JACKSON PLAZA INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- JACKSON PLAZA INC (EIN 65-1040926)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-09
- IRS object ID
- 202123139349305317
- Schema version
- 2020v4.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-09T16:34:50-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 PARK AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100175001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 651040926 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jackson Plaza Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JACKIE LOPEZ | InCareOfNm |
| Business Name Control | JACK | BusinessNameControlTxt |
| Phone | 3059170460 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16855 NE 2nd Ave Unit N400 | AddressLine1Txt |
| City | N Miami Beach | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33162 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HARRY FRUHMAN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3059170428 | PhoneNum |
| Signature | 2021-11-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | HARRY | PersonFirstNm |
| Person Last | FRUHMAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Angelo Pirozzi | PreparerPersonNm |
| PTIN | P00446022 | PTIN |
| Phone | 2128858000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | HARRY FRUHMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16855 NE 2nd Ave Unit N400 | AddressLine1Txt |
| City | N Miami Beach | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33162 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,418,171 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.plazahealthnetwork.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE DIGNIFIED CARE IN A HOME-LIKE ATMOSPHERE TO OUR RESIDENTS AND OUR FAMILIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 200 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,234,500 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,951,179 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,182,020 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,361 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,651 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,301 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $12,955,841 | PYTotalRevenueAmt |
| CY Total Revenue | $13,418,171 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,572,224 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,287,708 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,758,472 | PYOtherExpensesAmt |
| CY Other Expenses | $5,240,838 | CYOtherExpensesAmt |
| PY Total Expenses | $13,330,696 | PYTotalExpensesAmt |
| CY Total Expenses | $12,528,546 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$374,855 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $889,625 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,928,072 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,784,811 | TotalAssetsEOYAmt |
| Total Liabilities BOY | -$4,174,751 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,792,363 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,102,823 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,992,448 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION'S MISSION IS TO PROVIDE DIGNIFIED CARE IN A HOME-LIKE ATMOSPHERE TO OUR RESIDENTS AND OUR FAMILIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,744,500 | ExpenseAmt |
| Revenue | $12,182,120 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES REHABILITATION SERVICES AND SKILLED NURSING CARE FOR SENIORS IN SOUTH FLORIDA. IT IS COMMITTED TO CONTINUOUSLY STRIVE TO IMPROVE AND DEVELOP THE MOST EFFECTIVE SYSTEMS FOR PROVIDING CUTTING EDGE ELDER CARE SERVICE AND DELIVERY. ITS ANNUAL PROGRAM SERVICE ACCOMPLISHMENTS INCLUDE THE FOLLOWING: SERVING OVER 108,405 MEALS; EACH MEAL TAILORED TO THE RESIDENTS' DIETARY REQUIREMENTS; ADMINISTERING OVER 25,069 MEDICATIONS; PROVIDING OVER 23,558 PHYSICAL, SPEECH, AND OCCUPATIONAL UNITS OF TREATMENT; AND COORDINATING OVER 2,555 RESIDENT ACTIVITIES INCLUDING FAMILY NIGHT DINNERS, INTER-GENERATIONAL PROGRAMS, HOLIDAY AND BIRTHDAY CELEBRATIONS, ENTERTAINMENT DAYS AND FIELD TRIPS. | Desc |
| Total Program Service Expenses | $10,744,500 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 200 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACKIE LOPEZ | PersonNm |
| Phone | 3059170428 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16855 NE 2ND AVE UNIT N400 | AddressLine1Txt |
| City | N Miami Beach | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33162 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| ELAINE BLOOM | |||||||||
| CEO & PRESIDENT | 0.25 | 39.75 | Yes (X) | $0 | $363,463 | $5,715 | |||
| HARRY FRUHMAN | |||||||||
| CHIEF FINANCIAL OFFICER | 0.25 | 39.75 | Yes (X) | $0 | $326,969 | $40,648 | |||
| DANIEL GALBUT | |||||||||
| DIRECTOR OF OPERATIONS | 0.25 | 39.75 | $0 | $217,414 | $34,948 | Yes (X) | |||
| SARAH PANA | |||||||||
| ADMINISTRATOR | 40.0 | 0.0 | $112,756 | $0 | $25,310 | Yes (X) | |||
| KEREGAY MEEKS COLEMAN | |||||||||
| PHYSICAL THERAPIST | 40.0 | 0.0 | $107,184 | $0 | $7,217 | Yes (X) | |||
| RONALD S LOWY | |||||||||
| CHAIRMAN (Thru 8/20) | 0.1 | 4.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BEN ROZSANSKY | |||||||||
| VICE CHAIRMAN | 0.1 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MARTIN WASSERMAN | |||||||||
| TREASURER/SECRETARY | 0.1 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JOAN BRENT | |||||||||
| SECRETARY | 0.1 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ALAN JOTKOFF | |||||||||
| DIRECTOR | 0.1 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| MICKEY MINAGORRI | |||||||||
| DIRECTOR | 0.1 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| DANYLLE ROSS | |||||||||
| DIRECTOR | 0.1 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $219,940 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $907,846 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $113,838 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GORDON FOOD SERVICE INC | |||||
| 1300 GEZON PARKWAY SW | WYOMING | MI | 49509 | FOOD SERVICES | $348,519 |
| LTC PHARMA HLDG LLC | |||||
| DEPARTMENT 1871 PO BOX 220 | BETTENDORF | IA | 52722 | PHARMACY SERVICES | $272,311 |
| TWINMED MEDICAL SUPPLIES | |||||
| 11333 GREENSTONE AVENUE | SANTE FE SPRINGS | CA | 90670 | MEDICAL SUPPLIES | $131,820 |
| HOMELAND PATROL | |||||
| 820 E 41ST STREET 201 | HIALEAH | FL | 33013 | SECURITY SERVICES | $105,079 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,234,500 | GovernmentGrantsAmt |
| Total Contributions | $1,234,500 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET RESIDENT SERVICE REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $12,182,020 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,182,020 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,182,020 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,651 | TotalRevenueColumnAmt |
| Exclusion | $1,651 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,418,171 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,182,020 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,651 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,766,706 | TotalAmt |
| Program Services | $5,469,311 | ProgramServicesAmt |
| Management And General | $297,395 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,981 | TotalAmt |
| Program Services | $252,885 | ProgramServicesAmt |
| Management And General | $4,096 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $645,930 | TotalAmt |
| Program Services | $598,300 | ProgramServicesAmt |
| Management And General | $47,630 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $618,091 | TotalAmt |
| Program Services | $598,293 | ProgramServicesAmt |
| Management And General | $19,798 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $850 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $850 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,320 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $26,320 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $436,323 | TotalAmt |
| Program Services | $258,253 | ProgramServicesAmt |
| Management And General | $178,070 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,860 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $3,860 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $909,269 | TotalAmt |
| Program Services | $31,022 | ProgramServicesAmt |
| Management And General | $878,247 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,532,640 | TotalAmt |
| Program Services | $1,532,640 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,894 | TotalAmt |
| Program Services | $15,957 | ProgramServicesAmt |
| Management And General | $56,937 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $839 | TotalAmt |
| Program Services | $839 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,135 | TotalAmt |
| Program Services | $112,135 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,774 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $208,774 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| STATE QUALITY ASSESSMENT | $674,489 | $674,489 | |
| OPERATIONAL EXPENSES | $564,859 | $552,444 | $12,415 |
| PHARMACY EXPENSES | $320,946 | $320,946 | |
| FOOD | $300,634 | $300,634 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,006 | TotalAmt |
| Program Services | $26,352 | ProgramServicesAmt |
| Management And General | $49,654 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,528,546 | TotalAmt |
| Program Services | $10,744,500 | ProgramServicesAmt |
| Management And General | $1,784,046 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,918 | BOYAmt |
| EOY | $461,879 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,139,926 | BOYAmt |
| EOY | $1,303,453 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,267 | BOYAmt |
| EOY | $19,531 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,934,154 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,415,808 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $606,731 | BOYAmt |
| EOY | $518,346 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,230 | BOYAmt |
| EOY | $7,481,602 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,928,072 | BOYAmt |
| EOY | $9,784,811 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,593,784 | BOYAmt |
| EOY | $1,019,928 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$69,697 | BOYAmt |
| EOY | $56,116 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,018 | BOYAmt |
| EOY | $8,122 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,709,856 | BOYAmt |
| EOY | $1,708,197 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,174,751 | BOYAmt |
