2014-11-17T10:36:18-06:00 2013-12-31 593070669 MOORE STEPHENS LOVELACE PA 701 BRICKELL AVENUE SUITE 550 MIAMI FL 33131 990 2013-01-01 651040919 PONCE PLAZA INC PONC 3059170428 1800 NE 168TH STREET NO 200 N MIAMI BEACH FL 33162 DR WILLIAM ZUBKOFF PRESIDENT & CHIEF EXECUTIVE OFFICER 3059170428 2014-11-17 1 LAWRENCE SCHIFF CPA P00479457 3058199555 2013 2015-11-30 17:44:51Z DR WILLIAM ZUBKOFF 1800 NE 168TH STREET NO 200 N MIAMI BEACH FL 33162 14595262 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. 7 4 259 7 0 0 0 0 15092448 14595244 375 18 0 0 15092823 14595262 0 0 0 0 7706634 7565770 0 0 0 7081487 7547571 14788121 15113341 304702 -518079 16509974 16225338 1549097 1782540 14960877 14442798 X THE ORGANIZATION'S MISSION IS TO PROVIDE DIGNIFIED CARE IN A HOME-LIKE ATMOSPHERE TO OUR RESIDENTS AND OUR FAMILIES. 0 0 11901240 14595244 SEE SCHEDULE O.PONCE PLAZA, INC. 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 150,500 MEALS, EACH MEAL TAILORED TO THE RESIDENTS' DIETARY REQUIREMENTS- ADMINISTERING 25,750 MEDICATIONS- PROVIDING OVER 56,000 PHYSICAL, SPEECH, AND OCCUPATIONAL UNITS OF TREATMENT- COORDINATING 3,000 RESIDENT ACTIVITIES INCLUDING FAMILY NIGHT DINNERS, INTER-GENERATIONAL PROGRAMS, HOLIDAY AND BIRTHDAY CELEBRATIONS, ENTERTAINMENT DAYS AND FIELD TRIPS. 11901240 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 1 0 0 0 0 0 0 0 1 1 1 0 0 1 31 0 1 259 1 0 0 0 0 0 0 0 0 0 0 X 7 4 1 0 0 0 0 0 0 1 1 0 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 RUSSELL GALBUT CHAIRMAN 0.00 4.00 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 YOSSI DUCHMAN DIRECTOR 0.00 1.00 X 0 0 0 WILLIAM ECK ASSISTANT SECRETARY 0.00 1.00 X X 0 0 0 RON LOWY DIRECTOR 0.00 1.00 X 0 0 0 BEN ROZSANSKY DIRECTOR 0.00 1.00 X 0 0 0 HARRY FRUHMAN FINANCIAL MANAGER/SECRETARY 0.00 40.00 X X 0 13462 0 DR WILLIAM ZUBKOFF CEO AND PRESIDENT 0.00 40.00 X 0 723500 23064 STEPHEN BEAUJON CHIEF FINANCIAL OFFICER 0.00 40.00 X 0 256950 34092 CAPTAIN MARVIN GREENWALD DIR. OF PROF. SERVICES 0.00 40.00 X 0 157899 3697 JOYCE GALBUT CHIEF NURSING OFFICER 0.00 40.00 X 0 225100 13657 DESIREE SEBASTIAN REGIONAL ADMINISTRATOR 10.00 30.00 X 70734 142554 13530 70734 1519465 88040 0 0 1 0 OMNICARE OF SOUTH FLORIDA INC 2955 WEST CORPORATE LAKES BLVD SU WESTON FL 33331 PHARMACY SERVICES 509369 SYSCO SOUTH FLORIDA INC 12500 SYSCO WAY MEDLEY FL 33178 FOOD SERVICES 400726 IDOQUIN OF FLORIDA 1 COMPANY 3742 NW 81ST STREET MIAMI FL 33147 CONSTRUCTION SERVICES 278033 GREENBERG TRAURIG LLP 2101 L STREET NW SUITE 100 WASHINGTON DC 20037 LEGAL SERVICES 146200 4 NET RESIDENT SERVICE REVENUE 623000 14595244 14595244 14595244 18 18 14595262 14595244 0 18 6445558 6228203 217355 38529 38529 617078 582625 34453 464605 448802 15803 135261 135261 31760 31760 1184511 218276 966235 4676 3205 1471 794569 621626 172943 2152447 2090778 61669 5946 2153 3793 533 533 309978 309978 435991 194667 241324 HOME OFFICE COSTS 997055 997055 BAD DEBTS 569353 569353 FOOD 504519 504519 PHARMACEUTICALS 392851 392851 28121 5653 22468 15113341 11901240 3212101 0 430165 608834 3328165 2311054 71100 307639 3047445 1223858 1783655 1823587 0 10896889 11174224 16509974 16225338 1162038 