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HEARTHSTONE SENIOR COMMUNITIES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HEARTHSTONE SENIOR COMMUNITIES INC (EIN 23-2856813)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201313169349305311
Schema version
2012v2.1
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)
Timestamp2013-11-12T15:48:49-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN593070669EIN

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 Line1311 PARK PLACE BLVD SUITE 100AddressLine1
CityCLEARWATERCity
StateFLState
ZIP Code33759ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232856813EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HEARTHSTONE SENIOR COMMUNITIES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEARNameControl
Phone2153466454Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1TWO BALA CYNWYD PLAZA NO 300AddressLine1
CityBALA CYNWYDCity
StatePAState
ZIP Code19004ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHOWARD JAFFEName
TitlePRESIDENTTitle
Phone5618017600Phone
Date Signed2013-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMELANIE A MCPEAKName
PTINP01346034PTIN
Phone7275314477Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
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 Line1TWO BALA CYNWYD PLAZA NO 300AddressLine1
CityBALA CYNWYDCity
StatePAState
ZIP Code19004ZIPCode
FieldValueIRS element (for citing)
Gross Receipts93445053GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
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 Employees1775TotalNbrEmployees
Total Nbr Volunteers170TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year30000ContributionsGrantsPriorYear
Contributions Grants Current Year236717ContributionsGrantsCurrentYear
Program Service Revenue Prior Year95173969ProgramServiceRevenuePriorYear
Program Service Revenue CY92978017ProgramServiceRevenueCY
Investment Income Prior Year27767InvestmentIncomePriorYear
Investment Income Current Year21747InvestmentIncomeCurrentYear
Other Revenue Prior Year6135OtherRevenuePriorYear
Other Revenue Current Year208572OtherRevenueCurrentYear
Total Revenue Prior Year95237871TotalRevenuePriorYear
Total Revenue Current Year93445053TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6030150GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY36670GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year40909877SalariesEtcPriorYear
Salaries Etc Current Year41108362SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year46017599OtherExpensePriorYear
Other Expenses Current Year48487050OtherExpensesCurrentYear
Total Expenses Prior Year92957626TotalExpensesPriorYear
Total Expenses Current Year89632082TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2280245RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3812971RevenuesLessExpensesCY
Total Assets BOY43883578TotalAssetsBOY
Total Assets EOY43609843TotalAssetsEOY
Total Liabilities BOY12741946TotalLiabilitiesBOY
Total Liabilities EOY6432675TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY31141632NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY37177168NetAssetsOrFundBalancesEOY
Mission DescriptionTO OPERATE ONE OR MORE NURSING HOMES OR PROVIDE OTHER HOUSING FOR THE ELDERLY AND DEVELOP MEDICAL PROGRAMS FOR THE CARE OF THE ELDERLY AND TO EDUCATE AND TRAIN HEALTHCARE PERSONNEL IN THE PROPER CARE OF THE ELDERLY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense83510967Expense
Grants36670Grants
Revenue93186589Revenue
DescriptionTHE ORGANIZATION OPERATES 11 SKILLED NURSING FACILITIES, WITH A COMBINED CAPACITY OF 1240 BEDS, DEDICATED AND COMMITTED TO PROVIDING REHABILITATION AND SHORT AND LONG TERM NURSING AND MEDICAL CARE OF PATIENTS AND RESIDENTS. THE ORGANIZATION PROVIDES NUMEROUS ACTIVITIES AND PROGRAMS INCORPORATING AND PROMOTING FAMILY ACTIVITIES AND INVOLVEMENT WITH RESIDENTS AND STAFF. THESE ACTIVITIES PROMOTE A NORMALIZED ENVIRONMENT.Description
Total Program Service Expense83510967TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
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 Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
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 Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096135NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1775NumberOfEmployees
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 Line1KANE FINANCIAL SERVICES CO AARON FETTESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5612234188TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11675 PALM BEACH LAKES BLVD STE 800AddressLine1
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
HOWARD JAFFE
PRESIDENT1.00XX400890425
ROBERT SCHMOLLINGER
DIRECTOR1.00X800000
JOHN S SEAL JR
DIRECTOR1.00X800000
BRIAN M WYATT
DIRECTOR1.00X800000
ALVIN GARNER
DIRECTOR1.00X000
RICHARD NATHANS
ADMINISTRATOR40.0010419004167X
FieldValueIRS element (for citing)
Total Reportable Comp From Org168279TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation4592TotalOtherCompensation
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 SMITHAR72902REHABILITATION7757218
HEALTHCARE SERVICES GROUP INC
3220 TILLMAN DRIVEBENSALEMPA19020HOUSEKEEPING AND LAUNDRY2464132
MCKESSON MEDICAL
