2015-02-16T12:19:35-06:00 2014-06-30 593070669 MOORE STEPHENS LOVELACE PA 701 BRICKELL AVENUE SUITE 550 MIAMI FL 33131 990 2013-07-01 161676095 ALDERSGATE RETIREMENT INC ALDE 3055565654 5300 W 16TH AVENUE HIALEAH FL 33012 NICK ANTONACCI EXECUTIVE DIRECTOR 3055565654 2015-02-17 1 LAWRENCE SCHIFF CPA P00479457 3058199555 2013 2016-02-25 16:41:14Z NICK ANTONACCI 5300 W 16TH AVENUE HIALEAH FL 33012 4398356 0 X WWW.EPWORTHVILLAGE.NET X 2003 FL THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO OPERATE, AND TO FURTHER THE EFFORTS OF THE UNITED METHODIST CHURCH BY OPERATING, A HOUSING FACILITY SPECIFICALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS OF ELDERLY AND HANDICAPPED PERSONS, AND TO PROMOTE THEIR HEALTH, SECURITY AND HAPPINESS IN LONGER LIVING. 13 13 139 18 0 0 18500 10000 4356574 4332080 0 0 10841 32430 4385915 4374510 0 0 0 0 2504696 2769535 0 0 0 2742990 2532693 5247686 5302228 -861771 -927718 1848049 1651072 2261050 2991791 -413001 -1340719 X THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO OPERATE, AND TO FURTHER THE EFFORTS OF THE UNITED METHODIST CHURCH BY OPERATING, A HOUSING FACILITY SPECIFICALLY DESIGNED TO MEET THE PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS OF ELDERLY AND HANDICAPPED PERSONS, AND TO PROMOTE THEIR HEALTH, SECURITY AND HAPPINESS IN LONGER LIVING. 0 0 4028348 4333996 THE ORGANIZATION OPERATES A 290-UNIT ASSISTED LIVING AND INDEPENDENT LIVING FACILITY IN MIAMI-DADE COUNTY, FLORIDA THAT PROVIDES RETIREMENT HOUSING, AS WELL AS LIMITED NURSING CARE. 4028348 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 32 0 1 139 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X BILL CONOL 3055565654 5300 W 16TH AVENUE HIALEAH FL 33012 WILLIAM JACOBS PRESIDENT 1.00 1.00 X X 0 0 0 PAUL LANDRUM TREASURER 1.00 1.00 X X 0 0 0 GERTRUDE STEWART SECRETARY 0.50 0.50 X X 0 0 0 CRAIG W NELSON DIRECTOR 0.50 0.50 X 0 0 0 AVIS BROWN DIRECTOR 0.50 0.50 X 0 0 0 LYN FARR VICE PRESIDENT 0.50 0.50 X X 0 0 0 MARLENE LIEBERMAN DIRECTOR 0.50 0.50 X 0 0 0 ODETTE LIGHTBOURNE DIRECTOR 0.50 0.50 X 0 0 0 TASHA L SMITH DIRECTOR 0.50 0.50 X 0 0 0 MARIA REGO DIRECTOR 0.50 0.50 X 0 0 0 JAKE ROUDENBUSH DIRECTOR 0.50 0.50 X 0 0 0 REV GUILLERMO SANCHEZ DIRECTOR 0.50 0.50 X 0 0 0 JEAN TAXIS DIRECTOR 0.50 0.50 X 0 0 0 NICK ANTONACCI EXECUTIVE DIRECTOR 10.00 10.00 X 0 0 0 MIDDALIA ISRAEL ADMINISTRATOR 40.00 0.00 X 113652 0 0 113652 0 0 1 0 0 0 NEIGHBORHOOD HEALTH PARTNERSHIP PO BOX 580046 CHARLOTTE NC 28258 EMPLOYEE HEALTH INSURANCE 656315 FLATIRON CAPITAL PO BOX 712195 DENVER CO 80271 WORKERS COMPENSATION 225182 DOS HEALTH MANAGEMENT 300 71ST STREET SUITE 400 MIAMI BEACH FL 33141 MANAGEMENT FEE 158398 3 10000 10000 RESIDENT SERVICE REVEN 623000 4332080 4332080 4332080 54360 10000 23846 30514 30514 OTHER INCOME 623000 1916 1916 1916 4374510 4333996 0 30514 2283939 1867643 416296 22068 12950 9118 259411 209452 49959 204117 164575 39542 