2016-11-10T14:26:53-06:00 2015-12-31 593070669 MOORE STEPHENS LOVELACE PA 311 PARK PLACE BLVD SUITE 100 CLEARWATER FL 33759 990 2015-01-01 590624438 RIVER GARDEN HEBREW HOME FOR THE AGED INC RIVE 9042601818 11401 OLD ST AUGUSTINE ROAD JACKSONVILLE FL 32258 MARTIN GOETZ CHIEF EXECUTIVE OFFICER 9042601818 2016-11-10 1 MICHAEL D MEADE JD LLM P01079860 7275314477 2015 2017-02-10 21:41:12Z MARTIN GOETZ 11401 OLD ST AUGUSTINE ROAD JACKSONVILLE FL 32258 25081840 0 X WWW.RIVERGARDEN.ORG/HEBREWHOME X 1969 FL SEE SCHEDULE O.TO PROVIDE PROGRAMS AND FACILITIES TO MEET THE GERIATRIC CARE, RESIDENTIAL AND PROGRAMMATIC NEEDS OF THE JEWISH COMMUNITY AND THE SPECIALIZED GERIATRIC CARE NEEDS OF THE COMMUNITY AT LARGE, THROUGH THE OPERATION OF THE HOME AND RELATED SERVICES. PROGRAMS AND FACILITIES SHALL BE CONDUCTED IN ACCORDANCE WITH JEWISH DIETARY LAWS, RELIGIOUS AND CULTURAL PRACTICES AND SHALL MAINTAIN AN ENVIRONMENT INFORMED BY JEWISH VALUES AND SUPPORTIVE OF JEWISH IDENTITY. 37 37 464 128 0 0 1798069 1710192 20485231 21749081 723140 860491 579926 762076 23586366 25081840 0 0 0 0 12081550 12687212 0 0 0 10429803 11166192 22511353 23853404 1075013 1228436 32263827 31198426 12921871 11941057 19341956 19257369 TO MEET THE UNIQUE RESIDENTIAL GERIATRIC CARE NEEDS OF THE JEWISH COMMUNITY AND TO PROVIDE THE FINEST IN SPECIALIZED GERIATRIC REHABILITATION AND SKILLED NURSING SERVICES TO THE COMMUNITY AT LARGE. 0 0 20442621 23284584 THE ORGANIZATION PROVIDES RESIDENTIAL GERIATRIC CARE NEEDS TO THE JEWISH COMMUNITY THROUGH THE OPERATION OF A 180-BED SKILLED NURSING FACILITY. IT ALSO PROVIDES GERIATRIC REHABILITATION AND SKILLED NURSING SERVICES TO THE REST OF THE COMMUNITY. 20442621 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 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 0 1 0 0 0 1 41 0 1 464 1 0 0 0 0 0 0 0 0 0 0 X 37 37 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X BETTY SORNA 9042601818 11401 OLD ST AUGUSTINE ROAD JACKSONVILLE FL 32258 MARSHA POLLOCK PRESIDENT 1.00 3.00 X X 0 0 0 SUSAN COHEN VP, CHAIR OF ADMISSIONS 1.00 X X 0 0 0 LARRY GOLDBERG VP, CO-CHAIR OF ADMISSIONS 1.00 X X 0 0 0 RANDY KAMMER VP, CO-CHAIR OF ADMISSIONS 1.00 X X 0 0 0 MORRIE OSTERER VP, CHAIR OF HOUSE 1.00 X X 0 0 0 JUDITH PAUL SECRETARY 1.00 X X 0 0 0 CYNTHIA DEMRI TREASURER 1.00 1.00 X X 0 0 0 SHARON COHEN TRUSTEE 1.00 X 0 0 0 SUSAN EDELMAN TRUSTEE 1.00 X 0 0 0 JEFFREY EDWARDS TRUSTEE 1.00 X 0 0 0 GLORIA A EINSTEIN TRUSTEE 1.00 1.00 X 0 0 0 RON ELINOFF TRUSTEE 1.00 1.00 X 0 0 0 JANIS FLEET TRUSTEE 1.00 1.00 X 0 0 0 SHELDON GENDZIER TRUSTEE 1.00 3.00 X 0 0 0 RACHELLE GOTTLIEB TRUSTEE 1.00 1.00 X 0 0 0 MICHAEL GREENBURG TRUSTEE 1.00 1.00 X 0 0 0 EDWARD GRENADIER TRUSTEE 1.00 1.00 