DGN III INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
DGN III INC (EIN 27-3293469)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201421349349306582
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T16:00:40-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN273293469EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DGN III INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDGNINameControl
Phone3057518626Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15200 NE 2ND AVEAddressLine1
CityMIAMICity
StateFLState
ZIP Code33137ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN F KELLEHERName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2013-11-13DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Initial ReturnXInitialReturn

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1JEFFREY FREIMARKBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15200 NE 2ND AVEAddressLine1
CityMIAMICity
StateFLState
ZIP Code33137ZIPCode
FieldValueIRS element (for citing)
Gross Receipts162022GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteMIAMIJEWISHHEALTHSYSTEMS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2010YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION'S MISSION IS TO PROVIDE AFFORDABLE SUPPORTIVE HOUSING FOR THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year22156ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY3107ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year48InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year136711OtherRevenueCurrentYear
Total Revenue Prior Year0TotalRevenuePriorYear
Total Revenue Current Year162022TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year0OtherExpensePriorYear
Other Expenses Current Year87823OtherExpensesCurrentYear
Total Expenses Prior Year0TotalExpensesPriorYear
Total Expenses Current Year87823TotalExpensesCurrentYear
Revenues Less Expenses Prior Year0RevenuesLessExpensesPriorYear
Revenues Less Expenses CY74199RevenuesLessExpensesCY
Total Assets BOY2809074TotalAssetsBOY
Total Assets EOY11645212TotalAssetsEOY
Total Liabilities BOY2945785TotalLiabilitiesBOY
Total Liabilities EOY11707723TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-136711NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-62511NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION'S MISSION IS TO PROVIDE AFFORDABLE SUPPORTIVE HOUSING FOR THE ELDERLY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense87823Expense
Revenue3107Revenue
DescriptionTHE ORGANIZATION WAS FORMED TO BE A SINGLE ASSET CORPORATION FOR FUNDING THE DEVELOPMENT, CONSTRUCTION AND OPERATION OF A LOWER-INCOME ELDERLY PERSONS HOUSING FACILITY THROUGH SECTION 202 PROGRAM OF THE HOUSING ACT OF 1959 WITH RENTAL SUBSIDY THROUGH THE SECTION 8 PROGRAM. THE PROJECT WILL BE AN INDEPENDENT LIVING COMPLEX DESIGNED WHOLLY FOR LOWER-INCOME ELDERLY PERSONS. THE ORGANIZATION IS SPONSORED BY MIAMI JEWISH HEALTH SYSTEMS, INC. A FLORIDA NON-PROFIT CORPORATION, AND IS AN OUTREACH OF ITS HOUSING COMMITMENT. THE ORGANIZATION WILL PROVIDE HOUSING FOR LOWER-INCOME ELDERLY PERSONS AS REGULATED UNDER THE SECTION 202 AND SECTION 8 PROGRAMS AS ADMINISTERED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT BY INCREASING THE AVAILABILITY OF HOUSING FOR SUCH INDIVIDUALS AND PROVIDING AN ALTERNATIVE TO THE SUBSTANDARD AND INSTITUTIONAL TYPE OF HOUSING IN WHICH MANY LOWER-INCOME ELDERLY PEOPLE NOW RESIDE.Description
Total Program Service Expense87823TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Miami Jewish Health Systems IncBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3057518626TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15200 NE 2nd AveAddressLine1
CityMiamiCity
StateFLState
ZIP Code33137ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
JEFFREY FREIMARK
CEO1.0049.00XX01011412499819
ALFRED KATZIN
Chairman1.005.00X000
CARL SHECHTER
Director1.003.00X000
DR RITA GUGEL
Director1.003.00X000
ELLIOT SKLAR PHD
Director1.002.00X000
FERDINAND DEBERARDINIS
Director1.003.00X000
RENEE LEFTON
Director1.003.00X000
LISA JO DESMARTEAU
Chief Financial Officer1.0049.00X054665813420
MORRIS S FUNK
Chief Operating Officer4.0046.00051259418428X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2070664TotalReportableCompFrmRltdOrgs
Total Other Compensation531667TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants22156GovernmentGrants
Total Contributions22156TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT RENTAL INCOME62399031073107
0
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue3107TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column48TotalRevenueColumn
Exclusion$48ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

Total Revenue ColumnTotalRevenueColumn
0
0
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column136711TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$136,711ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue136711TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column162022TotalRevenueColumn
Related Or Exempt Function Income3107RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$136,759ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10Total
Program Services10ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total14700Total
Program Services14700ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3149Total
Program Services3149ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1031Total
Program Services1031ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total1063Total
Program Services1063ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total9090Total
Program Services9090ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total48622Total
Program Services48622ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2611Total
Program Services2611ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
CONTRACTS38273827
SUPPLIES30343034
LOCAL TRANSPORTATION3030
LICENSES656656

