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ORLANDO REHABILITATION GROUP INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ORLANDO REHABILITATION GROUP INC (EIN 31-1637590)
Tax period
2010-04-01 to 2011-03-31
Filed
2011-11-09
IRS object ID
201113139349300321
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)
Timestamp2011-11-09T14:16:11-06:00Timestamp
Tax Period End Date2011-03-31TaxPeriodEndDate

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 Line114400 NW 77TH COURT SUITE 306AddressLine1
CityMIAMI LAKESCity
StateFLState
ZIP Code330161507ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-04-01TaxPeriodBeginDate

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
Phone5618017600Phone

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)
NameHARRY DILLON MADONNAName
TitlePRESIDENTTitle
Phone5618017600Phone
Date Signed2011-11-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameHARRY E HARP CPAName
Phone3058199555Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHARRY DILLON MADONNANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1TWO BALA CYNWYD PLAZA SUITE 300AddressLine1
CityBALA CYNWYDCity
StatePAState
ZIP Code19004ZIPCode
FieldValueIRS element (for citing)
Gross Receipts53309608GrossReceipts
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 Employees920TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year85031ContributionsGrantsPriorYear
Contributions Grants Current Year66830ContributionsGrantsCurrentYear
Program Service Revenue Prior Year47634682ProgramServiceRevenuePriorYear
Program Service Revenue CY53118638ProgramServiceRevenueCY
Investment Income Prior Year93919InvestmentIncomePriorYear
Investment Income Current Year124140InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year47813632TotalRevenuePriorYear
Total Revenue Current Year53309608TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY70000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year21554956SalariesEtcPriorYear
Salaries Etc Current Year22500043SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year22860519OtherExpensePriorYear
Other Expenses Current Year24229864OtherExpensesCurrentYear
Total Expenses Prior Year44415475TotalExpensesPriorYear
Total Expenses Current Year46799907TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3398157RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6509701RevenuesLessExpensesCY
Total Assets BOY44362116TotalAssetsBOY
Total Assets EOY50480425TotalAssetsEOY
Total Liabilities BOY32526068TotalLiabilitiesBOY
Total Liabilities EOY32134676TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11836048NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18345749NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense39271143Expense
Revenue53118638Revenue
DescriptionTHE 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 Expense39271143TotalProgramServiceExpense
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 Liabilities0ReportOtherLiabilities
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109683NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees920NumberOfEmployees
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 Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FISCAL SERVICES GROUP LLC CO JOHN BRANNANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4149088000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1111 WEST MICHIGAN STREET 9TH FLOORAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53203ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
HARRY DILLON MADONNA
PRESIDENT2.00XX000
ADRIENNE SCHMOLLINGER
DIRECTOR2.00X1000000
NATE DUDLEY
DIRECTOR2.00X1000000
ALVIN GARNER
DIRECTOR2.00X1000000
ANN MULLEN
DIRECTOR2.00X1000000
TERRI AMITRONE
ADMINISTRATOR40.0012351400X
CLARETTE EDDIE STEPHEN
CLINICAL REIMBURSEMENT COORDINATOR60.0010673500X
GERALD E NOSS
DIRECTOR OF NURSING40.0010174500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org371994TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
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 THERAPY5209577
PHARMERICA
PO BOX 409251ATLANTAGA30384PHARMACY1810577
EPONA HEALTH MANAGEMENT LLC
1675 PALM BEACH LAKES BLVD STE 90WEST PALM BEACHPA33401MANAGEMENT1653335
HEALTHCARE SERVICES GROUP INC
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020HOUSEKEEPING AND LAUNDRY SERVICES1218558
INTEGRITY PHARMACY SERVICES
2200 TALL PINES DR STE 118LARGOFL33771PHARMACY194967
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions66830AllOtherContributions
Noncash Contributions47954NoncashContributions
Total Contributions66830TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICE REVENDescription
Business Code623000BusinessCode
Total Revenue Column53118638TotalRevenueColumn
Related Or Exempt Function Income53118638RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue53118638TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column124140TotalRevenueColumn
Exclusion$124,140ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column53309608TotalRevenueColumn
Related Or Exempt Function Income53118638RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$124,140ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total70000Total
Program Services70000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total40000Total
Management And General40000ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total19348592Total
Program Services17883026ProgramServices
Management And General1465566ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1578907Total
Program Services1414623ProgramServices
Management And General164284ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1532544Total
Program Services1298213ProgramServices
Management And General234331ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1651383Total
Program Services1398144ProgramServices
Management And General253239ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total-377480Total
Program Services1119ProgramServices
Management And General-378599ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total49348Total
Management And General49348ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total103203Total
Program Services6578ProgramServices
Management And General96625ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total920765Total
Program Services920765ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total64792Total
Program Services5024ProgramServices
Management And General59768ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3289Total
Program Services445ProgramServices
Management And General2844ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1810442Total
Program Services1810442ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1467026Total
Program Services1467026ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1144060Total
Program Services295732ProgramServices
Management And General848328ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTED SERVICES885072871844641666264
BAD DEBT EXPENSE24565902456590
PHARMACY19889501988950
FOOD1199588116349036098
EQUIPMENT RENTAL94697787153475443

