INSTITUTE FOR SENIOR LIVING OF: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
INSTITUTE FOR SENIOR LIVING OF (EIN 20-0904526)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-08
IRS object ID
201211299349301711
Schema version
2010v3.4
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)
Timestamp2012-05-08T15:25:40-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11201 S ORLANDO AVENUE SUITE 400AddressLine1
CityWINTER PARKCity
StateFLState
ZIP Code327897192ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN200904526EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1INSTITUTE FOR SENIOR LIVING OF FLORIDA INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlINSTNameControl
Phone7278248800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11675 PALM BEACH LAKES BLVD NO 900AddressLine1
CityWEST PALM BEACHCity
StateFLState
ZIP Code33401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHOWARD JAFFEName
TitlePRESIDENT ELECTTitle
Phone5618017600Phone
Date Signed2012-05-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameHARRY E HARP CPAName
Phone4077405400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHOWARD JAFFENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11675 PALM BEACH LAKES BLVDAddressLine1
CityWEST PALM BEACHCity
StateFLState
ZIP Code33401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts42572457GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTHE ENTITY IS ORGANIZED AND OPERATED FOR THE PROVISION OF SHORT AND LONG-TERM STAYS OFFERING POST ACUTE AND REHABILITATION SERVICES. THE ORGANIZATION PROVIDES THESE SERVICES BY PROVIDING ROOM AND BOARD, NURSING SERVICES, HEALTHCARE, THERAPY, RESIDENT SERVICES AND SECURITY AT AN AFFORABLE COST. THE ORGANIZATION STRIVES TO PROVIDE OPEN, DIVERSE, AND CARING ENVIRONMENTS FOR RESIDENTS, FAMILY MEMBERS AND STAFF.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees815TotalNbrEmployees
Total Nbr Volunteers24TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year41582336ProgramServiceRevenuePriorYear
Program Service Revenue CY42572109ProgramServiceRevenueCY
Investment Income Prior Year1622InvestmentIncomePriorYear
Investment Income Current Year348InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year41583958TotalRevenuePriorYear
Total Revenue Current Year42572457TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year12750GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16693088SalariesEtcPriorYear
Salaries Etc Current Year15841450SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year23260087OtherExpensePriorYear
Other Expenses Current Year24222485OtherExpensesCurrentYear
Total Expenses Prior Year39965925TotalExpensesPriorYear
Total Expenses Current Year40063935TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1618033RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2508522RevenuesLessExpensesCY
Total Assets BOY11363996TotalAssetsBOY
Total Assets EOY13775084TotalAssetsEOY
Total Liabilities BOY5117499TotalLiabilitiesBOY
Total Liabilities EOY5020065TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6246497NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8755019NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ENTITY IS ORGANIZED AND OPERATED FOR THE PROVISION OF SHORT AND LONG-TERM STAYS OFFERING POST ACUTE AND REHABILITATION SERVICES. THE ORGANIZATION PROVIDES THESE SERVICES BY PROVIDING ROOM AND BOARD, NURSING SERVICES, HEALTHCARE, THERAPY, RESIDENT SERVICES, AND SECURITY AT AN AFFORABLE COST. THE ORGANIZATION STRIVES TO PROVIDE OPEN, DIVERSE AND CARING ENVIRONMENTS FOR RESIDENTS, FAMILY MEMBERS AND STAFF.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense32942570Expense
Revenue42572109Revenue
DescriptionTHE ORGANIZATION PROVIDES NUMEROUS ACTIVITIES AND PROGRAMS INCORPORATING AND PROMOTING FAMILY ACTIVITIES AND INVOLVEMENT WITH RESIDENTS AND STAFF. THESE ACTIVITIES PROMOTE A NORMALIZED CARE ENVIRONMENT.Description
Total Program Service Expense32942570TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096215NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees815NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1AARON FETTES AIRAMID FINANCIAL SERVICES LLCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5618017636TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11675 PALM BEACH LAKES BLVD SUITEAddressLine1
CityWEST PALM BEACHCity
StateFLState
ZIP Code33401ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
HARRY DILLON MADONNA
PRESIDENT10.00XX330510381
NATE DUDLEY
DIRECTOR1.00X800000
HOWARD JAFFE
DIRECTOR/PRESIDENT ELECT1.00XX800000
PENNY RICHMOND
DIRECTOR1.00X800000
BRIAN M WYATT
DIRECTOR1.00X800000
MARILYN CAMERON-FERNEZ
NURSING HOME ADMINISTRATOR40.0012050306510X
FieldValueIRS element (for citing)
Total Reportable Comp From Org185554TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation6891TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AEGIS THERAPIES INC
PO BOX 8103FORT SMITHAR72902PHYSICAL THERAPY3116984
HEALTHCARE SERVICES GROUP INC
3220 TILLMAN DRIVE STE 300BENSALEMPA19020HOUSEKEEPING AND LAUNDRY1196182
ANU HEALTH MANAGEMENT LLC
1675 PALM BEACH LAKES BLVD STE 9WEST PALM BEACHFL33401MANAGEMENT749051
EPONA HEALTH MANAGEMENT LLC
1675 PALM BEACH LAKES BLVD STE 9WEST PALM BEACHFL33401MANAGEMENT741307
ELEUS HEALTH MANAGEMENT LLC
1675 PALM BEACH LAKES BLVD STE 9WEST PALM BEACHFL30384MANAGEMENT593399
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICE REVENDescription
Business Code623000BusinessCode
Total Revenue Column42572109TotalRevenueColumn
Related Or Exempt Function Income42572109RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue42572109TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column348TotalRevenueColumn
Exclusion$348ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42572457TotalRevenueColumn
Related Or Exempt Function Income42572109RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$348ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total65051Total
Management And General65051ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13848755Total
Program Services12587123ProgramServices
Management And General1261632ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total674956Total
Program Services607505ProgramServices
Management And General67451ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1252688Total
Program Services1144433ProgramServices
Management And General108255ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2084995Total
Program Services1470267ProgramServices
Management And General614728ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total252046Total
Program Services167ProgramServices
Management And General251879ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total49351Total
Management And General49351ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total84405Total
Program Services12282ProgramServices
Management And General72123ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6459956Total
Program Services6459956ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total57222Total
Program Services3423ProgramServices
Management And General53799ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3629Total
Management And General3629ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total106Total
Program Services106ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total484442Total
Program Services484442ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total659760Total
Program Services313659ProgramServices
Management And General346101ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTED SERVICES736308554828251880260
BAD DEBTS16824491682449
PHARMACY15462751546275
FOOD1136377110938626991
EQUIPMENT RENTAL86125878360277656