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total87823Total
Program Services87823ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11280BOY
EOY16839EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY10048EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY1026169EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10632769LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec48623LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2797794BOY
EOY10584146EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY8010EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2809074BOY
EOY11645212EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY896272EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2945785BOY
EOY10811451EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2945785BOY
EOY11707723EOY

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-136711BOY
EOY-62511EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-136711BOY
EOY-62511EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2809074BOY
EOY11645212EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses74199ReconcilationRevenueExpenses
Reconcilation Prior Adjustment1ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year22156CurrentTaxYear
Total22156Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Total0Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year22156CurrentTaxYear
Total22156Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total50922156PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year48CurrentTaxYear
Total48Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year48CurrentTaxYear
Total48Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year139818CurrentTaxYear
Total139818Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year162022CurrentTaxYear
Total162022Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509
General ExplanationSCHEDULE A, PART III, LINE 12, OTHER INCOME, DESCRIPTION - , COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 139818, COLUMN F - 139818;GeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8743121OtherCostOrOtherBasis
Depreciation36430Depreciation
Book Value8706691BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis794870OtherCostOrOtherBasis
Depreciation10247Depreciation
Book Value784623BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1094778OtherCostOrOtherBasis
Depreciation1946Depreciation
Book Value1092832BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10584146TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$192,419
HUD CAPITAL ADVANCE$10,612,544
SECURITY DEPOSITS$6,488
FieldValueIRS element (for citing)
Total Of Amounts10811451TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierLAND, BLDG. AND EQUIPMENT - OTHERIdentifier
Return ReferenceSCHEDULE D, PART VReturnReference
ExplanationOTHER ASSETS RELATE TO THE CONSTRUCTION IN PROGRESS OF A THIRD TOWER ON LEASED LANDExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JEFFREY FREIMARK
CEO07500000250000011412049081009009015112310991528
LISA JO DESMARTEAU
CHIEF FINANCIAL OFFICER03580120179006096400881304607056007800
MORRIS S FUNK
CHIEF OPERATING OFFICER037250101303750971801000008428053102200