X 0 0 0 BRUCE HOROVITZ TRUSTEE 1.00 X 0 0 0 MICHAEL HOWARD TRUSTEE 1.00 X 0 0 0 CHARLIE JOSEPH TRUSTEE 1.00 X 0 0 0 DEBBY KAYE TRUSTEE 1.00 X 0 0 0 MICHAEL LISSNER TRUSTEE 1.00 1.00 X 0 0 0 MARK LODINGER TRUSTEE 1.00 3.00 X 0 0 0 LEW MEISEL TRUSTEE 1.00 X 0 0 0 HERMAN PAUL TRUSTEE 1.00 3.00 X 0 0 0 MICHAEL PAUL TRUSTEE 1.00 X 0 0 0 MICHAEL PRICE TRUSTEE 1.00 2.00 X 0 0 0 JERRY P ROTHSTEIN TRUSTEE 1.00 X 0 0 0 MICHAEL SCHARF TRUSTEE 1.00 X 0 0 0 HARVEY SCHLESINGER TRUSTEE 1.00 1.00 X 0 0 0 BARBARA SCHNEIDER TRUSTEE 1.00 X 0 0 0 BETH SHORSTEIN TRUSTEE 1.00 X 0 0 0 SHARI SHUMAN TRUSTEE 1.00 X 0 0 0 FRED TROMBERG TRUSTEE 1.00 1.00 X 0 0 0 SANDY ZIMMERMAN TRUSTEE 1.00 1.00 X 0 0 0 JACK COLEMAN HONORARY TRUSTEE 1.00 X 0 0 0 BERNIE DATZ HONORARY TRUSTEE 1.00 X 0 0 0 ALLEN GRAY HONORARY TRUSTEE 1.00 X 0 0 0 BERNIE NACHMAN HONORARY TRUSTEE 1.00 X 0 0 0 JACK PRICE HONORARY TRUSTEE 1.00 1.00 X 0 0 0 RUBYE SAFER HONORARY TRUSTEE 1.00 X 0 0 0 NAOMI LAZAR AUXILIARY PRESIDENT 1.00 X 0 0 0 MARTIN GOETZ CHIEF EXECUTIVE OFFICER 20.00 20.00 X 0 303248 32883 BETTY SORNA CHIEF FINANCIAL OFFICER 20.00 20.00 X 0 194137 27538 JAMES RICHMAN CHIEF OPERATING OFFICER 20.00 20.00 X 0 139654 14400 KATHY OSTERER CHIEF DEVELOPMENT OFFICER 20.00 20.00 X 0 104346 17914 ALISON LLOYD DIRECTOR OF PHARMACY 40.00 X 121810 0 4223 CAROL THOMAS CHIEF NURSING OFFICER 40.00 1.00 X 150789 0 10725 ROSELYN JOSE PHARMACIST 40.00 X 113536 0 192 386135 741385 107875 3 0 1 0 REHABCARE GROUP PO BOX 503534 ST LOUIS MO 63150 REHABILITATION SERVICES 2332777 MMI DINING SYSTEMS 1000 RED FERN PLACE FLOWOOD MS 39232 DINING SERVICES 213729 BAPTIST PRIMARY CARE 3563 PHILIPS HWY SUITE 101 JACKSONVILLE FL 32207 PHYSICIAN SERVICES 125640 FIRST COAST SECURITY ONE INDEPENDENT DRIVE SUITE 117 JACKSONVILLE FL 32202 SECURITY SERVICES 105635 4 193500 993787 522905 1710192 SKILLED NURSING SERVICES 623000 21749081 21749081 21749081 87065 87065 773426 0 773426 773426 773426 MANAGEMENT FEE INCOME 900099 263003 263003 FAMILY CARE SUPPORT 900099 241736 241736 OTHER REVENUE 900099 166994 166994 90343 90343 762076 25081840 23284583 0 87065 X 10479263 8672312 1806951 220000 182065 37935 1207185 999029 208156 780764 646136 134628 1115037 922770 192267 3277202 2712110 565092 228914 189442 39472 296329 245233 51096 81488 67437 14051 824365 682218 142147 68298 56521 11777 52920 43795 9125 104397 86396 18001 759480 628522 130958 284909 235782 49127 SUPPLIES 2762908 2762908 QUALITY ASSESSMENT FEE 1309945 1309945 23853404 20442621 3410783 0 16367 14067 778232 940642 2658987 2196276 153865 156179 109124 121094 27169116 14243500 12621019 12925616 31004 30457 15895229 14814095 32263827 31198426 2534396 2213651 181990 156228 8118342 7426672 12588 