STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ORLANDO REHABILITATION GROUP INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ORLANDO REHABILITATION GROUP INC (EIN 31-1637590)
Tax period
2011-04-01 to 2012-03-31
Filed
2013-02-11
IRS object ID
201330429349300798
Schema version
2011v1.5
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)
Timestamp2013-02-11T14:48:12-06:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

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 Date2011-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311637590EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ORLANDO REHABILITATION GROUP INCBusinessNameLine1
Business Name Line2F/K/A WESTMINSTER COMMUNITY CARE SVCSBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlORLANameControl
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
Phone2153466454Phone
Date Signed2013-02-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMELANIE A MCPEAKName
PTINP01346034PTIN
Phone7275314477Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts55120002GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTHE ENTITY IS ORGANIZED AND OPERATED FOR THE PROVISION OF SHORT-TERM REHABILITATION, LONG-TERM SUPERVISED CARE, RESPITE CARE, AND CONVALESCENT CARE SERVICES. THE ORGANIZATION PROVIDES SHORT-TERM, POST ACUTE CARE AND LONG-TERM CARE SERVICES BY PROVIDING ROOM AND BOARD, NURSING SERVICES, HEALTHCARE, THERAPY, RESIDENT SERVICES AND SECURITY AT AN AFFORABLE COST. THE ORGANIZATION PROVIDES SHELTER AND CARE, INCLUDING HEALTHCARE, TO RESIDENTS REQUIRING NURSING AND REHABILITATION SERVICES. THE ORGANIZATION RECOGNIZES THE NEED TO CREATE WAYS OF LIVING AND WORKING TOGETHER THAT ARE DIFFERENT FROM TRADITIONAL MODELS. ACCORDINGLY, 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 Members5NbrIndependentVotingMembers
Total Nbr Employees860TotalNbrEmployees
Total Nbr Volunteers129TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year66830ContributionsGrantsPriorYear
Contributions Grants Current Year17206ContributionsGrantsCurrentYear
Program Service Revenue Prior Year53118638ProgramServiceRevenuePriorYear
Program Service Revenue CY55043372ProgramServiceRevenueCY
Investment Income Prior Year124140InvestmentIncomePriorYear
Investment Income Current Year33832InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year25592OtherRevenueCurrentYear
Total Revenue Prior Year53309608TotalRevenuePriorYear
Total Revenue Current Year55120002TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year70000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY18050287GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22500043SalariesEtcPriorYear
Salaries Etc Current Year22526020SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year24229864OtherExpensePriorYear
Other Expenses Current Year25450758OtherExpensesCurrentYear
Total Expenses Prior Year46799907TotalExpensesPriorYear
Total Expenses Current Year66027065TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6509701RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-10907063RevenuesLessExpensesCY
Total Assets BOY50480425TotalAssetsBOY
Total Assets EOY39556677TotalAssetsEOY
Total Liabilities BOY32134676TotalLiabilitiesBOY
Total Liabilities EOY32117991TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18345749NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7438686NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO OPERATE ONE OR MORE NURSING HOMES OR PROVIDE OTHER HOUSING FOR THE ELDERLY AND TO 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
Expense60998784Expense
Revenue55068964Revenue
DescriptionSEE SCHEDULE O.THE ORGANIZATION'S UNIQUE AND INNOVATIVE PROGRAMS INCLUDE:GRANDMA'S HOUSE - AN AWARD WINNING INTER-GENERATIONAL PROGRAM WHICH ENGAGES GERIATRIC AND PEDIATRIC RESIDENTS IN SOCIALIZATION AND INTERACTION THAT DECREASES FEELINGS OF LONELINESS WHILE ENRICHING QUALITY OF LIFE. THE SAGE INSTITUTE RECOGNIZED GRANDMA'S HOUSE AS A GERIATRIC BEST PRACTICE INITIATIVE. THE ORGANIZATION ALSO RUNS A PEDIATRIC INTENSIVE CARE UNIT AND PROVIDES SPECIALIZED CARE FOR PERSONS WITH AIDS. ADDITIONALLY, THE ORGANIZATION PROVIDES RESTORATIVE THERAPIES FOR PERSONS REQUIRING REHABILITATION TO REGAIN LOST FUNCTIONALITY AND RETURN TO INDEPENDENCE, AS WELL AS NUMEROUS ACTIVITIES AND PROGRAMS INCORPORATING AND PROMOTING FAMILY ACTIVITIES AND INVOLVEMENT WITH RESIDENTS AND STAFF. THESE ACTIVITIES PROMOTE A NORMALIZED CARE ENVIRONMENT WHICH IS LESS INSTITUTIONAL IN NATURE.Description
Total Program Service Expense60998784TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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 Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096102NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees860NumberOfEmployees
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 Members5NumberIndependentVotingMembers
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 (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ADRIENNE SCHMOLLINGER
DIRECTOR2.00X800000
HARRY DILLON MADONNA
PRESIDENT-RESIGNED 12/31/111.80X127120178X
NATE DUDLEY
DIRECTOR2.00X800000
ALVIN GARNER
DIRECTOR2.00X800000
ANNE MULLEN
DIRECTOR2.00X800000
HOWARD JAFFE
PRESIDENT1.80X000X
GERALD E NOSS
DIRECTOR OF NURSING40.0011147705200X
TERRI AMITRONE
ADMINISTRATOR40.0013099405200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org287183TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation10578TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