5050 KINGSLEY DRIVECINCINNATIOH45263MEDICAL SUPPLIES1238936
BRIGID HEALTH SRVCS LLC
1675 PALM BEACH LAKES BLVDWEST PALM BEACHFL33401CONSULTING1130782
ELEUS HEALTH SERVICES LLC
1675 PALM BEACH LAKES BLVDWEST PALM BEACHFL33401CONSULTING1100532
FieldValueIRS element (for citing)
Number Of Contractors GT100 K29NumberOfContractorsGT100K
All Other Contributions236717AllOtherContributions
Total Contributions236717TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICEDescription
Business Code623000BusinessCode
Total Revenue Column92978017TotalRevenueColumn
Related Or Exempt Function Income92978017RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue92978017TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column21747TotalRevenueColumn
Exclusion$21,747ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column208572TotalRevenueColumn
Related Or Exempt Function Income208572RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue208572TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column93445053TotalRevenueColumn
Related Or Exempt Function Income93186589RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$21,747ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total36670Total
Program Services36670ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total64514Total
Management And General64514ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total36070215Total
Program Services33512598ProgramServices
Management And General2557617ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1769042Total
Program Services1495655ProgramServices
Management And General273387ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3204591Total
Program Services2997689ProgramServices
Management And General206902ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1224302Total
Program Services1012778ProgramServices
Management And General211524ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total62900Total
Management And General62900ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total17209595Total
Program Services15888151ProgramServices
Management And General1321444ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total102909Total
Program Services78006ProgramServices
Management And General24903ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1009673Total
Program Services689019ProgramServices
Management And General320654ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total393201Total
Program Services67467ProgramServices
Management And General325734ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6644905Total
Program Services6539389ProgramServices
Management And General105516ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total337140Total
Program Services64270ProgramServices
Management And General272870ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total14958Total
Program Services534ProgramServices
Management And General14424ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total880102Total
Program Services816237ProgramServices
Management And General63865ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2637820Total
Program Services2418822ProgramServices
Management And General218998ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
STATE QUALITY ASSESSMEN71633937163393
PHARMACY31689283168928
FOOD2052917203114621771
BAD DEBTS18315221831522

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3752785Total
Program Services3698693ProgramServices
Management And General54092ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total89632082Total
Program Services83510967ProgramServices
Management And General6121115ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY905018BOY
EOY9787354EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3856601BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9433249BOY
EOY10831580EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1389719BOY
EOY857067EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12018788LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3528636LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6684614BOY
EOY8490152EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY21614377BOY
EOY13643690EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY43883578BOY
EOY43609843EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5892910BOY
EOY6053050EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY6000000BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY849036BOY
EOY379625EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12741946BOY
EOY6432675EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY31141632BOY
EOY37177168EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31141632BOY
EOY37177168EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY43883578BOY
EOY43609843EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3812971ReconcilationRevenueExpenses
Reconcilation Other Changes2222565ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
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 Minus4 Years9378CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23541CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year30000CurrentTaxYearMinus1Year
Current Tax Year236717CurrentTaxYear