| EOY | $2,792,363 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,102,823 | BOYAmt |
| EOY | $6,992,448 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,102,823 | BOYAmt |
| EOY | $6,992,448 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,928,072 | BOYAmt |
| EOY | $9,784,811 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $889,625 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,234,500 | CurrentTaxYearAmt |
| Total | $1,234,500 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,707,725 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,805,295 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,957,680 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,954,480 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,416,520 | CurrentTaxYearAmt |
| Total | $64,841,700 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,707,725 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,805,295 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,957,680 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,954,480 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,651,020 | CurrentTaxYearAmt |
| Total | $66,076,200 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $66,076,200 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,844 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,916 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $693 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,361 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,651 | CurrentTaxYearAmt |
| Total | $13,465 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,844 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,916 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $693 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,361 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,651 | CurrentTaxYearAmt |
| Total | $13,465 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,095 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $39,595 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $59,690 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,733,664 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,848,806 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,958,373 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,955,841 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,652,671 | CurrentTaxYearAmt |
| Total | $66,149,355 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99889 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99498 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00019 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| Agent Trustee Etc | Yes (true) | AgentTrusteeEtcInd |
| Beginning Balance | $118,100 | BeginningBalanceAmt |
| Distributions During Year | $13,412 | DistributionsDuringYearAmt |
| Ending Balance | $104,688 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,065,584 | OtherCostOrOtherBasisAmt |
| Depreciation | $680,792 | DepreciationAmt |
| Book Value | $384,792 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $644,220 | OtherCostOrOtherBasisAmt |
| Depreciation | $520,959 | DepreciationAmt |
| Book Value | $123,261 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $224,350 | OtherCostOrOtherBasisAmt |
| Depreciation | $214,057 | DepreciationAmt |
| Book Value | $10,293 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $518,346 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $7,476,372 |
| DEPOSITS | $5,230 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,481,602 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| REFUNDABLE ADVANCE | $1,614,764 |
| EST. THIRD-PARTY PAYOR SETTLEMENT | $93,433 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,708,197 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 1B: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION OFFERS A CASH MANAGEMENT SERVICE TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF THE RESIDENT, TO BE DISBURSED ONLY AS REQUESTED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELAINE BLOOM | ||||||||||||||
| CEO & PRESIDENT | $0 | $363,463 | $0 | $0 | $0 | $0 | $0 | $5,700 | $0 | $15 | $0 | $369,178 | $0 | $0 |
| HARRY FRUHMAN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $326,969 | $0 | $0 | $0 | $0 | $0 | $5,700 | $0 | $34,948 | $0 | $367,617 | $0 | $0 |
| DANIEL GALBUT | ||||||||||||||
| DIRECTOR OF OPERATIONS | $0 | $217,414 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $34,948 | $0 | $252,362 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3: | FormAndLineReferenceDesc |
| Explanation | HEBREW HOMES MANAGEMENT SERVICES, INC., A RELATED 501(C)(3) ORGANIZATION PAID COMPENSATION TO THE REPORTING ORGANIZATION'S TOP MANAGEMENT OFFICIAL. HEBREW HOMES MANAGEMENT SERVICES, INC. HAS ESTABLISHED THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL USING A COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN COMMITTEE MEETING MINUTES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6: | THE SOLE MEMBER OF THE ORGANIZATION IS HEBREW HOMES HEALTH NETWORK, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B: | FORM 990 IS PREPARED BY A NATIONALLY RENOWNED ACCOUNTING FIRM IN CONJUNCTION WITH THE ORGANIZATION'S DIRECTOR OF FINANCE. DRAFT FORM 990 IS PROVIDED TO THE DIRECTOR OF FINANCE WHO CONDUCTS A COMPREHENSIVE REVIEW AND DISTRIBUTES IT TO ALL MEMBERS OF THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C: | THE ORGANIZATION'S CONFLICTS COMMITTEE MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. THE COMMITTEE REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED BY THE ANNUAL DISCLOSURE PROCESS AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS OF INTEREST EXIST. |