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 SMITHAR72902REHABILITATION5569493
PHARMERICA
PO BOX 409251ATLANTAGA30384PHARMACY2069034
EPONA HEALTH SERVICES
1675 PALM BEACH LAKES BLVD STE 900WEST PALM BEACHFL33401CONSULTING1702178
HEALTHCARE SERVICES GROUP INC
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020HOUSEKEEPING AND LAUNDRY SERVICES1237442
VISTA CLINICAL DIAGNOSTICS
4290 S HWY 27 SUITE 201CLERMONTFL34711LABORATORY SERVICES151364
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions17206AllOtherContributions
Total Contributions17206TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICE REVENDescription
Business Code623000BusinessCode
Total Revenue Column55043372TotalRevenueColumn
Related Or Exempt Function Income55043372RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue55043372TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column33832TotalRevenueColumn
Exclusion$33,832ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column25592TotalRevenueColumn
Related Or Exempt Function Income25592RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue25592TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column55120002TotalRevenueColumn
Related Or Exempt Function Income55068964RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$33,832ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total18050287Total
Program Services18050287ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total44890Total
Management And General44890ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total19254396Total
Program Services17849187ProgramServices
Management And General1405209ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total31314Total
Program Services30922ProgramServices
Management And General392ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1688941Total
Program Services1552308ProgramServices
Management And General136633ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1506479Total
Program Services1263001ProgramServices
Management And General243478ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total969167Total
Program Services816ProgramServices
Management And General968351ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total42530Total
Management And General42530ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8623548Total
Program Services7479075ProgramServices
Management And General1144473ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total73229Total
Program Services3611ProgramServices
Management And General69618ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total221295Total
Program Services56900ProgramServices
Management And General164395ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total130692Total
Program Services14040ProgramServices
Management And General116652ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2510352Total
Program Services2329062ProgramServices
Management And General181290ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total89111Total
Program Services7340ProgramServices
Management And General81771ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1960Total
Program Services1163ProgramServices
Management And General797ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1783823Total
Program Services1783823ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1622213Total
Program Services1525125ProgramServices
Management And General97088ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total761874Total
Program Services733539ProgramServices
Management And General28335ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHARMACY20316282031628
STATE QUALITY ASSESSMEN17737791773779
BAD DEBT EXPENSE13859091385909
FOOD1253768123709016678

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2175880Total
Program Services1890179ProgramServices
Management And General285701ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total66027065Total
Program Services60998784ProgramServices
Management And General5028281ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1436741BOY
EOY5919625EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13008125BOY
EOY241040EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6394151BOY
EOY5584563EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY423943BOY
EOY552703EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis32117889LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13489084LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18961622BOY
EOY18628805EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10255843BOY
EOY8629941EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY50480425BOY
EOY39556677EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4851063BOY
EOY5322642EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY27283613BOY
EOY26785694EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY9655EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY32134676BOY
EOY32117991EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18345749BOY
EOY7438686EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18345749BOY
EOY7438686EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY50480425BOY
