2016-05-09T15:34:29-05:00 2015-06-30 593070669 MOORE STEPHENS LOVELACE PA 311 PARK PLACE BLVD SUITE 100 CLEARWATER FL 33759 990 2014-07-01 592269292 MENORAH MANOR INC MENO 7273452775 255 59TH STREET NORTH ST PETERSBURG FL 33710 ROBERT GOLDSTEIN CHIEF EXECUTIVE OFFICER 7273452775 2016-05-09 1 HARRY E HARP CPA P00176471 7275314477 2014 2016-08-17 19:52:53Z ROBERT GOLDSTEIN 255 59TH STREET NORTH ST PETERSBURG FL 33710 24171528 0 X WWW.MENORAHMANOR.ORG X 1981 FL THE ORGANIZATION'S MISSION IS TO OPERATE AND MAINTAIN A HOME AND PROVIDE OTHER SERVICES TO SHELTER, PROTECT AND PROVIDE SERVICES TO THE AGED. 19 18 490 375 0 0 893678 682330 22611954 24951339 799 491 25084 -1462632 23531515 24171528 0 0 0 0 11770886 12022311 0 0 0 13758482 12936291 25529368 24958602 -1997853 -787074 37728182 33591153 37845859 35299159 -117677 -1708006 THE ORGANIZATION'S MISSION IS TO OPERATE AND MAINTAIN A HOME AND PROVIDE OTHER SERVICES TO SHELTER, PROTECT AND PROVIDE SERVICES TO THE AGED. 0 0 20481850 23488707 SEE SCHEDULE O 20481850 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 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 37 0 1 490 1 0 0 0 0 0 0 0 0 0 0 X 19 18 1 0 0 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 BERNARD KANNER ESQ CHAIR 1.00 X X 0 0 0 ROBERT WEISBERG PHD VICE CHAIR AND CHAIR-ELECT 1.00 X X 0 0 0 LARRY KRUG ESQ SECRETARY 1.00 X X 0 0 0 DAVID DELRAHIM ESQ TREASURER 1.00 X X 0 0 0 NAOMI ABEL MD TRUSTEE 1.00 X 0 0 0 BARBARA BAUGHMAN TRUSTEE 1.00 1.00 X 0 0 0 LENNY ENGLANDER ESQ TRUSTEE 1.00 X 0 0 0 RUTH GLICKMAN TRUSTEE 1.00 X 0 0 0 DELL KRUG TRUSTEE 1.00 X 0 0 0 ERIC LUDIN ESQ TRUSTEE 1.00 X 0 0 0 DAVID MARGER TRUSTEE 1.00 X 0 0 0 HOWARD MILLER ESQ TRUSTEE 1.00 X 0 0 0 ERROL PEGLER TRUSTEE 1.00 X 0 0 0 BERNIE SAPPERSTEIN TRUSTEE 1.00 1.00 X 0 0 0 MARILYN SAPPERSTEIN TRUSTEE 1.00 1.00 X 0 0 0 STEVEN WARREN MD TRUSTEE 1.00 X 0 0 0 DAVID WEIN MD TRUSTEE 1.00 X 0 0 0 STEPHEN WEIN ESQ TRUSTEE 1.00 X 0 0 0 ROBERT GOLDSTEIN CHIEF EXECUTIVE OFFICER 40.00 10.00 X X 129444 33138 23000 SETH D LEVY FORMER CHIEF EXECUTIVE OFFICER 40.00 10.00 X 218760 48954 29981 DONNA PERRYMAN CHIEF FINANCIAL OFFICER 40.00 10.00 X 118896 27160 31369 GAIL FULLAM FORMER EXEC. DIR HR/ASST. ADMINIS 40.00 10.00 X 117877 1470 2446 ANNABELLE LOCSIN CHIEF NURSING OFFICER 40.00 X 122350 0 17684 JUDY LUDIN CHIEF DEVELOPMENT OFFICER 0.00 40.00 X 28937 87132 5000 736264 197854 109480 5 0 1 0 SELECT REHABILITATION INC PO BOX 809056D SUITE 2415 CHICAGO FL 60680 REHABILITATION THERAPY 1622356 NSI STAFFING BRASWELL HOLDINGS LLC PO BOX 4729 WINTER PARK FL 32793 NURSING 581835 MMI DINING SYSTEMS 1000 RED FERN PLACE FLOWOOD MS 39232 DIETARY 392270 TAMPA BAY TEMPS INC 2441 5TH AVENUE N ST PETERSBURG FL 33713 NURSING 263799 SOLARIS REHAB PO BOX 2386 SAINT PETERSBURG FL 33713 REHABILITATION THERAPY 236744 8 9550 665218 7562 682330 NET RESIDENT SERVICE REVENUE 623000 20005365 20005365 ASSISTED LIVING REVENUE 623000 4835432 4835432 OTHER OPERATING REVENUE 900099 110542 110542 24951339 491 491 LOSS ON REFINANCING 999999 -1462632 -1462632 -1462632 24171528 23488707 0 491 X 404694 404694 9793851 8532185 1261666 62097 62097 1014289 127227 887062 747380 588876 158504 31243 31243 27588 27588 36625 36625 4033510 3826798 206712 58599 572 58027 585908 147379 438529 1185237 962927 222310 4318 3881 437 35201 3750 