Total299636Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years79318070CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87581437CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years93084572CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95180104CurrentTaxYearMinus1Year
Current Tax Year92978017CurrentTaxYear
Total448142200Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years79327448CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87604978CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years93084572CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95210104CurrentTaxYearMinus1Year
Current Tax Year93214734CurrentTaxYear
Total448441836Total

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 Total509448441836PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years222229CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44935CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years43040CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27767CurrentTaxYearMinus1Year
Current Tax Year21747CurrentTaxYear
Total359718Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years222229CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44935CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years43040CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27767CurrentTaxYearMinus1Year
Current Tax Year21747CurrentTaxYear
Total359718Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years72000CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years55836CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6135CurrentTaxYearMinus1Year
Current Tax Year208572CurrentTaxYear
Total342543Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years79621677CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87649913CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years93183448CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95244006CurrentTaxYearMinus1Year
Current Tax Year93445053CurrentTaxYear
Total449144097Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99840PublicSupportPercentage509
Prior Year Support Percentage0.99670PriorYearSupportPercentage
Investment Income Percentage0.00080InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00210PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUEGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance488203BeginningBalance
Distributions During Year57003DistributionsDuringYear
Ending Balance431200EndingBalance
Included On FS0IncludedOnFS

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8090088OtherCostOrOtherBasis
Depreciation2164671Depreciation
Book Value5925417BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3928700OtherCostOrOtherBasis
Depreciation1363965Depreciation
Book Value2564735BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8490152TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN CAPTIVE4667565
AMOUNTS HELD BY LENDER UNDER REVOLVING LINE OF CREDIT919293
REAL ESTATE TAX ESCROW2416904
REPLACEMENT RESERVE3150274
RENT RESERVE650000
CAPITAL IMPROVEMENTS1839654
FieldValueIRS element (for citing)
Total Book Value Other Assets13643690TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESTIMATED THIRD PARTY PAYOR SETTLEMENTSDescription
Amount$379,625Amount
FieldValueIRS element (for citing)
Total Of Amounts379625TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt95667618TotRevenueEtcAuditedFinclStmt
Other Revenues2222565OtherRevenues
Revenue Not Rptd F9902222565RevenueNotRptdF990
Revenue Subtotal93445053RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99093445053TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt89632082TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal89632082ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99089632082TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 1B:THE ORGANIZATION OFFERS CASH MANAGEMENT SERVICES TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF THE RESIDENTS AND ARE DISBURSED AS REQUESTED. THE ORGANIZATION HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS AND REMAINS ONLY A CUSTODIAN.
CHANGE IN VALUE OF INVESTMENT IN CAPTIVE INSURANCE PROVIDER 2,222,565.PART XI, LINE 2D - OTHER ADJUSTMENTS:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
FLORIDA HEALTH CARE ASSOCIATION
307 WEST PARK AVENUETALLAHASSEEFL32301591229583501(C)(6)36670GENERAL SUPPORT
(no name)
GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE CONSULTING COMPANY OF THE ORGANIZATION IS ON THE STEERING COMMITTEE OF THE FLORIDA HEALTHCARE ASSOCIATION (FHCA). THE ORGANIZATION HAS ASKED FHCA TO NOTIFY THEM AS TO WHAT THE GRANT MONEY IS BEING USED FOR BEFORE THE FUNDS ARE SPENT. DISBURSEMENTS FROM THE FUNDS ARE REVIEWED AND APPROVED BY A PAC ATTORNEY WHO VERIFIES THE EXPENDITURE IS ONE PERMITTED UNDER IRS REGULATIONS GOVERNING 501(C)(3) TAX EXEMPT ENTITIES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 CONSULTING COMPANY. THE RETURN IS PROVIDED TO ALL VOTING BOARD MEMBERS BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATIONS CONFLICT OF INTEREST POLICY IS CONTAINED IN THE EMPLOYEE HANDBOOK. THE POLICY EXTENDS TO THE ORGANIZATION'S OFFICERS AND DIRECTORS. THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ITS ANNUAL DISCLOSURE PROCESS. THE BOARD REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS EXIST.
