2025-11-11T15:41:44-06:00 2025-02-28 621804252 WATKINS UIBERALL PLLC 1661 AARON BRENNER DR STE 300 MEMPHIS TN 38120 990 2024-03-01 201018424 PROGRESSIVE HEALTHCARE PROVIDERSFERN PARK LLC PROG 9016925555 468 HALLE PARK DRIVE COLLIERVILLE TN 38017 SARA CASE CEO 9016925555 2025-11-11 1 1 ZACHARY L WILLIS P01859153 9017612720 2025-11-11 2024 2025-03-06 01:10:19Z FERN PARK DEVELOPMENTAL CENTER SARA CASE 468 HALLE PARK DRIVE COLLIERVILLE TN 38017 11497925 0 X N/A X LIMITED LIABILITY COMPANY 2004 FL FERN PARK DEVELOPMENTAL CENTER PROVIDES SERVICES AND SUPPORT TO INDIVIDUALS LIVING WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. 5 3 236 0 0 0 0 0 10855566 11327168 95707 144427 15515 26330 10966788 11497925 0 0 0 0 5465010 5489302 0 0 0 4477351 4534319 9942361 10023621 1024427 1474304 6343972 7836031 3933668 3951423 2410304 3884608 THE PRIMARY MISSION OF FERN PARK DEVELOPMENTAL CENTER IS TO OPERATE MEDICAID PROGRAMS FOR INDIVIDUALS LIVING WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (IDD). 0 0 9177595 11396955 TO PROVIDE SUPPORT FOR INTELLECTUALLY AND DEVELOPMENTALLY DISABLED ADULTS IN FLORIDA. 9177595 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 20 0 1 236 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X DDMS OF FLORIDA #3 LLC 9016925555 468 HALLE PARK DRIVE COLLIERVILLE TN 38017 SARA A CASE CEO/BOARD MEMBER/SECRETARY 10.00 30.00 X X 0 85000 0 DANIEL C LANGFORD JR CFO/BOARD MEMBER/TREASURER 10.00 30.00 X X 0 1750 0 HEATHER LOOBY CHAIRMAN OF THE BOARD 10.00 30.00 X X 0 2000 0 CHARLES R SYKES JR BOARD MEMBER 1.00 3.00 X 0 50000 0 BARBARA J RAY BOARD MEMBER 1.00 3.00 X 0 0 0 0 138750 0 0 0 0 0 DDMS OF FLORIDA #3 LLC 468 HALLE PARK DRIVE COLLIERVILLE TN 38017 MANAGEMENT SERVICES 629219 1 PATIENT SERVICES REVENUE 623000 11327168 11327168 11327168 100970 100970 43457 0 43457 43457 43457 OTHER INCOME 623000 26330 26330 26330 11497925 11396955 0 100970 4917776 4564967 352809 51461 47929 3532 124899 106126 18773 395166 368043 27123 632611 583532 49079 11055 11055 27820 27820 469582 386242 83340 100460 25155 75305 122473 122473 25668 25668 247938 229742 18196 220463 203267 17196 300093 277501 22592 PROVIDER TAXES 869566 869566 DAY PROGRAM 367664 367664 HEALTH SERVICES 336814 336814 DIETARY SUPPLIES 313122 313122 488990 375452 113538 10023621 9177595 846026 0 1517388 2109745 889291 1421680 35169 81263 5293995 3500631 1476079 1793364 2050001 1995919 376044 434060 6343972 7836031 504648 630352 249450 164050 2965155 2807940 140445 286690 73970 62391 3933668 3951423 X 2410304 3884608 2410304 3884608 6343972 7836031 1474304 0 X 0 1 X 0 0 X 7741797 7381021 9498264 10855566 11327168 46803816 43457 43457 7741797 7381021 9498264 10855566 11370625 46847273 0 0 0 46847273 31350 23635 32514 111222 127300 326021 31350 23635 32514 111222 127300 326021 7773147 7404656 9530778 10966788 11497925 47173294 0.99310 0.99420 0.00690 0.00580 X 0 0 236692 236692 1506495 752293 754202 2584854 1884594 700260 965954 863744 102210 