2018-02-20T12:50:41-06:00 2017-06-30 420714325 RSM US LLP 117 E MAIN ST STE 210 GALESBURG IL 61401 990 2016-07-01 364467489 FLORIDA LIVING OPTIONS INC FLOR 3093431550 851 WEST LUMSDEN ROAD BRANDON FL 33511 CHARLES D WESTBAY PRESIDENT 3093431550 2018-02-06 1 MICHAEL BASS P00458970 3093428026 108.171.131.171 2018-02-06 10:12:36 CS P 6D2A4EE4B649EE1AB208E4C4231B96A3655E787B 6D2A4EE4B649EE1AB208E4C4231B96A3655E787B 2016 2021-01-29 14:40:06Z CHARLES D WESTBAY 851 WEST LUMSDEN ROAD BRANDON FL 33511 46947675 0 X N/A X 2001 FL TO PROVIDE & OPERATE NURSING HOMES,ASSISTED LIVING FACILITIES & RETIREMENT HOUSING FOR ELDERLY. 5 5 1491 45 0 0 44205 60684 47256018 46882429 2762 65 0 0 47302985 46943178 0 0 0 0 25847412 26317392 0 0 0 21453870 21992636 47301282 48310028 1703 -1366850 12229286 13300508 13367238 15805310 -1137952 -2504802 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 45011333 46882429 ALL PROGRAM SERVICES RELATE TO PROVIDING AND OPERATING NURSING HOMES, ASSISTED LIVING FACILITIES & RETIREMENT HOUSING FOR THE ELDERLY. THE ORGANIZATION OPERATES 8 FACILITIES WITH A COMBINED TOTAL OF 690 BEDS WITHIN THESE FACILITIES. 45011333 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 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 51 0 1491 1 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 CHARLES D WESTBAY PRESIDENT 2.00 X X 6000 0 0 JOHN CROCK VICE PRESIDENT 2.00 X X 6000 0 0 JOHN THOMPSON SECRETARY 2.00 X X 6000 0 0 DALE FENWICK DIRECTOR 2.00 X 4500 0 0 KENNETH HARKINS DIRECTOR 2.00 X 3000 0 0 RON WILSON FLASC INC CFO 10.00 X 0 0 0 VERNON ZEGER ADMINISTRATOR 40.00 X 145554 0 15794 LAURA HARABURDA ADMINISTRATOR 40.00 X 139554 0 16266 JANICE MYERS ADMINISTRATOR 40.00 X 120054 0 0 430662 0 32060 3 0 1 0 FLASC INC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 ADMINISTRATIVE SERVICES 822828 LTC SUPPORT SERVICES LLC 285 SOUTH FARNHAM STREET GALESBURG FL 61401 SUPPORT SERVICES 469296 ZACKARY GROUP 18865 STATE RD 54 173 LUTZ FL 33558 CONSTRUCTION CONTRACTOR 152973 RSM US LLP 5155 PAYSPHERE CIRCLE CHICAGO IL 60674 ACCOUNTING SERVICES 129065 FUDGE & MCARTHUR PA 650 16TH STREET NORTH SAINT PETERSBURG FL 33705 ATTORNEY 102871 5 60684 60684 MEDICARE & MEDICAID 623000 28640708 28640708 RESIDENT PRIVATE PAY 623000 16099976 16099976 MEDICAID HOSPICE SERVI 623000 1865476 1865476 OTHER INCOME 623000 263035 263035 RESPITE SERVICES 623000 13234 13234 46882429 2562 2562 2000 4497 -2497 -2497 -2497 46943178 46882429 0 65 19500 19500 23063204 22484342 578862 153627 149771 3856 1316669 1283622 33047 1764392 1720108 44284 1299059 840022 459037 109341 109341 157262 157262 10492 10492 1530665 1530665 412143 370929 41214 322790 256061 66729 54484 43587 10897 7350105 7133246 216859 115479 106556 8923 16133 14937 1196 89912 89912 756687 718853 37834 682979 568929 114050 SUPPLIES & SMALL EQUIP. 5351776 5348166 3610 MEDICAID ASSESSMENT TAX 1706700 1706700 UNCOLLECTIBLE CHARGES 985146 985146 EQUIPMENT RENT & MAINT. 