FORM 990, PART VI, SECTION B, LINE 15THE 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 CONSULTING 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 C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GMEDICAL & SOCIAL SERVICES: PROGRAM SERVICE EXPENSES 431,439. MANAGEMENT AND GENERAL EXPENSES 226,943. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 658,382. CONSULTING: PROGRAM SERVICE EXPENSES 4,144,983. MANAGEMENT AND GENERAL EXPENSES 1,094,501. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,239,484. REHABILITATION: PROGRAM SERVICE EXPENSES 8,339,373. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,339,373. HOUSEKEEPING & LAUNDRY: PROGRAM SERVICE EXPENSES 2,648,324. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,648,324. LAB & X-RAY: PROGRAM SERVICE EXPENSES 324,032. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 324,032.OTHER FEES
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF INVESTMENT IN CAPTIVE INSURANCE PROVIDER 2,222,565.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CTHE 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.OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BARTOW REHABILITATION CENTER LLC
2055 EAST GEORGIA STREETBARTOWFL33830263410674NURSINGFL94954402909995HEARTHSTONE SENIOR COMMUNITIES INC
BAY CENTER REHABILITATION CENTER LLC
1336 ST ANDREWS BLVDPANAMA CITYFL32405263411018NURSINGFL107577203882384HEARTHSTONE SENIOR COMMUNITIES INC
BOCA CIEGA REHABILITATION CENTER LLC
1414 59TH STREET SOUTHGULFPORTFL33707263411147NURSINGFL96645152265053HEARTHSTONE SENIOR COMMUNITIES INC
CLEARWATER REHABILITATION CENTER LLC
1270 TURNER STREETCLEARWATERFL33756263419520NURSINGFL88089641922636HEARTHSTONE SENIOR COMMUNITIES INC
EGRET COVE REHABILITATION CENTER LLC
550 62ND STREET SOUTHST PETERSBURGFL33707263411425NURSINGFL94528752784859HEARTHSTONE SENIOR COMMUNITIES INC
EMERALD COAST REHABILITATION CENTER LLC
114 3RD STREET SOUTH EASTFT WALTON BEACHFL32548263411532NURSINGFL86402002029286HEARTHSTONE SENIOR COMMUNITIES INC
GROVES REHABILITATION CENTER LLC
512 SOUTH 11TH STREETLAKE WALESFL33853263411666NURSINGFL101183562743374HEARTHSTONE SENIOR COMMUNITIES INC
LAKELAND HILLS REHABILITATION CENTER LLC
610 EAST BELLA VISTA DRIVELAKELANDFL33805263411839NURSINGFL93344492570299HEARTHSTONE SENIOR COMMUNITIES INC
TARPON REHABILITATION CENTER LLC
515 CHESAPEAKE DRIVETARPON SPRINGSFL34689263411945NURSINGFL88666622313514HEARTHSTONE SENIOR COMMUNITIES INC
UNIVERSITY EAST REHABILITATION CENTER LLC
991 EAST NEW YORK AVENUEDELANDFL33274263412167NURSINGFL42699182035782HEARTHSTONE SENIOR COMMUNITIES INC
UNIVERSITY WEST REHABILITATION CENTER LLC
545 WEST EUCLID AVENUEDELANDFL32720263412294NURSINGFL3799236900067HEARTHSTONE SENIOR COMMUNITIES INC

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MATURE CARE INSURANCE COBusinessNameLine1

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line1PO BOX 64 SUITE C12AddressLine1
CityMARKET PLACECity
Province Or StatePROVIDENCIALESProvinceOrState
CountryTKCountry
Postal CodeBWIPostalCode
FieldValueIRS element (for citing)
EIN251900526EIN
Primary ActivityINSURANCEPrimaryActivity
Legal Domicile Foreign CountryTKLegalDomicileForeignCountry
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income188608ShareOfTotalIncome
Share Of EOY Assets10924962ShareOfEOYAssets
Percentage Ownership0.27080PercentageOwnership
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg