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HEARTHSTONE SENIOR COMMUNITIES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HEARTHSTONE SENIOR COMMUNITIES INC (EIN 23-2856813)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-09-30
IRS object ID
201132739349300303
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)
Timestamp2011-09-30T08:02:20-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

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
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 Signed2011-09-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKARIN E VICKERSName
Phone3058199555Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts93183447GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization OtherXTypeOfOrganizationOther
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 Employees1861TotalNbrEmployees
Total Nbr Volunteers44TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year23541ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year87581437ProgramServiceRevenuePriorYear
Program Service Revenue CY93084571ProgramServiceRevenueCY
Investment Income Prior Year44935InvestmentIncomePriorYear
Investment Income Current Year43040InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year55836OtherRevenueCurrentYear
Total Revenue Prior Year87649913TotalRevenuePriorYear
Total Revenue Current Year93183447TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year100GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1567850GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year40303394SalariesEtcPriorYear
Salaries Etc Current Year41332527SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year43684944OtherExpensePriorYear
Other Expenses Current Year47299771OtherExpensesCurrentYear
Total Expenses Prior Year83988438TotalExpensesPriorYear
Total Expenses Current Year90200148TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3661475RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2983299RevenuesLessExpensesCY
Total Assets BOY31808545TotalAssetsBOY
Total Assets EOY35550558TotalAssetsEOY
Total Liabilities BOY6351457TotalLiabilitiesBOY
Total Liabilities EOY6689171TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY25457088NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY28861387NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense71576443Expense
Revenue93140407Revenue
DescriptionTHE ORGANIZATION PROVIDES NUMEROUS ACTIVITIES AND PROGRAMS INCORPORATING AND PROMOTING FAMILY ACTIVITIES AND INVOLVEMENT WITH RESIDENTS AND STAFF. THESE ACTIVITIES PROMOTE A NORMALIZED CARE ENVIRONMENT.Description
Total Program Service Expense71576443TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096349NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1861NumberOfEmployees
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 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 (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
HARRY DILLON MADONNA
PRESIDENT10.00XX000
ANN MULLEN
DIRECTOR1.00X1000000
SANDRA OLIVER
DIRECTOR1.00X1000000
JOHN S SEAL JR
DIRECTOR1.00X1000000
BRIAN M WYATT
DIRECTOR1.00X800000
KAREN T SOEHNER
ADMINISTRATOR - BAY CENTER40.0011806303991X
LYNDA K LOVELL
ADMINISTRATOR - CLEARWATER40.0010999108515X
MELISSA A FIJALKOWSKI
ADMINISTRATOR - EMERALD COAST40.0010425907950X
RICHARD A NATHANS
ADMINISTRATOR - THE GROVES40.0010042804061X
FieldValueIRS element (for citing)
Total Reportable Comp From Org470741TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation24517TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
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 277365ATLANTAGA30384PHYSICAL THERAPY8178304
HEALTHCARE SERVICES GROUP INC
3220 TILLMAN DRIVE STE 300BENSALEMPA19020HOUSEKEEPING AND LAUNDRY2392652
BRIGID HEALTH MANAGEMENT LLC
1675 PALM BEACH LAKES BLVD SUITEWEST PALM BEACHFL33401MANAGEMENT1248211
ELEUS HEALTH MANAGEMENT LLC
1675 PALM BEACH LAKES BLVD SUITEWEST PALM BEACHFL33401MANAGEMENT1212692
THEMIS HEALTH MANAGEMENT LLC
1675 PALM BEACH LAKES BLVD SUITEWEST PALM BEACHFL33401MANAGEMENT787309
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICE REVENDescription
Business Code623000BusinessCode
Total Revenue Column93084571TotalRevenueColumn
Related Or Exempt Function Income93084571RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue93084571TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column43040TotalRevenueColumn
Exclusion$43,040ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code623000BusinessCode
Total Revenue Column55836TotalRevenueColumn
Related Or Exempt Function Income55836RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue55836TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column93183447TotalRevenueColumn
Related Or Exempt Function Income93140407RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$43,040ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1567850Total
Program Services1567850ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total38000Total
Management And General38000ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total36206522Total
Program Services33353260ProgramServices
Management And General2853262ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2229807Total
Program Services1913883ProgramServices
Management And General315924ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2858198Total
Program Services2628433ProgramServices
Management And General229765ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3964123Total
Program Services3964123ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2630852Total
Program Services16883ProgramServices
Management And General2613969ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total79104Total
Management And General79104ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total142678Total
Program Services26868ProgramServices
Management And General115810ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7937869Total
Program Services7937869ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total168125Total
Program Services24726ProgramServices
Management And General143399ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5664Total
Program Services511ProgramServices
Management And General5153ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total38152Total
Program Services38152ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total628833Total
Program Services628833ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1781020Total
Program Services696910ProgramServices
Management And General1084110ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACT SERVICES16224008102862425937766
BAD DEBT38700033870003
PHARMACY26061942606194
FOOD2072287200829563992
EQUIPMENT RENTAL16423581525769116589

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3508501Total
Program Services2351642ProgramServices
Management And General1156859ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total90200148Total
Program Services71576443ProgramServices
Management And General18623705ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7487356BOY
EOY6008270EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8019976BOY
EOY8959254EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1706128BOY
EOY793802EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7076586LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1857765LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4878256BOY
EOY5218821EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9716829BOY
EOY14570411EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY31808545BOY
EOY35550558EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5815692BOY
EOY6091992EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY535765BOY
EOY597179EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6351457BOY
EOY6689171EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY25457088BOY
EOY28861387EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25457088BOY
EOY28861387EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31808545BOY
EOY35550558EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2983299ReconcilationRevenueExpenses
Reconcilation Other Changes421000ReconcilationOtherChanges
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 Minus3 Years727CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9378CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23541CurrentTaxYearMinus1Year
Total33646Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74346697CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years75984363CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79318070CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year87581437CurrentTaxYearMinus1Year
Current Tax Year93084572CurrentTaxYear
Total410315139Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74346697CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years75985090CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79327448CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year87604978CurrentTaxYearMinus1Year
Current Tax Year93084572CurrentTaxYear
Total410348785Total