EOY39556677EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-10907063ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years15913CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1275CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years85031CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year66830CurrentTaxYearMinus1Year
Current Tax Year17206CurrentTaxYear
Total186255Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38852798CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39487706CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47580863CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53102341CurrentTaxYearMinus1Year
Current Tax Year55043372CurrentTaxYear
Total234067080Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38868711CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39488981CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47665894CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53169171CurrentTaxYearMinus1Year
Current Tax Year55060578CurrentTaxYear
Total234253335Total

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 Total509234253335PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years839613CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years247258CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years93919CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year124140CurrentTaxYearMinus1Year
Current Tax Year33832CurrentTaxYear
Total1338762Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years839613CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years247258CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years93919CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year124140CurrentTaxYearMinus1Year
Current Tax Year33832CurrentTaxYear
Total1338762Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years29374CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53819CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16297CurrentTaxYearMinus1Year
Current Tax Year25592CurrentTaxYear
Total125082Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39708324CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39765613CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47813632CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53309608CurrentTaxYearMinus1Year
Current Tax Year55120002CurrentTaxYear
Total235717179Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99380PublicSupportPercentage509
Prior Year Support Percentage0.99090PriorYearSupportPercentage
Investment Income Percentage0.00570InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00910PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance266578BeginningBalance
Additions During Year53163AdditionsDuringYear
Ending Balance319741EndingBalance
Included On FS0IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3839375OtherCostOrOtherBasis
Book Value3839375BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22266624OtherCostOrOtherBasis
Depreciation10116588Depreciation
Book Value12150036BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4559242OtherCostOrOtherBasis
Depreciation2601790Depreciation
Book Value1957452BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1452648OtherCostOrOtherBasis
Depreciation770706Depreciation
Book Value681942BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings18628805TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN CAPTIVE500000
ASSETS WHOSE USE IS LIMITED5711349
DEPOSITS177539
DEFERRED FINANCE CHARGES883118
ESTIMATED THIRD PARTY SETTLEMENTS1357935
FieldValueIRS element (for citing)
Total Book Value Other Assets8629941TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO OTHERS$213
OTHER LIABILITIES$9,442
FieldValueIRS element (for citing)
Total Of Amounts9655TotalOfAmounts
Total Revenue55120002TotalRevenue
Total Expenses66027065TotalExpenses
Excess Or Deficit For Year-10907063ExcessOrDeficitForYear
Excess Or Deficit Per FS-10907063ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt57047287TotRevenueEtcAuditedFinclStmt
Other Revenues1927285OtherRevenues
Revenue Not Rptd F9901927285RevenueNotRptdF990
Revenue Subtotal55120002RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99055120002TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt67954350TotExpensesEtcAuditedFinclStmt
Other Expenses Included1927285OtherExpensesIncluded
Expenses Not Rptd F9901927285ExpensesNotRptdF990
Expenses Subtotal66027065ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99066027065TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 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 ACTS ONLY AS A CUSTODIAN.
REVENUE ON FINANCIALS INCLUDED IN EXPENSES ON 990 1,927,285.PART XII, LINE 2D - OTHER ADJUSTMENTS:
REVENUE ON FINANCIALS INCLUDED IN EXPENSES ON 990 1,927,285.PART XIII, 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)50000GENERAL PURPOSE
FRONTLINE SENIOR CARE INC
1313 N MARKET STREET STE 5100WILMINGTONDE19801274202010501(C)(3)18000000GENERAL PURPOSE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
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 (6 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 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 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 Income12845ShareOfTotalIncome
Share Of EOY Assets607007ShareOfEOYAssets
Percentage Ownership0.01510PercentageOwnership
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
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 Orgs0PerformOfServicesByOtherOrgs
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