL OF THE CEO/PRESIDENT COMPENSATION IS GIVEN BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS INDEPENDENT WITH REGARDS TO APPROVAL OF THE CEO/PRESIDENT COMPENSATION. COMPENSATION OF OTHER OFFICERS, KEY EMPLOYEES AND OTHER SENIOR MANAGEMENT IS DELEGATED TO THE CEO/PRESIDENT, AS AUTHORIZED BY AND PURSUANT TO APPROVAL OF THE ORGANIZATION'S BOARD OF DIRECTORS, AND IN CONSULTATION WITH THE CONTROLLER, INDEPENDENT CONSULTANT(S) AND REVIEW OF COMPENSATION SURVEY(IES) OF OTHER COMPARABLE ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND ITS CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC THROUGH PUBLICLY ACCESSIBLE WEBSITES AND/OR UPON REQUEST, AS PERMITTED AND/OR REQUIRED BY STATE AND/OR FEDERAL LAW.
FORM 990, PART XII, LINE 2CTHE BOARD OF DIRECTORS HAS RESPONSIBILITY FOR OVERSIGHT OF THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
INDIGO PALMS LLC
3989 CHAIN BRIDGE ROADFAIRFAXVA22030208578072ALF FACILITYFL$1,840,647$219,130THE ALLIANCE FOUNDATION OF FLORIDA INC
INDIGO PALMS OF MAITLAND LLC
3989 CHAIN BRIDGE ROADFAIRFAXVA22030261614329ALF FACILITYFL$3,018,258$370,764THE ALLIANCE FOUNDATION OF FLORIDA INC
HEALTH CARE SERVICES POOL LLC
3989 CHAIN BRIDGE ROADFAIRFAXVA22030204775744HHA STAFFINGFL$782,691$1,127,771THE ALLIANCE FOUNDATION OF FLORIDA INC
ALLIANCE FDTN OF FLORIDA - INDIGO MANOR LLC
3989 CHAIN BRIDGE ROADFAIRFAXVA22030593704513DME SALESFL$1,903,232$1,381,704THE ALLIANCE FOUNDATION OF FLORIDA INC
INDIGO PALMS AT ASTORIA GARDENS LLC
3989 CHAIN BRIDGE ROADFAIRFAXVA22030260539793ALF FACILITYFL$0$0THE ALLIANCE FOUNDATION OF FLORIDA INC
DIRECT THERAPY SERVICES LLC
3989 CHAIN BRIDGE ROADFAIRFAXVA22030208865103HOME THERAPY ADMINFL$0$0THE ALLIANCE FOUNDATION OF FLORIDA INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
FAIRFAX SENIOR LIVING CO
3989 CHAIN BRIDGE ROADFAIRFAXVA22030541959103MANAGEMENTFLTHE ALLIANCE FOUNDATION OF FLORIDA INCC$977,596$9,1531.00000Yes (1)
DEBORAH'S NURSING SVCS
3989 CHAIN BRIDGE ROADFAIRFAXVA22030650199554NURSING SVCSFLTHE ALLIANCE FOUNDATION OF FLORIDA INCC$532,219$136,7091.00000Yes (1)
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 OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FAIRFAX SENIOR LIVING COBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeMTransactionTypeTxt
Involved$977,596InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt