Civic Intelligence

Fal-Bloomington Inc Co Hlb Gross Collins PC

990 • Fiscal year 2013 • EIN 20-4137814

Jan 01, 2013 to Dec 31, 2013 • Filed on Aug 07, 2014

Organization ProfileN/A
3330 Cumberland Blvd No 90030339

(770) 433-1711

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

92nd percentile

0.81x

Higher debt load relative to assets than 92% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Liabilities / Revenue

100th percentile

47.16x

Higher debt load relative to revenue than 100% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Net Margin

1st percentile

-12700%

Higher net margin than 1% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Top Officer Pay

73rd percentile

$0

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Asset Growth

6th percentile

-63%

Faster asset growth than 6% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Balance Sheet
Liabilities / Assets92nd percentile

Assets

Down

$51,461

Down $86,657 (-63%) from 2012

Net Assets

Down

$9,815

Down $112,138 (-92%) from 2012

Liabilities

Up

$41,646

Up $25,481 (+158%) from 2012

Revenue And Expenses
Liabilities / Revenue100th percentileNet Margin1st percentile

Revenue

$883

No earlier filing loaded for comparison.

Expenses

Down

$113,021

Down $2,249,340 (-95%) from 2012

Net Income

-$112,138

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth6th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2013

Assets$51,461
Liabilities$41,646
Net Assets$9,815
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this 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

2013

Revenue$883
Expenses$113,021
Net Income-$112,138
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Aug 7, 2014
Return Version
2013v3.0
Gross Receipts
$883
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$84,625$4,680▼ $79,945
Cash and Non-Interest-Bearing Accounts$482$0▼ $482
Cap Stk Tr Prin Current Funds$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-551,274$-663,412▼ $112,138
Total Assets$138,118$51,461▼ $86,657
Other Assets Total$53,011$46,781▼ $6,230
Liabilities
Other Liabilities$0$41,646▲ $41,646
Accounts Payable and Accrued Expenses$16,165$0▼ $16,165
Total Liabilities$16,165$41,646▲ $25,481
Net Assets / Fund Balance
Total Net Assets Fund Balance$121,953$9,815▼ $112,138
Total Liabilities and Net Assets / Fund Balance$138,118$51,461▼ $86,657

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$4,846--
Compensation and Service Providers
Top Officer Pay73rd percentile

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
$883
Change in Net Assets
$-112,138
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$113,021
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Legal$7,451--$7,451
Other Expenses$3,909--$3,909
All Other Expenses$4--$4
Total Functional Expenses$113,021$0$0$113,021
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Payables$41,646
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
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.”

Filing and Contact Details

Filer

EIN
20-4137814
Phone
7704331711

Signing Officer

Name
Elaine Bolick
Title
President of Parent Org
Phone
7704331711
Signed
2014-08-07
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

Preparer
Cynthia Gibbs
Phone
7704331711
Raw XML AppendixShowing 400 of 458 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/Desc0THE ORGANIZATIONS MISSION IS TO PROVIDE NURSING HOME CARE. THE ORGANIZATIONS FACILITY, BLOOMINGTON NURSING AND REHABILITATION CENTER, 120 EAST MILLER DRIVE, BLOOMINGTON, IN 47401 WAS SOLD IN 2012 AND A NEW FACILITY HAS NOT YET BEEN PURCHASED. THE REVENUE AND EXPENSES RELATE TO THE PROGRAM WINDING DOWN.
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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/ExplanationTxt7, . 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.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
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/BusinessNameLine16FAL TERRE HAUTE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine17FAL MOUNTAIN CREST
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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
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IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
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Document Assets

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Filings

Displayed year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$51,461
Liabilities
$41,646
Net assets
$9,815
Revenue
$883
Expenses
$113,021
Net income
-$112,138
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2014Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.01$0.01
2013Detailed filing. Detailed filing data is available for this year.$0.05$0.04$0.01$0.00$0.11$0.11
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.14$0.02$0.12$2.36
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.50$0.12$0.38$2.14
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.61$0.11$0.50$1.98