1345793 183964 5501 176006 203095 255240 1549097 1782540 X 14960877 14442798 14960877 14442798 16509974 16225338 -518079 0 X X 0 1 X 1 0 X 14413510 16228565 16252144 15092448 14595244 76581911 14413510 16228565 16252144 15092448 14595244 76581911 0 0 0 76581911 365 874 830 375 18 2462 365 874 830 375 18 2462 55729 97066 152795 14469604 16229439 16350040 15092823 14595262 76737168 0.99800 0.99800 0.00000 X 1 48459 63591 0 1856362 538052 1318310 904046 454550 449496 287037 231256 55781 1823587 DUE FROM AFFILIATES 10857055 DEPOSITS 1891 RESIDENT REFUND 4133 ESTIMTED THIRD PARTY SETTLEMENT 311145 11174224 ACCRUED WORKERS COMPENSATION 179299 OVERPAYMENT LIABILITY 75941 255240 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 1 0 0 0 DR WILLIAM ZUBKOFF CEO AND PRESIDENT 0 550000 0 53500 0 120000 0 5100 0 17964 0 746564 0 0 STEPHEN BEAUJON CHIEF FINANCIAL OFFICER 0 219450 0 37500 0 0 0 4970 0 29122 0 291042 0 0 CAPTAIN MARVIN GREENWALD DIR. OF PROF. SERVICES 0 134399 0 23500 0 0 0 3158 0 539 0 161596 0 0 JOYCE GALBUT CHIEF NURSING OFFICER 0 201600 0 23500 0 0 0 4502 0 9155 0 238757 0 0 DESIREE SEBASTIAN REGIONAL ADMINISTRATOR 62234 127554 8500 15000 0 0 0 4248 0 9282 70734 156084 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. PART I, LINE 6 THE ORGANIZATION UTILIZES A COMPOSITE FORMULA BASED ON BOTH OPERATING AND FINANCIAL RESULTS TO DETERMINE INCENTIVE COMPENSATION PAID TO THE ADMINISTRATOR AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM. GREENBERG TRAURIG LLP ENTITY OF WHICH THE ORGANIZATION'S ASSISTANT SECRETARY IS A PARTNER 146200 LEGAL FEES. 0 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, LINE 1A ALL OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES, WITH THE EXCEPTION OF DESIREE SEBASTIAN AND DALIA GONZALEZ, 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 A 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 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 TAX-EXEMPT AFFILIATES FL 501(C)(3) LINE 11B, II HEBREW HOMES HEALTH NETWORK INC 1 HEBREW HOMES 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 HOMES 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 HOMES 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 A SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATE FL 501(C)(3) LINE 11B, II HEBREW HOMES HEALTH NETWORK INC 1 JACKSON PLAZA INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040926 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 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 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 A SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATE 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 A 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 A 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 1687320 2071759 1.00000 1 0 0 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 HEBREW HOMES HEALTH NETWORK INC D 11064964 HISTORICAL COST HEBREW HOMES CAPTIVE SERVICES INC M 224811 HISTORICAL COST HEBREW HOMES MANAGEMENT SERVICES INC M 997056 HISTORICAL COST PONCE PLAZA PROPERTIES INC K 1621872 HISTORICAL COST PONCE PLAZA PROPERTIES INC E 207909 HISTORICAL COST