2015-11-16T10:08:09-06:00 2014-12-31 593070669 MOORE STEPHENS LOVELACE PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2014-01-01 651040926 JACKSON PLAZA INC JACK 3059170428 1800 NE 168TH STREET NO 200 N MIAMI BEACH FL 33162 HARRY FRUHMAN CHIEF FINANCIAL OFFICER 3059170428 2015-11-16 1 LAURIE PADYKULA CPA P00856069 4077405400 2014 2016-04-25 22:37:26Z MR HARRY FRUHMAN 1800 NE 168TH STREET NO 200 N MIAMI BEACH FL 33162 12215483 0 X WWW.HEBREWHOMES.ORG X 2000 FL THE ORGANIZATION'S MISSION IS TO PROVIDE DIGNIFIED CARE IN A HOME-LIKE ATMOSPHERE TO OUR RESIDENTS AND OUR FAMILIES. 5 4 219 11 0 0 0 0 12491773 12215291 11 192 5488 0 12497272 12215483 0 0 0 0 7223014 6963163 0 0 0 5758516 5890349 12981530 12853512 -484258 -638029 7934328 7548531 1574557 1826789 6359771 5721742 X THE ORGANIZATION'S PRIMARY OBJECTIVE IS TO PROVIDE DIGNIFIED CARE IN A HOME-LIKE ATMOSPHERE TO OUR RESIDENTS AND OUR FAMILIES. 0 0 10290476 12215291 SEE SCHEDULE OTHE 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 121,500 MEALS, EACH MEAL TAILORED TO THE RESIDENTS' DIETARY REQUIREMENTS- ADMINISTERING OVER 20,750 MEDICATIONS- PROVIDING OVER 46,750 PHYSICAL, SPEECH, AND OCCUPATIONAL UNITS OF TREATMENT- COORDINATING OVER 2,000 RESIDENT ACTIVITIES INCLUDING FAMILY NIGHT DINNERS, INTER-GENERATIONAL PROGRAMS, HOLIDAY AND BIRTHDAY CELEBRATIONS, ENTERTAINMENT DAYS AND FIELD TRIPS. 10290476 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 12 0 1 219 1 0 0 0 0 0 0 0 0 0 0 X 5 4 1 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 0 X HAL STERN 3059170428 1800 NE 168TH STREET SUITE 200 NORTH MIAMI BEACH FL 33162 X RONALD S LOWY CHAIRMAN 0.00 4.00 X X 0 0 0 RUSSELL GALBUT CHAIRMAN 0.00 1.00 X X 0 0 0 MARTIN WASSERMAN TREASURER 0.00 1.00 X X 0 0 0 JOAN BRENT SECRETARY 0.00 1.00 X X 0 0 0 WILLIAM ECK ASSISTANT SECRETARY 0.00 1.00 X X 0 0 0 HARRY FRUHMAN FINANCIAL MANAGER/SECRETAR 0.00 40.00 X X 0 245191 33319 BEN ROZSANSKY DIRECTOR 0.00 1.00 X 0 0 0 DR WILLIAM ZUBKOFF CEO AND PRESIDENT 0.00 40.00 X 0 659421 23966 JOYCE GALBUT CHIEF NURSING OFFICER 0.00 40.00 X 0 197725 13555 CAPTAIN MARVIN GREENWALD DIR. OF PROF. SERVICES 0.00 40.00 X 0 153590 3586 0 1255927 74426 0 0 1 0 OMNICARE OF SOUTH FLORIDA 2955 WEST CORPORATE LAKES BLVD ST WESTON FL 33331 PHAMARCY SERVICE 279503 SYSCO SOUTH FLORIDA INC 12500 SYSCO WAY MEDLEY FL 33178 FOOD SERVICE 115431 CHENEY BROTHERS INC ONE CHENEY WAY RIVIERA BEACH FL 33404 FOOD SERVICE 109594 3 NET RESIDENT SERVICE REVENUE 623000 12215291 12215291 12215291 192 192 12215483 12215291 0 192 5679797 5457484 222313 275011 272449 2562 587179 554045 33134 421176 403658 17518 1756 1756 26921 26921 1201986 117914 1084072 1449 1449 1088625 47134 1041491 436 436 1559007 1559007 25052 23947 1105 63716 51011 12705 131228 105061 26167 213263 152031 61232 SUPPLIES 986057 965966 20091 BAD DEBTS 504563 504563 EQUIPMENT REPAIRS 39760 27791 11969 SETTLEMENT 28307 28307 18223 18223 12853512 10290476 2563036 0 597590 624589 4086 0 1405057 1537785 29046 27159 1453171 694581 864603 758590 5033946 4600408 7934328 7548531 1496083 1324162 38596 104584 39878 398043 1574557 1826789 X 6359771 5721742 6359771 5721742 7934328 7548531 -638029 0 X X 0 1 X 1 0 X 13040310 13757664 12718705 12491773 12215291 64223743 13040310 13757664 12718705 12491773 12215291 64223743 0 0 0 64223743 642 571 42 11 192 1458 642 571 42 11 192 1458 1165 179 5488 6832 13040952 13759400 12718926 12497272 12215483 64232033 0.99990 0.99930 0.00000 0.00010 X 1 46456 8506 54962 0 849226 249016 600210 543945 386279 157666 60000 59286 714 758590 DEPOSITS 22940 DUE FROM AFFILIATES 4577468 4600408 DUE TO MEDICARE SEQUESTRATION 1318 ESTIMATED THIRD PARTY SETTLEMENTS 382069 OVERPAYMENT LIABILITY 14656 398043 PART IV, LINE 1B: 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. 