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 Total509410348785PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years308563CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years581697CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years222229CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year44935CurrentTaxYearMinus1Year
Current Tax Year43040CurrentTaxYear
Total1200464Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years308563CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years581697CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years222229CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year44935CurrentTaxYearMinus1Year
Current Tax Year43040CurrentTaxYear
Total1200464Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years460000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years395000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years72000CurrentTaxYearMinus2Years
Current Tax Year55836CurrentTaxYear
Total982836Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75115260CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years76961787CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79621677CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year87649913CurrentTaxYearMinus1Year
Current Tax Year93183448CurrentTaxYear
Total412532085Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99470PublicSupportPercentage509
Prior Year Support Percentage0.99370PriorYearSupportPercentage
Investment Income Percentage0.00290InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00390PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance553169BeginningBalance
Distributions During Year111756DistributionsDuringYear
Ending Balance441413EndingBalance
Included On FS0IncludedOnFS

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4872231OtherCostOrOtherBasis
Depreciation1205766Depreciation
Book Value3666465BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2204355OtherCostOrOtherBasis
Depreciation651999Depreciation
Book Value1552356BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5218821TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN CAPTIVE2445000
ASSETS WHOSE USE IS LIMITED11094047
AMOUNTS HELD BY LENDER UNDER REVOLVING LINE OF CREDIT1031364
FieldValueIRS element (for citing)
Total Book Value Other Assets14570411TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$31,883
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$565,296
FieldValueIRS element (for citing)
Total Of Amounts597179TotalOfAmounts
Total Revenue93183447TotalRevenue
Total Expenses90200148TotalExpenses
Excess Or Deficit For Year2983299ExcessOrDeficitForYear
Net Unrealized GL On Investments421000NetUnrealizedGLOnInvestments
Total Adjustments421000TotalAdjustments
Excess Or Deficit Per FS3404299ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt93604447TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments421000NetUnrealizedGainsInvestments
Revenue Not Rptd F990421000RevenueNotRptdF990
Revenue Subtotal93183447RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99093183447TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt90200148TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal90200148ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99090200148TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
Return ReferencePART IV, LINE 1B:ReturnReference
ExplanationTHE 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.Explanation

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 GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
FLORIDA HEALTH CARE ASSOCIATION
307 WEST PARK AVENUETALLAHASSEEFL32301591229583501(C)(6)675000CONTRIBUTION
FRONT LINE FOUNDATION FOR LONG-TERM CARE
435 SCRANTON CARBONDALE HIGHWAYSCRANTONPA18508311779620501(C)(3)15000000CONTRIBUTION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

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. THE ORGANIZATION HAS ASKED FRONTLINE FOUNDATION FOR LONG TERM CARE TO NOTIFY THEM AS TO WHAT THE GRANT MONEY IS BEING USED FOR BEFORE FUNDS ARE SPENT.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 Transaction1711285AmountOfTransaction
Description Of TransactionINS. PREMS.DescriptionOfTransaction
Sharing Of Revenues1SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 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
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 421,000.FORM 990, PART XI, LINE 5:
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

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BARTOW REHABILITATION CENTER LLC
1675 PALM BEACH LAKES BLVDWEST PALM BEACHFL33401263410674NURSINGFL00HEARTHSTONE SENIOR COMMUNITIES INC
BAY CENTER REHABILITATION CENTER LLC
1675 PALM BEACH LAKES BLVDWEST PALM BEACHFL33401263411018NURSINGFL00HEARTHSTONE SENIOR COMMUNITIES INC
BOCA CIEGA REHABILITATION CENTER LLC
1675 PALM BEACH LAKES BLVDWEST PALM BEACHFL33401263411147NURSINGFL00HEARTHSTONE SENIOR COMMUNITIES INC
CLEARWATER REHABILITATION CENTER LLC
1675 PALM BEACH LAKES BLVDWEST PALM BEACHFL33401263419520NURSINGFL00HEARTHSTONE SENIOR COMMUNITIES INC
EGRET COVE REHABILITATION CENTER LLC
1675 PALM BEACH LAKES BLVDWEST PALM BEACHFL33401263411425NURSINGFL00HEARTHSTONE SENIOR COMMUNITIES INC
EMERALD COAST REHABILITATION CENTER LLC
1675 PALM BEACH LAKES BLVDWEST PALM BEACHFL33401263411532NURSINGFL00HEARTHSTONE SENIOR COMMUNITIES INC
GROVES REHABILITATION CENTER LLC
1675 PALM BEACH LAKES BLVDWEST PALM BEACHFL33401263411666NURSINGFL00HEARTHSTONE SENIOR COMMUNITIES INC
LAKELAND HILLS REHABILITATION CENTER LLC
1675 PALM BEACH LAKES BLVDWEST PALM BEACHFL33401263411839NURSINGFL00HEARTHSTONE SENIOR COMMUNITIES INC
TARPON REHABILITATION CENTER LLC
1675 PALM BEACH LAKES BLVDWEST PALM BEACHFL33401263411945NURSINGFL00HEARTHSTONE SENIOR COMMUNITIES INC
UNIVERSITY EAST REHABILITATION CENTER LLC
1675 PALM BEACH LAKES BLVDWEST PALM BEACHFL33401263412167NURSINGFL00HEARTHSTONE SENIOR COMMUNITIES INC