2074555 2144506 12921871 11941057 X 15623299 15793847 3718657 3463522 19341956 19257369 32263827 31198426 X 1228436 -958292 -354731 X X 0 1 X 1 0 X 1305735 1234736 2091428 1798069 1710192 8140160 18416997 18716333 19160463 20485231 21749081 98528105 19722732 19951069 21251891 22283300 23459273 106668265 0 0 0 106668265 271417 270949 247274 229220 87065 1105925 271417 270949 247274 229220 87065 1105925 569351 783381 539256 579926 762076 3233990 20563500 21005399 22038421 23092446 24308414 111008180 0.96090 0.95970 0.01000 0.01210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 20455857 10724052 9731805 146450 76777 69673 5377500 2819172 2558328 1189309 623499 565810 12925616 BOND ISSUANCE COSTS AND LETTER OF CREDIT 112379 OTHER ASSETS 92659 INTEREST IN NET ASSETS OF RIVER GARDEN HOLDING COMPANY 11175083 INTEREST IN NET ASSETS OF RIVER GARDEN FOUNDATION 3433974 14814095 DUE TO AFFILIATES 2039160 SECTION 457 PLAN LIABILITY 105346 2144506 23768817 -958292 -354731 -1313023 25081840 0 25081840 23853404 0 23853404 0 23853404 PART IV, LINE 2B: THE ORGANIZATION OFFERS A CASH MANAGEMENT SERVICE TO ITS SKILLED NURSING RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF EACH RESPECTIVE RESIDENT. THE HOME HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN NET ASSETS OF RIVER GARDEN FOUNDATION -354,731. 0 0 0 0 0 0 0 0 0 MARTIN GOETZ CHIEF EXECUTIVE OFFICER 0 303248 0 0 0 0 0 12090 0 20793 0 336131 0 0 BETTY SORNA CHIEF FINANCIAL OFFICER 0 194137 0 0 0 0 0 7496 0 20042 0 221675 0 0 JAMES RICHMAN CHIEF OPERATING OFFICER 0 139654 0 0 0 0 0 4203 0 10197 0 154054 0 0 CAROL THOMAS CHIEF NURSING OFFICER 150789 0 0 0 0 0 4713 0 6012 0 161514 0 0 0 PART I, LINE 3 RIVER GARDEN HEBREW HOME FOR THE AGED, INC'S KEY PERSONNEL ARE EMPLOYED BY RIVER GARDEN HOLDING COMPANY, A RELATED 501(C)(3) ORGANIZATION. THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH COMPENSATION FOR RIVER GARDEN HEBREW HOME FOR THE AGED, INC'S KEY PERSONNEL: COMPENSATION COMMITTEE; WRITTEN EMPLOYMENT CONTRACT; COMPENSATION SURVEY OR STUDY; APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. A JACKSONVILLE HEALTH FACILITIES AUTHORITY 592263061 469402FG1 2010-09-15 10600000 SEE SUPPLEMENTAL INFORMATION. 0 0 0 A 3173328 10600000 168453 7258219 2012 0 1 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 1 0 0 0 0 A 1 FORM 990, SCHEDULE K, PART I, A(F) PURPOSE OF BOND ISSUANCE (SERIES 2010B): TO CONSTRUCT A NEW 10,000 SQUARE FOOT FACILITY TO EXPAND THE THERAPY DEPARTMENT, ADULT DAY PROGRAM AND HOME AND COMMUNITY-BASED SERVICES; RENOVATE THE EXISTING FACILITY; REFUND THE OUTSTANDING PRINCIPAL BALANCE ON THE HEALTH FACILITIES REVENUE BONDS, SERIES 1988; AND TO PAY RELATED COSTS OF ISSUANCE. FORM 