0 0 0 0 0 0 0 0 0 HARRY FRUHMAN FINANCIAL MANAGER/SECRETAR 0 245191 0 0 0 0 0 2788 0 30531 0 278510 0 0 DR WILLIAM ZUBKOFF CEO AND PRESIDENT 0 539421 0 0 0 120000 0 5200 0 18766 0 683387 0 0 JOYCE GALBUT CHIEF NURSING OFFICER 0 197725 0 0 0 0 0 3955 0 9600 0 211280 0 0 CAPTAIN MARVIN GREENWALD DIR. OF PROF. SERVICES 0 153590 0 0 0 0 0 3072 0 514 0 157176 0 0 PART I, LINE 3 THE ORGANIZATION'S CEO IS COMPENSATED BY HEBREW HOMES MANAGEMENT SERVICES, INC., A RELATED 501(C)(3) ORGANIZATION. THE GROUP'S COMPENSATION COMMITTEE DETERMINES THE COMPENSATION AND BENEFITS OF THE CEO AND OTHER TOP MANAGEMENT OFFICIALS. THE COMMITTEE IS INDEPENDENT WITH RESPECT TO ALL COMPENSATION RELATED DECISIONS IN THAT COMMITTEE MEMBERS REFRAIN FROM VOTING ON THE COMPENSATION IF A CONFLICT OF INTEREST ARISES. THE COMMITTEE UTILIZES COMPARABILITY SURVEYS PROVIDED BY AN INDEPENDENT ACCOUNTANT. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN COMMITTEE MEETING MINUTES. FORM 990, PART VI, SECTION A, LINE 2 JOYCE GALBUT, THE ORGANIZATION'S CHIEF NURSING OFFICER, IS THE WIFE OF WILLIAM ZUBKOFF, THE CEO AND PRESIDENT. FORM 990, PART VI, SECTION B, LINE 11 THE CONTROLLER CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 AND DISTRIBUTES TO THE GOVERNING BOARD BEFORE IT IS FILED. 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, LINE 15 THE COMPENSATION COMMITTEE DETERMINES THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER AND OTHER TOP MANAGEMENT OFFICIALS. THE COMMITTEE POTENTIALLY INCLUDES THE CEO AND OTHER TOP MANAGEMENT OFFICIALS. HOWEVER, THE COMMITTEE IS INDEPENDENT WITH RESPECT TO ALL COMPENSATION RELATED DECISIONS IN THAT COMMITTEE MEMBERS REFRAIN FROM VOTING ON THE COMPENSATION IF A CONFLICT OF INTEREST ARISES. THE COMMITTEE UTILIZES COMPARABILITY SURVEYS PROVIDED BY AN INDEPENDENT ACCOUNTANT. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN COMMITTEE MEETING MINUTES. 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 VII DR. WILLIAM ZUBKOFF - 10661 NE QUAYBRIDGE COURT, MIAMI, FL 33138. JOYCE GALBUT - 10661 NE QUAYBRIDGE COURT, MIAMI, FL 33138. FORM 990,PART VII, LINE 1A ALL OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES ARE COMPENSATED BY A RELATED ORGANIZATION, HEBREW HOMES MANAGEMENT SERVICES, INC., AND PERFORM SERVICES FOR ALL ENTITIES WITHIN THE CONSOLIDATED GROUP. FORM 990, PART XII, LINE 2B THE ORGANIZATION IS A SUBSIDIARY OF HEBREW HOMES HEALTH NETWORK, INC. ITS FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS. 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. ARCH PLAZA INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040917 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 1 AVENTURA PLAZA INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 830500199 RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATE FL 501(C)(3) LINE 11B, II HEBREW HOMES HEALTH NETWORK INC 1 HEBREW HOMES HEALTH NETWORK INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040936 ORGANIZES THE ACTIVITIES OF ITS TAX-EXEMPT AFFILIATES FL 501(C)(3) LINE 11B, II N/A 1 HEBREW HOMES HEALTH NETWORK