2021-05-11T16:36:46-05:00 2020-06-30 420714325 RSM US LLP 117 E MAIN ST STE 210 GALESBURG IL 61401 990 2019-07-01 364467489 FLORIDA LIVING OPTIONS INC FLOR 3093431550 851 WEST LUMSDEN ROAD BRANDON FL 33511 CHARLES D WESTBAY PRESIDENT 3093431550 2021-04-30 1 MICHAEL BASS P00458970 3093428026 2021-04-30 2019 2022-09-23 18:48:47Z CHARLES D WESTBAY 851 WEST LUMSDEN ROAD BRANDON FL 33511 34842888 0 X N/A X 2001 FL TO PROVIDE & OPERATE NURSING HOMES, ASSISTED LIVING FACILITIES & RETIREMENT HOUSING. 5 5 1174 45 0 0 659255 75772 47735119 34750654 25381 16462 0 0 48419755 34842888 0 0 0 0 21969625 16094846 0 0 0 26603272 20299609 48572897 36394455 -153142 -1551567 15567938 16663402 20862213 23260173 -5294275 -6596771 X THE 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. 0 0 33116413 0 34750654 ALL PROGRAM SERVICES RELATE TO PROVIDING AND OPERATING SKILLED NURSING FACILITES, ASSISTED LIVING FACILITIES AND INDEPENDENT LIVING FACILITIES FOR QUALIFYING RESIDENTS. THE ORGANIZATION OPERATES 8 FACILITIES WITH A COMBINED TOTAL OF 702 BEDS WITHIN THESE FACILITIES. 33116413 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 49 0 1174 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X RON WILSON RFMS INC 3093431550 285 SOUTH FARMHAM STREET GALESBURG IL 61401 X CHARLES D WESTBAY PRESIDENT & DIRECTOR 2.00 X X 3000 0 0 JOHN CROCK VICE PRESIDENT & DIRECTOR 2.00 X X 3000 0 0 JOHN THOMPSON SECRETARY & DIRECTOR 2.00 X X 3000 0 0 DALE FENWICK DIRECTOR 2.00 X 3000 0 0 KENNETH HARKINS DIRECTOR 2.00 X 1500 0 0 RON WILSON FLASC INC CFO 10.00 X 0 0 0 KIMLA MINER NURSE - RN 40.00 X 108176 0 10232 ALVIN BARRINER ADMINISTRATOR 40.00 X 139792 0 0 AARON COPPOLA ADMINISTRATOR 40.00 X 113206 0 4560 DANUTA MIELCZAREK NURSE - LPN 40.00 X 150866 0 0 525540 0 14792 4 0 1 0 CONSONUS REHAB PO BOX 4800 PORTLAND OR 972084800 THERAPY SERVICES 5451671 FLASC INC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 ADMINISTRATIVE SERVICES 822828 LTC SUPPORT SERVICES LLC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 SUPPORT SERVICES 492432 FUDGE BROADWATER PA 650 16TH STREET NORTH SAINT PETERSBURG FL 33705 LEGAL SERVICES 162691 NURSECORE PO BOX 650823 DALLAS TX 752650753 TEMPORARY LABOR SERVICES 117202 5 75772 75772 MEDICARE & MEDICAID 623000 19068871 19068871 RESIDENT PRIVATE PAY 623000 14010383 14010383 OTHER PROGRAM SERVICE 623000 1671400 1671400 34750654 16462 16462 34842888 34750654 0 16462 7500 7500 14030573 13616192 414381 71701 69439 2262 943089 913342 29747 1041983 1009117 32866 858245 560470 297775 541893 541893 25433 25433 11022 11022 3584812 3584812 287674 258908 28766 215019 169668 45351 30151 24121 6030 6021692 5844989 176703 62287 61645 642 4370 3973 397 273868 273868 557797 529907 27890 1460877 1230107 230770 SUPPLIES & SMALL EQUIP. 3383870 3383870 UNCOLLECTIBLE CHARGES 1260613 1260613 MEDICAID ASSESSMENT TAX 1114068 1114068 EQUIPMENT RENT & MAINT. 