Civic Intelligence

Fal-Bloomington Inc Co Hlb Gross Collins PC

EIN 20-4137814 • 501(c)3 • Atlanta, GA

Profile

To provide nursing home care.

3330 Cumberland Blvd No 900Atlanta, GA 30339

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2014

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2014

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2014

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

9th percentile

-100%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

3rd percentile

-100%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Assets

Down

$0

Down $51,461 (-100%) from 2013

Liabilities

Down

$0

Down $41,646 (-100%) from 2013

Net Assets

Down

$0

Down $9,815 (-100%) from 2013

Revenue

Down

$0

Down $883 (-100%) from 2013

Expenses

Down

$9,815

Down $103,206 (-91%) from 2013

Net Income

Up

-$9,815

Up $102,323 (+91%) from 2013

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$800K$600K$400K$200K$0Assets 2010: $606,577Liabilities 2010: $105,924Net Assets 2010: $500,6532010Assets 2011: $501,542Liabilities 2011: $119,666Net Assets 2011: $381,8762011Assets 2012: $138,118Liabilities 2012: $16,165Net Assets 2012: $121,9532012Assets 2013: $51,461Liabilities 2013: $41,646Net Assets 2013: $9,8152013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $1,977,2132010Expenses 2011: $2,143,1362011Expenses 2012: $2,362,3612012Revenue 2013: $883Expenses 2013: $113,021Net Income 2013: -$112,1382013Revenue 2014: $0Expenses 2014: $9,815Net Income 2014: -$9,8152014

Highlighted filing

2014

Revenue$0
Expenses$9,815
Net Income-$9,815

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
May 11, 2015
Return Version
2014v5.0
Gross Receipts
$0
Mission and Program Overview

Mission

To provide nursing home care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pd in Cap Srpls Land Bldg Eqp Fund$673,227$673,227→ $0
Accounts Receivable$4,680$0▼ $4,680
Cash and Non-Interest-Bearing Accounts-$0-
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Rtn Earn Endowment Incm Other Fnds$-663,412$-673,227▼ $9,815
Total Assets$51,461$0▼ $51,461
Other Assets Total$46,781$0▼ $46,781
Liabilities
Other Liabilities$41,646$0▼ $41,646
Total Liabilities$41,646$0▼ $41,646
Net Assets / Fund Balance
Total Net Assets Fund Balance$9,815$0▼ $9,815
Total Liabilities and Net Assets / Fund Balance$51,461$0▼ $51,461
Compensation and Service Providers

Board Members and Trustees

NameTitle
James JarosikDirector
Jason SchreiberDirector
Karen AustinDirector
Terence SchwartzDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-9,815
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$9,147
Grants and Similar Amounts Paid$668
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Information Technology$8,880--$8,880
Fees for Services Accounting$1,000--$1,000
Grants to Domestic Orgs$668--$668
Other Expenses$-15,090--$-15,090
Total Functional Expenses$9,815$0$0$9,815
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

Management duties were delegated to greystone healthcare management.

Form 990, Part VI, Section A, Line 6

The organization is a non stock corporation. Its sole member is foundation for adult living, inc.

Form 990, Part VI, Section A, Line 7A

The organization's member elects the officers of the organization.

Form 990, Part VI, Section A, Line 7B

In accordance with the organization's bylaws, certain transactions require the approval of the organization's single member.

Form 990, Part VI, Section B, Line 11

Form 990 is prepared by hlb gross collins, p.c., an independent certified public accounting firm. Form 990 is then provided to management for their review, approval, and signature. Form 990 is typically electronically filed after management reviews and provides an electronic filing signature document to tax preparer.

Form 990, Part VI, Section C, Line 19

The organization will make its governing documents and financial statements available to persons upon request.

Form 990, Part VI, Section A, Line 9

Terence schwartz - 35 montrose road, scarsdale, ny 10583 karen austin - c/o deaconess hospital, 311 straight st, cincinnati, oh 45219 jason schreiber - 2135 n. Clifton ave., chicago, il 60614 james jaroski - 344 highland avenue, upper montclair, nj 07043

Form 990, Part VII

Terence schwartz - 35 montrose road, scarsdale, ny 10583. Karen austin - c/o deaconess hospital, 311 straight st, cincinnati, oh 45219. Jason schreiber - 2135 n. Clifton avenue, chicago, il 60614. James jarosik - 344 highland avenue, upper montclair, nj 07043.

Filing and Contact Details

Filer

Filer Name
Fal-bloomington Inc Co Hlb Gross Collins Pc
EIN
20-4137814
Phone
7704331711
Address
3330 CUMBERLAND BLVD NO 900, ATLANTA, GA 30339

Signing Officer

Name
Elaine Bolick
Title
President of Parent Org
Phone
7704331711
Signed
2015-05-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Elaine Bolick
Formed
2006
Legal Domicile
De
Voting Board Members
4
Independent Board Members
4
Employees
0
Volunteers
0

Preparer

Firm
Hlb Gross Collins Pc
Address
3330 CUMBERLAND BOULEVARD 900, ATLANTA, GA 30339
Preparer
Cynthia Gibbs
Phone
7704331711
Raw XML AppendixShowing 400 of 454 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt0668
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IRS990/ProgSrvcAccomActy2Grp/Desc0CASH SURPLUSES FROM ACTIVITIES WERE CONTRIBUTED TO THE FOUNDATION FOR ADULT LIVING, INC., 501(C)(3) ORGANIZATION WITH THE SHARED PURPOSE TO PROVIDE HUMANITARIAN AID.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0MANAGEMENT DUTIES WERE DELEGATED TO GREYSTONE HEALTHCARE MANAGEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION IS A NON STOCK CORPORATION. ITS SOLE MEMBER IS FOUNDATION FOR ADULT LIVING, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION'S MEMBER ELECTS THE OFFICERS OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3IN ACCORDANCE WITH THE ORGANIZATION'S BYLAWS, CERTAIN TRANSACTIONS REQUIRE THE APPROVAL OF THE ORGANIZATION'S SINGLE MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4FORM 990 IS PREPARED BY HLB GROSS COLLINS, P.C., AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM. FORM 990 IS THEN PROVIDED TO MANAGEMENT FOR THEIR REVIEW, APPROVAL, AND SIGNATURE. FORM 990 IS TYPICALLY ELECTRONICALLY FILED AFTER MANAGEMENT REVIEWS AND PROVIDES AN ELECTRONIC FILING SIGNATURE DOCUMENT TO TAX PREPARER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO PERSONS UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6TERENCE SCHWARTZ - 35 MONTROSE ROAD, SCARSDALE, NY 10583 KAREN AUSTIN - C/O DEACONESS HOSPITAL, 311 STRAIGHT ST, CINCINNATI, OH 45219 JASON SCHREIBER - 2135 N. CLIFTON AVE., CHICAGO, IL 60614 JAMES JAROSKI - 344 HIGHLAND AVENUE, UPPER MONTCLAIR, NJ 07043
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7TERENCE SCHWARTZ - 35 MONTROSE ROAD, SCARSDALE, NY 10583. KAREN AUSTIN - C/O DEACONESS HOSPITAL, 311 STRAIGHT ST, CINCINNATI, OH 45219. JASON SCHREIBER - 2135 N. CLIFTON AVENUE, CHICAGO, IL 60614. JAMES JAROSIK - 344 HIGHLAND AVENUE, UPPER MONTCLAIR, NJ 07043.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION A, LINE 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VII
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0FAL MERIDIAN
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt7FAL MOUNTAIN CREST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt8FOUNDATION FOR ADULT LIVING
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt3501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt4501(C)(3)
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd6DE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd7DE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd8DE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0TO OWN & OPERATE NURSING HOMES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1TO OWN & OPERATE NURSING HOMES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2TO OWN & OPERATE NURSING HOMES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt3TO OWN & OPERATE NURSING HOMES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt4TO OWN & OPERATE NURSING HOMES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt5TO OWN & OPERATE NURSING HOMES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt6TO OWN & OPERATE NURSING HOMES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt7TO OWN & OPERATE NURSING HOMES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt8TO OWN & OPERATE NURSING HOMES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0509(A)(2)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt1509(A)(2)
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt7509(A)(2)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt8509(A)(2)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt03330 CUMBERLAND BLVD SUITE 900
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt13330 CUMBERLAND BLVD SUITE 900
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt23330 CUMBERLAND BLVD SUITE 900
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt33330 CUMBERLAND BLVD SUITE 900
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt43330 CUMBERLAND BLVD SUITE 900
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt53330 CUMBERLAND BLVD SUITE 900
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt63330 CUMBERLAND BLVD SUITE 900
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt73330 CUMBERLAND BLVD SUITE 900
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt83330 CUMBERLAND BLVD SUITE 900
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0GA
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd2GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd3GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd4GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd5GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd6GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd7GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd8GA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd030339
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd130339
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd230339
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd330339
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd430339
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd530339
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd630339
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd730339
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd830339
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
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IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt051461
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt051461
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt09815
IRS990/TotalFunctionalExpensesGrp/TotalAmt09815
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt041646
IRS990/TotalLiabilitiesEOYAmt00

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