2021-05-10T08:37:05-05:00 2020-06-30 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2019-07-01 592269292 MENORAH MANOR INC MENO 7273452775 255 59TH STREET NORTH ST PETERSBURG FL 33710 ROBERT GOLDSTEIN CHIEF EXECUTIVE OFFICER 7273452775 2021-05-10 1 COURTNEY HOGBEN P01619105 4077405400 2019 2022-09-23 18:48:47Z ROBERT GOLDSTEIN 255 59TH STREET NORTH ST PETERSBURG FL 33710 20742440 0 X WWW.MENORAHMANOR.ORG X 1981 FL OPERATION OF A HOME FOR THE AGED AND PROVISION OF SERVICES TO SHELTER, PROTECT AND ASSIST THE AGED. 17 16 484 16 0 0 821743 1582342 20326372 19157761 5903 2337 93817 0 21247835 20742440 0 0 0 0 10753025 11993040 0 0 0 10192677 8744921 20945702 20737961 302133 4479 10401829 12001501 15223227 17673976 -4821398 -5672475 THE ORGANIZATION'S MISSION IS TO OPERATE AND MAINTAIN A HOME FOR THE AGED AND PROVIDE OTHER SERVICES TO SHELTER, PROTECT AND ASSIST THE AGED IN A WARM, HOMELIKE, JEWISH ENVIRONMENT. 0 0 18003218 19157761 MENORAH MANOR TAKES CARE OF SENIORS BY PROVIDING A COMPLETE SYSTEM OF CARE WITH PROGRAMS, SUCH AS SKILLED NURSING, ASSISTED LIVING, ADULT DAY CARE, SPECIALIZED ALZHEIMER'S AND DEMENTIA CARE REHABILITATION AT A 180-BED FACILITY IN ST. PETERSBURG, FLORIDA. IN THE CURRENT YEAR, THERE WERE 56,359 RESIDENT DAYS. 18003218 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 30 0 1 484 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 16 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DONNA PERRYMAN 7273023702 255 59TH STREET NORTH ST PETERSBURG FL 33710 ROBERT GOLDSTEIN CHIEF EXECUTIVE OFFICER 40.00 10.00 X X 271973 0 32903 DONNA PERRYMAN CHIEF FINANCIAL OFFICER 40.00 10.00 X 179607 0 18784 JUDY LUDIN CHIEF DEVELOPMENT OFFICER 10.00 40.00 X 144674 0 22394 GREG YANN CONTROLLER 40.00 0.00 X 112898 0 3166 ROBERT WEISBERG PHD CHAIR 1.00 0.00 X X 0 0 0 HOWARD MILLER VICE CHAIR & CHAIR ELECT 1.00 0.00 X X 0 0 0 DAVID DELRAHIM ESQ TREASURER 1.00 0.00 X X 0 0 0 ADAM ABELSON SECRETARY 1.00 0.00 X X 0 0 0 BERNARD KANNER ESQ TRUSTEE 1.00 0.00 X 0 0 0 COLBY MASTERSON TRUSTEE 1.00 0.00 X 0 0 0 BARBARA BAUGHMAN TRUSTEE 1.00 1.00 X 0 0 0 SUSIE BERMAN TRUSTEE 1.00 1.00 X 0 0 0 RUTH GLICKMAN TRUSTEE 1.00 0.00 X 0 0 0 SAUL RACHELSON TRUSTEE 1.00 0.00 X 0 0 0 LINDA REIMER TRUSTEE 1.00 0.00 X 0 0 0 ERIC LUDIN ESQ TRUSTEE 1.00 0.00 X 0 0 0 DAVID MARGER TRUSTEE 1.00 0.00 X 0 0 0 BERNIE SAPPERSTEIN TRUSTEE 1.00 0.00 X 0 0 0 STEVEN WARREN MD TRUSTEE 1.00 0.00 X 0 0 0 DAVID WEIN MD TRUSTEE 1.00 0.00 X 0 0 0 709152 0 77247 4 0 1 0 ACCOUNTABLE HEALTHCARE STAFFING PO BOX 732800 DALLAS TX 75373 MEDICAL STAFFING 1027922 FUNCTIONAL PATHWAYS OF TENNESSEE LLC 10133 SHERRILL BLVD SUITE 200 KNOXVILLE TN 37932 REHABILITATION THERAPY SERVICES 978663 MMI DINING SYSTEMS 1000 RED FERN PLACE FLOWOOD MS 39232 DIETARY SERVICES 355715 NURSE CORE PO BOX 650823 DALLAS TX 75265 MEDICAL STAFFING 142889 PER DIEM MEDICAL STAFFING PO BOX 4729 WINTER PARK FL 32793 MEDICAL STAFFING 137539 6 15302 166909 1400131 1582342 NET RESIDENT SERVICE REVENUE 623000 17981292 17981292 ASSISTED LIVING REVENUE 623000 1120603 1120603 OTHER OPERATING REVENUE 900099 55866 55866 19157761 2337 2337 20742440 19157761 0 2337 X 343101 343101 10036954 8872809 1164145 118217 118217 724111 190064 534047 770657 633494 137163 11143 11143 32051 32051 3567513 3450408 117105 4547 2211 2336 