249004 248609 395 356914 219308 137606 36394455 33116413 3278042 0 1176969 5147342 2335685 4609500 7090221 2826252 1006657 1159763 7459131 4570460 3906888 2888671 10000 10000 41518 21874 15567938 16663402 9708481 6858913 90598 113738 10760827 13673559 302307 2613963 20862213 23260173 X -5294275 -6596771 -5294275 -6596771 15567938 16663402 X -1551567 249071 X X 1 X 0 1 0 X 44205 60684 432834 659255 75772 1272750 47256018 46882429 46280910 47735119 34750654 222905130 47300223 46943113 46713744 48394374 34826426 224177880 0 0 0 224177880 2762 2562 10675 26016 16462 58477 2762 2562 10675 26016 16462 58477 47302985 46945675 46724419 48420390 34842888 224236357 0.99970 0.99980 0.00030 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11022 11022 33116413 33127435 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 10492 11467 13760 11022 46741 250000 250000 250000 250000 1000000 1500000 3760054 1731253 2028801 3699077 2839207 859870 2888671 RESIDENT SECURITY DEPOSITS 3045 RESIDENT TRUST LIABILITIES 21874 REFUNDABLE ADVANCES 2432211 DUE TO THIRD PARTY PAYORS 156833 2613963 X 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 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 2016. 0 0 0 0 0 0 0 0 0 DANUTA MIELCZAREK NURSE - LPN 150866 0 0 0 0 0 0 0 0 0 150866 0 0 0 LTC SUPPORT SERVICES (LTC) TWO DIRECTORS COMMON TO FLO & LTC: JOHN CROCK & CHARLES WESTBAY. 334296 SUPPORT 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, 2020. 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, 2020. 0 FORM 990, PART VI, SECTION A, LINE 3 THE 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 14.28% OF LTC SUPPORT SERVICES, LLC. THE REMAINING 85.72% 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 11B EACH 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 12C ALL 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 18 A 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 19 THE 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 VII, SECTION A, COLUMN F: RON WILSON IS EMPLOYED BY RFMS, INC., AN UNRELATED ORGANIZATION WHICH HAS AN ADMINISTRATIVE SERVICES CONTRACT WITH FLORIDA LIVING OPTIONS, INC. THE TYPE OF SERVICES PROVIDED BY RFMS, INC., ARE DETAILED IN THE SCHEDULE O EXPLANATION ABOVE RELATIVE TO FORM 990, PART VI, SECTION A, LINE 3. RON WILSON IS THE CHIEF FINANCIAL OFFICER OF RFMS, INC. HIS COMPENSATION REPORTED ON HIS RFMS, INC. FORM W-2, BOX 5 FOR CALENDAR YEAR 2019 IS $174,788. THIS COMPENSATION AMOUNT HAS NOT BEEN PRORATED BASED ON TIME SPENT FOR EACH OF THE FIFTEEN ORGANIZATIONS TO WHOM SERVICES ARE PROVIDED BY RFMS, INC. FORM 990, PART XI, LINE 9: NET EFFECT OF FIRST FLORIDA LIVING OPTIONS LLC BANKRUPTCY DECONSOLIDATION 249,071. 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. SECOND FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364467496 OPERATES A SKILLED NURSING FACILITY FL 13765707 3331765 N/A THIRD FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364467499 OPERATES AN ASSISTED LIVING FACILITY FL 2415721 320724 N/A FOURTH FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364469681 OPERATES AN ASSISTED LIVING FACILITY FL 2375596 794633 N/A FIFTH FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 331094306 OPERATES AN INDEPENDENT LIVING FACILITY FL 1455998 487516 N/A SIXTH FLORIDA LIVING OPTIONS LLC 4100 SW 33RD AVENUE OCALA FL 34474 263708014 OPERATES AN INDEPENDENT LIVING FACILITY FL 1798768 96320 N/A SEVENTH FLORIDA LIVING OPTIONS LLC 5381 DESOTO ROAD SARASOTA FL 34243 371660137 OPERATES A SKILLED NURSING FACILITY FL 13031098 1963218 N/A FIRST FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364467494 OPERATED A SKILLED NURSING FACILITY & AN ASSISTED LIVING FACILITY FL 0 0 N/A