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1497129Total
Program Services937119ProgramServices
Management And General560010ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total40063935Total
Program Services32942570ProgramServices
Management And General7121365ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2395883BOY
EOY4579856EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3596049BOY
EOY3586686EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY185852BOY
EOY309287EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4719039LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1803340LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3132271BOY
EOY2915699EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2053941BOY
EOY2383556EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11363996BOY
EOY13775084EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5117499BOY
EOY5020065EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5117499BOY
EOY5020065EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6246497BOY
EOY8755019EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6246497BOY
EOY8755019EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11363996BOY
EOY13775084EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2508522ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1579CurrentTaxYearMinus2Years
Total1579Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35710393CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37226852CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38947329CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41582336CurrentTaxYearMinus1Year
Current Tax Year42572109CurrentTaxYear
Total196039019Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35710393CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37226852CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38948908CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41582336CurrentTaxYearMinus1Year
Current Tax Year42572109CurrentTaxYear
Total196040598Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509196040598PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5625CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13067CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years427CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1622CurrentTaxYearMinus1Year
Current Tax Year348CurrentTaxYear
Total21089Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5625CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13067CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years427CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1622CurrentTaxYearMinus1Year
Current Tax Year348CurrentTaxYear
Total21089Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35716018CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37239919CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38949335CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41583958CurrentTaxYearMinus1Year
Current Tax Year42572457CurrentTaxYear
Total196061687Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99990PublicSupportPercentage509
Prior Year Support Percentage0.99990PriorYearSupportPercentage
Investment Income Percentage0.00010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00010PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance66989BeginningBalance
Additions During Year25013AdditionsDuringYear
Distributions During Year3548DistributionsDuringYear
Ending Balance88454EndingBalance
Included On FS0IncludedOnFS

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4068505OtherCostOrOtherBasis
Depreciation1563206Depreciation
Book Value2505299BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis514163OtherCostOrOtherBasis
Depreciation204604Depreciation
Book Value309559BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis136371OtherCostOrOtherBasis
Depreciation35530Depreciation
Book Value100841BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2915699TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS WHOSE USE IS LIMITED2366201
DEPOSITS17355
FieldValueIRS element (for citing)
Total Book Value Other Assets2383556TotalBookValueOtherAssets

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
Return ReferencePART IV, LINE 1B:ReturnReference
ExplanationTHE ORGANIZATION OFFERS CASH MANAGEMENT SERVICES TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF THE RESIDENTS AND ARE DISBURSED AS REQUESTED. THE ORGANIZATION ACTS ONLY AS A CUSTODIAN.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MATURE CARE INSURANCE COBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipAN ENTITY OF WHICH A CURRENT OFFICER/DIRECTOR SERVES AS A DIRECTOR.Relationship
Amount Of Transaction322504AmountOfTransaction
Description Of TransactionINS. PREMS.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE BOARD PRESIDENT AND THE MANAGEMENT COMPANY. THE RETURN IS PROVIDED TO ALL VOTING BOARD MEMBERS BEFORE IT IS FILED WITH THE IRS.
THE ORGANIZATIONS CONFLICT OF INTEREST POLICY IS CONTAINED IN THE EMPLOYEE HANDBOOK. THE ORGANIZATION HAS ADOPTED AND IMPLEMENTED A POLICY FOR ITS BOARD MEMBERS AND OFFICERS AS OF 6/30/11.FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD OF DIRECTORS HAS THE AUTHORITY TO FIX THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR AS WELL AS OTHER OFFICERS AND KEY EMPLOYEES. THE COMPENSATION LEVELS ARE SET BASED ON CONSULTATION WITH THE MANAGEMENT COMPANY. ALL PARTIES ARE INDEPENDENT WITH RESPECT TO THE COMPENSATION DECISIONS. COMPENSATION LEVELS ARE SET BASED ON CURRENT MARKET CONDITIONS, THE ECONOMY AND FUNDING SOURCES.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT:THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT IS ASSUMED BY THE GOVERNING BODY. THIS PROCESS HAS NOT CHANGED IN ANY WAY FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ISLF DEERWOOD PLACE - JACKSONVILLE LLC
1675 PALM BEACH LAKES BLVD 900WEST PALM BEACHFL33401209083025NURSING HOME, ELDERLY CAREFLINSTITUTE FOR SENIOR LIVING OF FLORIDA INC
ISLF REGENTS PARK - WINTER PARK LLC
1675 PALM BEACH LAKES BLVD 900WEST PALM BEACHFL33401200983133NURSING HOME, ELDERLY CAREFLINSTITUTE FOR SENIOR LIVING OF FLORIDA INC
ISLF WESTCHESTER OF SUNRISE LLC
1675 PALM BEACH LAKES BLVD 900WEST PALM BEACHFL33401200983159NURSING HOME, ELDERLY CAREFLINSTITUTE FOR SENIOR LIVING OF FLORIDA INC

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