FOUNDATION INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040934 CONDUCTS FUNDRAISING ACTIVITIES ON BEHALF OF ITS TAX-EXEMPT AFFILIATES FL 501(C)(3) LINE 11B, II HEBREW HOMES HEALTH NETWORK INC 1 HEBREW HOMES MANAGEMENT SERVICES INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040928 PROVIDES MANAGEMENT SERVICES TO ITS TAX-EXEMPT AFFILIATES FL 501(C)(3) LINE 11B, II HEBREW HOMES HEALTH NETWORK INC 1 HEBREW HOME OF NORTH DADE INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040912 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 1 HEBREW HOME OF SOUTH BEACH INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040911 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 1 HEBREW HOME SINAI PLAZA INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 134245879 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 1 HEBREW HOMES OF MIAMI BEACH INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 590825937 RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATE FL 501(C)(3) LINE 11B, II HEBREW HOMES HEALTH NETWORK INC 1 PLAZA NORTH INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040910 WILL OPERATE AN ASSISTED LIVING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 1 PONCE PLAZA INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040919 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 1 SOUTH BEACH NURSING & REHABILITATION CENTER INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 020755960 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 1 SOUTH BEACH PLAZA INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 830500200 RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATE FL 501(C)(3) LINE 11B, II HEBREW HOMES HEALTH NETWORK INC 1 HEBREW HOMES CAPTIVE SERVICES INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040931 PROVIDES SELF-INSURANCE TO TAX-EXEMPT AFFILIATES FL 501(C)(3) LINE 11B, II HEBREW HOMES HEALTH NETWORK INC 1 ARCH PLAZA PROPERTIES INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 264233346 RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATE FL 501(C)(3) LINE 11B, II HEBREW HOMES HEALTH NETWORK INC 1 PONCE PLAZA PROPERTIES INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 264233085 RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATE FL 501(C)(3) LINE 11B, II HEBREW HOMES HEALTH NETWORK INC 1 UNIVERSITY PLAZA REHABILITATION AND NURSING CENTER INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 300541840 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 1 UNIVERSITY PLAZA PROPERTIES INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 264468758 RENTS A SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATE FL 501(C)(3) LINE 11B, II HEBREW HOMES HEALTH NETWORK INC 1 PLAZA ADVANTAGE HEALTH CORP 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 455518434 PROVIDES HEALTHCARE SERVICES AND SUPPORTS AFFILIATES FL 501(C)(3) LINE 11B, II HEBREW HOMES HEALTH NETWORK INC 1 HEBREW HOMES INSURANCE SERVICES LTD PO BOX 69 2ND FLOOR BUCKINGHAM GEORGE TOWN CJ KY1-1102 999999999 PROVIDES CAPTIVE INSURANCE TO RELATED ENTITY CJ HEBREW HOMES CAPTIVE SERVICES INC C 1669057 2338997 1.00000 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 HEBREW HOMES OF MIAMI BEACH INC K 1106180 HISTORICAL COST HEBREW HOMES HEALTH NETWORK INC D 4578790 HISTORICAL COST HEBREW HOMES CAPTIVE SERVICES INC M 209061 HISTORICAL COST HEBREW HOMES MANAGEMENT SERVICES INC M 889484 HISTORICAL COST