214742 214742 1575 1575 25000 25000 18317 800 17517 62167 62167 843274 547902 295372 1136546 1095112 41434 4907 845 4062 3255 3255 72879 72879 20962 20962 BAD DEBT EXPENSE 69083 69083 PHARMACY EXPENSE 34137 34137 MEDICAL SUPPLIES 25670 25670 DIETARY EXPENSE 179 179 5302228 4028348 1273880 0 272957 113951 55057 61467 4530 4530 10210 25760 1109856 177947 791730 931909 713565 513455 1848049 1651072 248135 518851 27067 36750 1985848 2436190 2261050 2991791 X -413001 -1340719 -413001 -1340719 1848049 1651072 -927718 0 X X 0 1 X 1 0 X 5875 4550 2278 18500 10000 41203 3220977 3288083 3804957 4356574 4332080 19002671 3226852 3292633 3807235 4375074 4342080 19043874 0 0 0 19043874 -3150 -3150 -3150 -3150 1074706 1234792 1538909 2124 1916 3852447 4298408 4527425 5346144 4377198 4343996 22893171 0.83190 0.80770 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 315646 23192 338838 1 X 929483 115619 813864 180373 62328 118045 931909 OTHER ASSETS 11332 SECURITY DEPOSITS 338838 DUE FROM LANDLORD 163285 513455 OTHER LIABILITIES 16770 DUE TO INTERCOMPANY 2080582 SECURITY DEPOSITS 338838 2436190 4374510 0 4374510 0 4374510 5302228 0 5302228 0 5302228 PART IV, LINE 2B: THE COMPANY COLLECTS A SECURITY DEPOSIT FROM EACH RESIDENT WHEN A RESIDENT AGREEMENT IS EXECUTED. THE INITIAL TERM OF EACH AGREEMENT IS FOR ONE YEAR FROM THE MOVE-IN DATE. THE AGREEMENT IS AUTOMATICALLY RENEWED FOR ANOTHER ONE YEAR TERM UNLESS WRITTEN NOTICE OF INTENT TO CANCEL THE AGREEMENT IS RECEIVED FROM THE RESIDENT AT LEAST 45 DAYS PRIOR TO THE EXPIRATION DATE OF THE AGREEMENT. IF THE AGREEMENT IS TERMINATED WITHIN THE FIRST YEAR, THE SECURITY DEPOSIT IS FORFEITED. AS OF JUNE 30, 2014 AND 2013, THE AMOUNT OF SECURITY DEPOSITS APPROXIMATED $339,000 AND $316,000, RESPECTIVELY. GALA 0 1800 GOLF TOURNAMENT 40768 2000 38768 1000 2342 11280 3 23592 8000 15592 182 2927 4315 64360 10000 54360 1000 182 5269 17395 23846 30514 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED MANAGEMENT DUTIES TO DOS HEALTH SERVICES, INC. THROUGH A BOARD-APPROVED CONTRACT. FORM 990, PART VI, SECTION B, LINE 11 THE ACCOUNTING DIRECTOR CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED WITH THE IRS. A COPY OF THE FORM 990 IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT-OF-INTEREST POLICY COVERS ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS. 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 BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. THE BOARD OF DIRECTORS 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 C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. 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 PRIOR YEAR. ALDERSGATE HEALTHCARE INC 5300 WEST 16TH AVENUE HIALEAH FL 33012 161676092 OPERATES ASSISTED AND INDEPENDENT LIVING FACILITY FL 501(C)(3) LINE 9 N/A 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 ALDERSGATE HEALTHCARE INC E 2080582 FAIR MARKET VALUE