| FORM 990, PART VI, SECTION B, LINES 15A AND 15B: | THE REPORTING ORGANIZATION HAS NO COMPENSATION PAID TO THE TOP MANAGEMENT OFFICIAL OR OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION. COMPENSATION IS PAID BY HEBREW HOMES MANAGEMENT SERVICES, INC. A RELATED 501(C)(3) ORGANIZATION. |
| FORM 990, PART VI, SECTION C, LINE 19: | UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. |
| FORM 990, PART VII, LINE 1A: | ALL OFFICERS AND KEY EMPLOYEES ARE COMPENSATED BY A RELATED ORGANIZATION, HEBREW HOMES MANAGEMENT SERVICES, INC., THAT PERFORMS AS A MANAGEMENT COMPANY FOR ALL ENTITIES WITHIN THE CONSOLIDATED GROUP. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION, MONITORING AND EVALUATION OF AN INDEPENDENT AUDIT FIRM AND OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THERE WAS NO CHANGE IN THIS PROCESS FROM THE YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ARCH PLAZA INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 651040917 | ELDERLY CARE | FL | 501(C)(3) | 10 | HHH NETWORK | Yes (true) |
| HEBREW HOMES CAPTIVE SERVICES INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 651040931 | INSURANCE | FL | 501(C)(3) | 10 | HHH NETWORK | Yes (true) |
| HEBREW HOMES HEALTH NETWORK INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 651040936 | SUPPORT ORG. | FL | 501(C)(3) | 12B | NA | Yes (true) |
| HEBREW HOMES HEALTH NETWORK FOUNDATION | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 651040934 | FUNDRAISING | FL | 501(C)(3) | 10 | HHH NETWORK | Yes (true) |
| HEBREW HOMES MANAGEMENT SERVICES INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 651040928 | MGMT SERVICES | FL | 501(C)(3) | 10 | HHH NETWORK | Yes (true) |
| HEBREW HOME OF NORTH DADE INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 651040912 | ELDERLY CARE | FL | 501(C)(3) | 10 | HHH NETWORK | Yes (true) |
| HEBREW HOME OF SOUTH BEACH INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 651040911 | INACTIVE | FL | 501(C)(3) | 10 | HHH NETWORK | Yes (true) |
| HEBREW HOME SINAI INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 134245879 | ELDERLY CARE | FL | 501(C)(3) | 10 | HHH NETWORK | Yes (true) |
| HEBREW HOMES OF MIAMI BEACH INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 590825837 | RENTAL | FL | 501(C)(3) | 10 | HHH NETWORK | Yes (true) |
| PLAZA NORTH INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 651040910 | INACTIVE | FL | 501(C)(3) | 10 | HHH NETWORK | Yes (true) |
| PONCE PLAZA INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 651040919 | ELDERLY CARE | FL | 501(C)(3) | 10 | HHH NETWORK | Yes (true) |
| SOUTH BEACH NURSING & REHAB CENTER INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 020755960 | INACTIVE | FL | 501(C)(3) | 10 | HHH NETWORK | Yes (true) |
| SOUTH BEACH PLAZA INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 830500200 | INACTIVE | FL | 501(C)(3) | 10 | HHH NETWORK | Yes (true) |
| ARCH PLAZA PROPERTIES INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 264233346 | RENTAL | FL | 501(C)(3) | 12B | HHH NETWORK | Yes (true) |
| PONCE PLAZA PROPERTIES INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 264233085 | RENTAL | FL | 501(C)(3) | 12B | HHH NETWORK | Yes (true) |
| UNIVERSITY PLAZA REHAB & NURSING CENTER | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 300541840 | ELDERLY CARE | FL | 501(C)(3) | 10 | HHH NETWORK | Yes (true) |
| UNIVERSITY PLAZA PROPERTIES INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 264468758 | RENTAL | FL | 501(C)(3) | 12A | HHH NETWORK | Yes (true) |
| PLAZA ADVANTAGE HEALTH CORP | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 455518434 | HEALTHCARE | FL | 501(C)(3) | 12B | HHH NETWORK | Yes (true) |
| AVENTURA PLAZA INC | ||||||||||
| 16855 NE 2nd Ave Unit N400 | N MIAMI BEACH | FL | 33162 | 830500199 | RENTAL | FL | 501(C)(3) | 12B | HHH NETWORK | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEBREW HOMES INSURANCE SERVICES LTD | BusinessNameLine1Txt |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 69 2ND FLOOR BUCKINGHAM SQ | AddressLine1Txt |
| City | GEORGE TOWN | CityNm |
| Country | CJ | CountryCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 999999999 | EIN |
| Primary Activities | INSURANCE | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountryCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HH CAPTIVE SVCS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Share Of Total Income | $0 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $0 | ShareOfEOYAssetsAmt |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Hebrew Homes Health Network Inc | ||
| D | $7,439,150 | Historical Cost |
| Hebrew Home of Miami Beach Inc | ||
| K | $1,106,180 | Historical Cost |
| Hebrew Homes Management Services Inc | ||
| M | $734,171 | Historical Cost |
| Hebrew Homes Captive Services Inc | ||
| M | $358,867 | Historical Cost |
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