479445 477852 1593 562038 167075 394963 48310028 45011333 3298695 0 1095519 2139233 452299 123792 5456596 6186080 826668 678242 9754739 5627926 4340211 4126813 10000 10000 47993 36348 12229286 13300508 6436175 8154280 100021 200088 6690000 7140000 141042 310942 13367238 15805310 X -1137952 -2504802 -1137952 -2504802 12229286 13300508 -1366850 0 X X 0 1 X 1 0 X 8100 16911 56887 44205 60684 186787 30102375 38305308 45376707 47256018 46882429 207922837 30110475 38322219 45433594 47300223 46943113 208109624 0 0 0 208109624 1884 1067 5530 2762 2562 13805 1884 1067 5530 2762 2562 13805 30112359 38323286 45439124 47302985 46945675 208123429 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10492 10492 45011333 45021825 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 13655 7961 13154 10492 45262 250000 250000 250000 250000 1000000 1500000 4754999 2489490 2265509 4999740 3138436 1861304 4126813 RESIDENT SECURITY DEPOSITS 5400 RESIDENT TRUST LIABILITIES 36348 REFUNDABLE BALANCES 138796 OTHER LONG-TERM OBLIGATION 130398 310942 X 45958032 0 45958032 985146 985146 46943178 47324882 0 47324882 985146 985146 48310028 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2013. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR DOUBTFUL ACCOUNTS 985,146. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR DOUBTFUL ACCOUNTS 985,146. X X 0 0 0 0 0 0 0 0 0 VERNON ZEGER ADMINISTRATOR 135000 0 10554 0 0 0 3638 0 12156 0 161348 0 0 0 LAURA HARABURDA ADMINISTRATOR 133500 0 6054 0 0 0 4110 0 12156 0 155820 0 0 0 LTC SUPPORT SERVICES (LTC) TWO DIRECTORS COMMON TO FLO & LTC: JOHN CROCK & CHARLES WESTBAY. 476231 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 $1,500 FROM LTC SUPPORT SERVICES, LLC. FOR THE FISCAL YEAR ENDING JUNE 30, 2017. CHARLES WESTBAY, WHO IS ALSO A DIRECTOR OF FLORIDA LIVING OPTIONS, INC., AND LTC SUPPORT SERVICES, LLC, RECEIVED DIRECTOR'S FEES OF $1,500 FROM LTC SUPPORT SERVICES, LLC. FOR THE FISCAL YEAR ENDING JUNE 30, 2017. 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 71.44% 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 XII, LINE 2C: THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. FIRST FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364467494 OPERATES A NURSING HOME & ASSISTED LIVNG FACILITY FOR THE ELDERLY. FL 12693007 3445229 N/A SECOND FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364467496 OPERATES A NURSING HOME FOR THE ELDERLY. FL 13103785 4358769 N/A THIRD FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364467499 OPERATES AN ASSISTED LIVING FACILITY FOR THE ELDERLY. FL 2439095 488390 N/A FOURTH FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 364469681 OPERATES AN ASSISTED LIVING FACILITY FOR THE ELDERLY. FL 2393457 502458 N/A FIFTH FLORIDA LIVING OPTIONS LLC 851 W LUMSDEN RD BRANDON FL 33511 331094306 OPERATES AN INDEPENDENT LIVING RETIREMENT CENTER FOR THE ELDERLY. FL 1704198 577772 N/A SIXTH FLORIDA LIVING OPTIONS LLC 4100 SW 33RD AVENUE OCALA FL 34474 263708014 OPERATES AN INDEPENDENT LIVING RETIREMENT CENTER FOR THE ELDERLY. FL 1541423 257560 N/A SEVENTH FLORIDA LIVING OPTIONS LLC 5381 DESOTO ROAD SARASOTA FL 34243 371660137 OPERATES A NURSING HOME FOR THE ELDERLY. FL 13068213 2951308 N/A EIGHTH FLORIDA LIVING OPTIONS LLC 4100 SW 33RD AVENUE OCALA FL 34474 320446056 NO ACTIVITY FOR THE FISCAL YEAR ENDING 6/30/17. FL 0 0 N/A