31451 993622 993622 1667839 1370051 297788 332907 6720 326187 QUALITY ASSESSMENT FEE 1292199 1292199 SUPPLIES 1098081 1098081 RESIDENT CARE 1086095 1086095 BAD DEBT 240000 240000 227319 201487 25832 24958602 20481850 4476752 0 2410 2410 604725 1217284 2387678 2445243 113298 123861 252282 249045 45941985 18292095 28788263 27649890 1545312 411718 4034214 1491702 37728182 33591153 2805623 1480472 33770000 31689065 41562 48296 1228674 2081326 37845859 35299159 X -117677 -1708006 -117677 -1708006 37728182 33591153 X -787074 -803255 X X 0 1 X 1 0 X 52851 145870 91248 893678 682330 1865977 52851 145870 91248 893678 682330 1865977 1865977 7039 9891 1730 164 491 19315 504 12192 24547 25084 62327 1947619 105823474 0.95810 0.90540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 65392 19760 85152 0 3694802 3694802 32405917 10914328 21491589 9777739 7377767 2399972 63527 63527 27649890 RESIDENT DEPOSITS 71073 DUE TO RELATED PARTY 775000 EMPLOYEE BENEFIT LIABILITY 431998 INTEREST RATE SWAP AGREEMENT 803255 2081326 23368273 -803255 -803255 24171528 0 24171528 24958602 0 24958602 0 24958602 PART IV, LINE 1B: THE ORGANIZATION OFFERS CASH MANAGEMENT SERVICES TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF THE RESIDENTS AND ARE DISBURSED AS REQUESTED. THE ORGANIZATION ACTS ONLY AS A CUSTODIAN. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -803,255. X X X X X X 0 1 0 0 0 0 0 0 0 ROBERT GOLDSTEIN CHIEF EXECUTIVE OFFICER 128931 33138 513 0 0 0 23000 0 0 0 152444 33138 0 0 SETH D LEVY FORMER CHIEF EXECUTIVE OFFICER 217508 48954 1252 0 0 0 15125 0 14856 0 248741 48954 0 0 DONNA PERRYMAN CHIEF FINANCIAL OFFICER 118788 27160 108 0 0 0 17500 0 13869 0 150265 27160 0 0 PART I, LINE 4B SETH LEVY PARTICIPATED IN A 457(F) PLAN - $6,875. ROBERT GOLDSTEIN PARTICIPATED IN A 457(F) PLAN - $5,700. A CITY OF ST PETERSBURG HEALTH FACILITIES AUTHORITY 2014-10-01 32100000 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 410935 32100000 200000 31489065 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 2 DELL KRUG AND LARRY KRUG, FAMILY RELATIONSHIP WALTER LOEBENBERG AND MARION SAMSON-JOSEPH, FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11 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 AND OTHER TOP MANAGEMENT OFFICIALS. 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 OTHER FEES: PROGRAM SERVICE EXPENSES 2,218,231. MANAGEMENT AND GENERAL EXPENSES 171,289. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,389,520. CONSULTING FEES: PROGRAM SERVICE EXPENSES 69,638. MANAGEMENT AND GENERAL EXPENSES 35,423. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,061. REHABILITATION THERAPY SERVICE: PROGRAM SERVICE EXPENSES 1,105,454. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,105,454. DIETARY SERVICES: PROGRAM SERVICE EXPENSES 394,365. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 394,365. NURSING SERVICES: PROGRAM SERVICE EXPENSES 39,110. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,110. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -803,255. 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 255 59TH STREET NORTH ST PETERSBURG FL 33710 274697879 RESIDENTIAL LIVING FOR SENIOR CITIZENS FL 6028419 22372539 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 11B, II N/A 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0