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1950203Total
Program Services1491568ProgramServices
Management And General458635ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total46799907Total
Program Services39271143ProgramServices
Management And General7528764ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14072344BOY
EOY14444866EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4662547BOY
EOY6394151EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY676012BOY
EOY423943EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis30859825LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11898203LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18081446BOY
EOY18961622EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6869767BOY
EOY10255843EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY44362116BOY
EOY50480425EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4273182BOY
EOY4851063EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY27751532BOY
EOY27283613EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY501354BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY32526068BOY
EOY32134676EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11836048BOY
EOY18345749EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11836048BOY
EOY18345749EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY44362116BOY
EOY50480425EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses6509701ReconcilationRevenueExpenses
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 Years2050CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15913CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1275CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year85031CurrentTaxYearMinus1Year
Current Tax Year66830CurrentTaxYear
Total171099Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37512672CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38852798CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39517080CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47634682CurrentTaxYearMinus1Year
Current Tax Year53118638CurrentTaxYear
Total216635870Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37514722CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38868711CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39518355CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47719713CurrentTaxYearMinus1Year
Current Tax Year53185468CurrentTaxYear
Total216806969Total

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 Total509216806969PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years690236CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years839613CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years247258CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year93919CurrentTaxYearMinus1Year
Current Tax Year124140CurrentTaxYear
Total1995166Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years690236CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years839613CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years247258CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year93919CurrentTaxYearMinus1Year
Current Tax Year124140CurrentTaxYear
Total1995166Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38204958CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39708324CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39765613CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47813632CurrentTaxYearMinus1Year
Current Tax Year53309608CurrentTaxYear
Total218802135Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99090PublicSupportPercentage509
Prior Year Support Percentage0.98930PriorYearSupportPercentage
Investment Income Percentage0.00910InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01070PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Balance243713BeginningBalance
Additions During Year22865AdditionsDuringYear
Ending Balance266578EndingBalance
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 Basis21522349OtherCostOrOtherBasis
Depreciation8982464Depreciation
Book Value12539885BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4447288OtherCostOrOtherBasis
Depreciation2464606Depreciation
Book Value1982682BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1050813OtherCostOrOtherBasis
Depreciation451133Depreciation
Book Value599680BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings18961622TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN CAPTIVE500000
DEFERRED FINANCING COSTS876768
ASSETS WHOSE USE IS LIMITED8218872
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS660203
FieldValueIRS element (for citing)
Total Book Value Other Assets10255843TotalBookValueOtherAssets
Total Revenue53309608TotalRevenue
Total Expenses46799907TotalExpenses
Excess Or Deficit For Year6509701ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS6509701ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt53256630TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal53256630RevenueSubtotal
Other Revenues Not Included52978OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt52978RevenueNotRptdOnFinStmt
Total Revenue Per Form99053309608TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt46746929TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal46746929ExpensesSubtotal
Other Expenses Not Included52978OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt52978ExpensesNotRptdOnFinStmt
Total Expenses Per Form99046799907TotalExpensesPerForm990

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.
CONTRIBUTIONS RECEIVED 52,978.PART XII, LINE 4B - OTHER ADJUSTMENTS:
CONTRIBUTIONS GIVEN 52,978.PART XIII, LINE 4B - OTHER ADJUSTMENTS:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1FLORIDA HEALTH CARE ASSOCIATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1307 WEST PARK AVENUEAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32301ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient591229583EINOfRecipient
IRC Section501(C)(6)IRCSection
Amount Of Cash Grant70000AmountOfCashGrant
Method Of ValuationFMVMethodOfValuation
Purpose Of GrantCONTRIBUTIONPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

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 MANAGING AGENT OF THE ORGANIZATION, AIRAMID HEALTH MANAGEMENT,LLC, 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMATURE CARE INSURANCE CONamePerson
FieldValueIRS element (for citing)
RelationshipAN ENTITY OF WHICH A CURRENT OFFICER/DIRECTOR SERVES AS A DIRECTOR.Relationship
Amount Of Transaction714680AmountOfTransaction
Description Of TransactionINS. PREMS.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99047954NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

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 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 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