372083 186950 185133 599409 599409 3458 2006 1452 24438 9363 15075 499987 471670 28317 762315 719141 43174 460756 460756 QUALITY ASSESSMENT FEE 1183093 1183093 SUPPLIES 886182 886182 REPAIRS & MAINTENANCE 312577 310293 2284 COMMUNITY EDUCATION 25369 25369 20737961 18003218 2734743 0 2410 2412 555967 2906550 1645408 946349 83301 89314 295869 468487 25911160 19911703 6470134 5999457 1585911 1348740 3021 10401829 12001501 1522411 1375890 0 1541572 9979447 9637250 1754852 2009028 1966517 3110236 15223227 17673976 X -4821398 -5672475 -4821398 -5672475 10401829 12001501 4479 -855556 0 X X 0 1 X 1 0 X 0 628464 172206 917225 821743 1582342 4121980 24460683 19652627 20756551 20389375 19157761 104416997 25089147 19824833 21673776 21211118 20740103 108538977 0 0 0 108538977 415 60 1484 5903 2337 10199 415 60 1484 5903 2337 10199 33002 61468 30814 125284 25089562 19857895 21736728 21247835 20742440 108674460 0.99880 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 33124 6262 39386 0 922761 922761 15012264 11487579 3524685 9955752 8424124 1531628 20383 20383 5999457 MONEY MARKET FUNDS 822767 F POOLED ACCOUNTS 763144 F 1585911 RESIDENT DEPOSITS 143899 DUE TO RELATED PARTY 347931 EMPLOYEE BENEFIT LIABILITY 763144 INTEREST RATE SWAP AGREEMENT 1855262 3110236 X 19886884 -855556 -855556 20742440 0 20742440 20737961 0 20737961 0 20737961 PART IV, LINE 1B: MENORAH PROVIDES A CASH MANAGEMENT SERVICE TO ITS RESIDENTS, AS REQUIRED BY REGULATIONS. THESE FUNDS REMAIN THE SOLE PROPERTY OF EACH RESIDENT, TO BE DISBURSED ONLY AS REQUESTED AND, ACCORDINGLY, THESE FUNDS ARE EXCLUDED FROM THESE CONSOLIDATED FINANCIAL STATEMENTS. MENORAH HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. AT JUNE 30, 2020 AND 2019, THESE FUND BALANCES WERE APPROXIMATELY $39,000 AND $33,000, RESPECTIVELY. PART X, LINE 2: MENORAH IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND FROM STATE INCOME TAXES PURSUANT TO CORRESPONDING FLORIDA LAW. INCOME EARNED IN THE FURTHERANCE OF MENORAH'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. ACCORDINGLY, NO INCOME TAX PROVISION OR LIABILITY HAS BEEN PROVIDED IN THESE CONSOLIDATED FINANCIAL STATEMENTS. AS OF JUNE 30, 2020, WITH FEW EXCEPTIONS, MENORAH IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR ITS FEDERAL INCOME TAX RETURNS PRIOR TO 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -855,556. X X X X X X 0 1 0 0 0 0 0 0 0 ROBERT GOLDSTEIN CHIEF EXECUTIVE OFFICER 264611 0 0 0 7362 0 4742 0 28161 0 304876 0 0 0 DONNA PERRYMAN CHIEF FINANCIAL OFFICER 174387 0 0 0 5220 0 3584 0 15200 0 198391 0 0 0 JUDY LUDIN CHIEF DEVELOPMENT OFFICER 138993 0 0 0 5681 0 2853 0 19541 0 167068 0 0 0 PART I, LINE 4B MENORAH MANOR, INC. MAINTAINS TWO EMPLOYEE DEFERRED COMPENSATION PLANS OPEN TO CERTAIN KEY EMPLOYEES UNDER INTERNAL REVENUE CODE 457(B) AND 457(F). THE 457 PLANS PROVIDE, AMONG OTHER THINGS, FOR VOLUNTARY CONTRIBUTIONS TO BE MADE BY ELIGIBLE PARTICIPANTS. THE FOLLOWING AMOUNTS WERE PAID WITH RESPECT TO A NON-QUALIFIED PLAN FOR THE CALENDAR YEAR 2019: NAME 457(B) CONTRIBUTION ROBERT GOLDSTEIN $19,000 DONNA PERRYMAN $ 9,000 A CITY OF ST PETERSBURG HEALTH FACILITIES AUTHORITY 2014-10-01 32100000 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 4991748 32100000 200000 27716298 2014 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 