1793364 ASSETS WHOSE USE IS LIMITED 1995919 C 1995919 RESIDENT FUNDS 164050 ROU ASSET 270010 434060 DUE TO RELATED PARTY 24168 DUE TO MANAGEMENT COMPANY 38223 62391 11497925 0 11497925 0 11497925 10023621 0 10023621 0 10023621 A SEMINOLE COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 2005-03-01 4475000 ACQUISITION OF 64BED INTERMEDIATE CARE FACILITIY FOR IDD 0 0 0 A 4475000 455500 144500 3875000 0 0 0 0 A 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 0 A 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: SEMINOLE COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/15/2015 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS ENTERED INTO AN AGREEMENT WITH DDMS OF FLORIDA #3, LLC TO MANAGE THE FACILITIES ON A DAY-TO-DAY BASIS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B DDMS OF FLORIDA #3, LLC, PROVIDES THE TRIAL BALANCE INFORMATION TO THE INDEPENDENT ACCOUNTING FIRM TO COMPLETE THE FINANCIAL AUDIT. THE ACCOUNTING FIRM PREPARES THE 990 FOR REVIEW. DDMS OF FLORIDA #3, LLC, PROVIDES ASSISTANCE BY COMPLETING A CHECKLIST WHICH INCLUDES INFORMATION RELATED TO POLICIES AND PROCEDURES, AMOUNTS SPENT ON HIGHEST PAID VENDORS/EMPLOYEES, ETC. DDMS OF FLORIDA #3, LLC, REVIEWS THE 990 BEFORE IT IS SUBMITTED TO THE BOARD FOR REVIEW. THE BOARD THEN REVIEWS THE 990 AND PROVIDES COMMENTS AND CORRECTIONS TO THE ACCOUNTING FIRM. WHEN FINALIZED, A COPY OF THE FORM 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS AN ETHICS AND CONFLICTS OF INTEREST POLICY. ALL INTERESTED PERSONS ARE REQUIRED TO REPORT ALL POTENTIAL CONFLICTS OF INTEREST TO THE ORGANIZATION'S GOVERNING BODY IN ACCORDANCE WITH THE ETHICS AND CONFLICTS OF INTEREST POLICY, WHICH IS ENFORCED IN ACCORDANCE WITH ITS TERMS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AND OTHER KEY EMPLOYEES IS PRESENTED FOR APPROVAL BY DISINTERESTED MEMBERS OF THE GOVERNING BOARD AS A COMPONENT PART OF APPROVAL OF THE ORGANIZATION'S ANNUAL BUDGET APPROVAL PROCESS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, COST REPORTS, ETC. ARE MADE PUBLIC SUBJECT TO AND LIMITED TO FEDERAL AND STATE REGULATIONS. SCH. R PART II SECTION B - LINE I PROVIDES CORPORATE COORDINATION INCLUDING BUT NOT LIMITED TO SPECIFIC FINANCIAL, HUMAN RESOURCE, ADMINISTRATIVE SERVICES, PROGRAM DEVELOPMENT, AND INDUSTRY TRENDS. SCH. R PART II SECTION B - LINE II PHP INC., THROUGH A CONTRACT WITH A MANAGEMENT COMPANY, OPERATES HCBS RESIDENTIAL HOMES AND DAY PROGRAMS FOR PEOPLE LIVING WITH INTELLECTUAL DISABILITIES. PROGRESSIVE HEALTHCARE PROVIDERS INC 3201 MEADOW GRASS DRIVE DACULA GA 30019 582103656 SEE ATTACHED STATEMENT GA 501(C)(3) LINE 10 N/A 0 PROGRESSIVE HEALTHCARE PROVIDERSALABAMA INC 3201 MEADOW GRASS DRIVE DACULA GA 30019 582181302 SEE ATTACHED STATEMENT AL 501(C)(3) LINE 10 PROGRESSIVE HEALTHCARE PROVIDERS INC 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 PROGRESSIVE HEALTHCARE PROVIDERS INC P 83340 ACCRUAL PROGRESSIVE HEALTHCARE PROVIDERS INC E 6273 ACCRUAL