990, PART VI, SECTION A, LINE 2 HERMAN PAUL, JUDITH PAUL, MICHAEL PAUL, AND RUBYE SAFER HAVE A FAMILY RELATIONSHIP. MICHAEL PRICE AND JACK PRICE HAVE A FAMILY RELATIONSHIP. MICHAEL HOWARD AND ALLEN GRAY HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION SHALL BE RIVER GARDEN HOLDING COMPANY, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, RIVER GARDEN HOLDING COMPANY, INC., SHALL ELECT THE TRUSTEES AND AT ANY TIME IN ITS SOLE DISCRETION, REMOVE AND NAME A REPLACEMENT FOR ANY TRUSTEE. FORM 990, PART VI, SECTION A, LINE 7B THE NUMBER OF TRUSTEES SHALL BE DETERMINED BY THE SOLE MEMBER. ANY VACANCY OCCURRING IN THE BOARD MAY BE FILLED BY A MAJORITY VOTE OF THE REMAINING TRUSTEES WITH THE APPROVAL OF THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN IS REVIEWED WITH THE BOARD BY THE CHIEF FINANCIAL OFFICER. A COPY OF THE RETURN IS AVAILABLE TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS SERVE THREE YEAR TERMS AND SIGN A CONFLICT OF INTEREST STATEMENT DURING THEIR TERM. MANAGEMENT DISCLOSES ANY FINANCIAL ACTIVITY INVOLVING BOARD MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,516,856. MANAGEMENT AND GENERAL EXPENSES 524,409. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,041,265. AGENCY STAFFING FEES: PROGRAM SERVICE EXPENSES 18,378. MANAGEMENT AND GENERAL EXPENSES 3,829. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,207. CONTRACT DIETARY SERVICES: PROGRAM SERVICE EXPENSES 176,876. MANAGEMENT AND GENERAL EXPENSES 36,854. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 213,730. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF RIVER GARDEN FOUNDATION -354,731. FORM 990, PART XII, LINE 2C OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT: THE ORGANIZATION'S AUDIT COMMITTEE IS RESPONSIBLE FOR AUDIT OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. RIVER GARDEN HOLDING COMPANY INC 11401 OLD ST AUGUSTINE ROAD JACKSONVILLE FL 32258 592487781 HANDLES ADMINISTRATION OF SUBSIDIARIES FL 501(C)(3) LINE 11A, I N/A 0 RIVER GARDEN GERIATRIC TRAINING CENTER INC 11401 OLD ST AUGUSTINE ROAD JACKSONVILLE FL 32258 593399599 OPERATES A POST-SECONDARY SCHOOL FOR THE TRAINING OF CERT. NURSING ASSISTANT FL 501(C)(3) LINE 2 RIVER GARDEN HOLDING COMPANY INC 1 RIVER GARDEN FOUNDATION INC 11401 OLD ST AUGUSTINE ROAD JACKSONVILLE FL 32258 593100673 RAISES FUNDS FOR THE RIVER GARDEN HOLDING COMPANY, INC. FL 501(C)(3) LINE 11A, I RIVER GARDEN HOLDING COMPANY INC 1 THE COVES AT RIVER GARDEN 11401 OLD ST AUGUSTINE ROAD JACKSONVILLE FL 32258 464357165 OPERATES AN 80-UNIT INDEPENDENT LIVING SENIOR HOUSING FACILITY. FL 501(C)(3) LINE 9 RIVER GARDEN HOLDING COMPANY INC 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0