NA 0 0 0 NA 0 0 0 A 1 SCHEDULE K, PART I, A,COLUMN(F) THE BOND PROCEEDS WILL BE USED FOR (1) FINANCING AND REFINANCING, INCLUDING THROUGH REIMBURSEMENT, OF ALL OR A PORTION OF THE COST OF THE ACQUISITION, CONSTRUCTION AND EQUIPPING OF CERTAIN CAPITAL PROJECTS TO BE OWNED AND OPERATED BY MANORAH MANOR, INC, (2) REFINANCING CERTAIN LOANS FROM SUNTRUST BANK, (3) REFUNDING THE REFUNDING REVENUE AND REVENUE BONDS, SERIES 2009 AND 2012 PREVIOUSLY ISSUED BY THE AUTHORITY, (4) FUNDING AN OPERATING RESERVE AND REGULATORY RESERVE FUND AND, (5) FINANCING THE COSTS OF ISSUANCE OF THE SERIES 2014 BONDS. FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE NOVEMBER 18, 2019, MENORAH MANOR SENIOR LIVING, LLC LEGALLY MERGED INTO ITS SOLE MEMBER, MENORAH MANOR, INC. PURSUANT TO THE LAWS OF THE STATE OF FLORIDA. FORM 990, PART VI, SECTION B, LINE 11B THE CEO AND A MEMBER OF THE EXECUTIVE COMMITTEE, AS DESIGNEES OF THE GOVERNING BOARD, CONDUCT A COMPREHENSIVE REVIEW OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT-OF-INTEREST POLICY COVERS ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, ALL LEVELS OF STAFF, CONSULTANTS AND VOLUNTEERS, AND ANY OTHER INDIVIDUAL WITH FIDUCIARY RESPONSIBILITY TO THE ORGANIZATION. IT IS THE RESPONSIBILITY OF ALL PERSONS COVERED TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES WHEN DETERMINED. THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. THE BOARD OF TRUSTEES REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED BY THE DISCLOSURE PROCESS AND DETERMINES WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO THE ORGANIZATION. THE PERSON WITH THE CONFLICT OF INTEREST WILL BE EXCLUDED FROM DISCUSSION AND APPROVAL OF SUCH TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES DETERMINES THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER, OTHER OFFICERS AND KEY EMPLOYEES. THE BOARD OF TRUSTEES IS INDEPENDENT WITH RESPECT TO COMPENSATION ARRANGEMENTS BEING CONSIDERED. THE BOARD OF TRUSTEES UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, SALARY SURVEYS AND REVIEWS THE FORM 990 OF OTHER COMPARABLE ORGANIZATIONS. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G THERAPY AND MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,490,301. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,490,301. CONSULTING FEES: PROGRAM SERVICE EXPENSES 41,811. MANAGEMENT AND GENERAL EXPENSES 117,105. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,916. DIETARY SERVICES: PROGRAM SERVICE EXPENSES 918,296. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 918,296. FORM 990, PART XII, LINE 2C THE FINANCE COMMITTEE IS RESPONSIBLE FOR THE SELECTION, MONITORING AND EVALUATION OF THE INDEPENDENT AUDIT FIRM AND OVERSIGHT OF THE AUDIT. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE FINALIZED AND ISSUED SUBJECT TO THE APPROVAL OF THE BOARD OF TRUSTEES. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. MENORAH MANOR SENIOR LIVING LLC (71 - 111819) 255 59TH STREET NORTH ST PETERSBURG FL 33710 274697879 RESIDENTIAL LIVING FOR SENIOR CITIZENS FL 0 0 MENORAH MANOR INC MENORAH MANOR FOUNDATION INC 255 59TH STREET NORTH ST PETERSBURG FL 33710 592653608 PROVIDE SUPPORT FOR CHARITIES CARING FOR THE ELDERLY. FL 501(C)(3) LINE 12B, II N/A 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0