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierArrangement used to establish the top management official's compensationIdentifier
Return ReferenceSchedule J, Part I, Line 3ReturnReference
ExplanationALL OTHER SENIOR LEADERSHIP POSITIONS' COMPENSATION IS ESTABLISHED BY THE CEO, AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, UTILIZING SALARY SURVEYS AND COMPARABLE WAGE INFORMATION.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aTHE ORGANIZATION'S SOLE MEMBER, MIAMI JEWISH HEALTH SYSTEMS, INC., HAS THE AUTHORITY TO APPOINT MEMEBERS TO THE BOARD OF DIRECTORS
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bDECISIONS OF THE ORGANIZATION'S BOARD OF DIRECTORS ARE SUBJECT TO THE APPROVAL OF ITS SOLE MEMBER, MIAMI JEWISH HEALTH SYSTEMS, INC.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE CHIEF FINANCIAL OFFICER AND EXECUTIVE DIRECTOR OF FINANCE CONDUCT A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED. A COPY OF THE RETURN, AS ULTIMATELY FILED, IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS, PHYSICIANS ON STAFF AND KEY EMPLOYEES, EACH OF WHOM IS REQUIRED TO COMPLETE AND SUBMIT A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE CHIEF COMPLIANCE OFFICER MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED BY THE ANNUAL DISCLOSURE PROCESS. OFFICERS AND DIRECTORS ARE PROHIBITED FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS OF INTEREST EXIST.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aCERTAIN MEMBERS OF THE SENIOR LEADERSHIP TEAM OF MIAMI JEWISH HEALTH SYSTEMS HAVE OPERATIONAL AND OVERSIGHT RESPONSIBILITIES FOR 13 AFFILIATED/RELATED ENTITIES. TOTAL COMPENSATION, AS DISCLOSED, MAY BE ALLOCATED THROUGH MANAGEMENT AGREEMENTS OR INDIRECT OVERHEAD ALLOCATIONS THE COMPENSATION PACKAGE FOR THE CHIEF EXECUTIVE OFFICER IS SET ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS UTILIZING SALARY SURVEYS, COMPARABLE WAGE INFORMATION, AND AN INDEPENDENT COMPENSATION STUDY AND OPINION BY TOWERS WATSON & CO. .
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bALL SENIOR LEADERSHIP POSITIONS' COMPENSATION IS ESTABLISHED BY THE CEO, AND APPROVED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, UTILIZING SALARY SURVEYS AND COMPARABLE WAGE INFORMATION.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
ALLOCATION OF AVERAGE HOURSFORM 990, PART VII, SECTION A, LINE 1ATHIS ENTITY IS ONE OF THIRTEEN AFFILIATED/RELATED ORGANIZATIONS. CERTAIN MEMBERS OF THE SENIOR LEADERSHIP TEAM OF THE MIAMI JEWISH HEALTH SYSTEM (THE CONTROLLING ENTITY) HAVE DIRECT AND INDIRECT OVERSIGHT AND OPERATIONAL RESPONSIBILITIES AMONG THE VARIOUS ENTITIES. THE ALLOCATIONS OF EMPLOYEE HOURS REFLECTED ON THIS RETURN REFLECT THE PORTION OF A 50-HOUR WORK WEEK SPENT BY EACH RESPECTIVE INDIVIDUAL IN THEIR REALM OF RESPONSIBILITY TO THE ORGANIZATION.
FORM 990, PART XI, LINE 2B AUDIT OF FINANCIAL STATEMENTSFORM 990, PART XI, LINE 2THE ORGANIZATION IS A SUBSIDIARY OF MIAMI JEWISH HEALTH SYSTEMS, INC. ITS FINANCIAL STATEMENTS WERE AUDITED AS PART OF A CONSOLIDATED FINANCIAL STATEMENT.
PART XI, LINE 2C - OVERSIGHT OF AUDITFORM 990, PART XI, LINE 2THE AUDIT COMMITTEE HAS THE RESPONSIBILITY FOR THE OVERSIGHT OF AUDIT, RELATED INCOME TAX FILINGS AND SELECTION OF AN INDEPENDENT ACCOUNTING FIRM. THERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PREVIOUS YEAR.
AUDIT OF FINANCIAL STATEMENTSFORM 990, PART XII, LINE 2BTHE ORGANIZATION IS A SUBSIDIARY OF MIAMI JEWISH HEALTH SYSTEMS, INC. ITS FINANCIAL STATEMENTS WERE AUDITED AS PART OF A CONSOLIDATED FINANCIAL STATEMENT.
OVERSIGHT OF AUDITFORM 990, PART XII, LINE 2CTHE AUDIT COMMITTEE HAS THE RESPONSIBILITY FOR THE OVERSIGHT OF AUDIT, RELATED INCOME TAX FILINGS AND SELECTION OF AN INDEPENDENT ACCOUNTING FIRM. THERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PREVIOUS YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MIAMI JEWISH HEALTH SYSTEMS INC
5200 NE 2ND AVEMIAMIFL33137HEALTHCAREFL501(C)(3)7N/Afalse
DOUGLAS GARDENS ACQUISITIONS INC
5200 NE 2ND AVEMIAMIFL33137HOLDING PROPERTY TITLE AND RENT COLLECTIONFL501(C)(2)11falseMIAMI JEWISH HEALTH SYSTEMS INC
STEIN GERENTOLOGICAL INSTITUTE INC
5200 NE 2ND AVEMIAMIFL33137GERENTOLOGICAL RESEARCHFL501(C)(3)11falseMIAMI JEWISH HEALTH SYSTEMS INC
DOUGLAS GARDENS HOLDING CORP INC
5200 NE 2ND AVEMIAMIFL33137HOLDING PROPERTY TITLE AND RENT COLLECTIONFL501(C)(2)11falseMIAMI JEWISH HEALTH SYSTEMS INC
DGN INC
5200 NE 2ND AVEMIAMIFL33137LOW INCOME HOUSING FOR THE ELDERLYFL501(C)(3)9falseMIAMI JEWISH HEALTH SYSTEMS INC
FLORIDA PATHWAYS INC
5200 NE 2ND AVEMIAMIFL33137HOLDING PROPERTY LEASEFL501(C)(3)7falseMIAMI JEWISH HEALTH SYSTEMS INC
DOUGLAS GARDENS THRIFT SHOP INC
5713 NW 27TH AVEMIAMIFL33137PROGRAM SUPPORTFL501(C)(3)11falseMIAMI JEWISH HEALTH SYSTEMS INC
DOUGLAS GARDENS HOME CARE INC
5200 NE 2ND AVEMIAMIFL33137HEALTHCAREFL501(C)(3)11falseMIAMI JEWISH HEALTH SYSTEMS INC
DOUGLAS GARDENS SENIOR HOUSING INC -
5200 NE 2ND AVEMIAMIFL33137MANAGEMENT SERVICESFL501(C)(3)11falseMIAMI JEWISH HEALTH SYSTEMS INC
DGN II INC
5200 NE 2ND AVEMIAMIFL33137LOW INCOME HOUSING FOR THE ELDERLYFL501(C)(3)9falseMIAMI JEWISH HEALTH SYSTEMS INC
MIAMI JEWISH HEALTH SYSTEMS FOUNDATION INC
5200 NE 2ND AVEMIAMIFL33137INVESTMENT OF CONTRIBUTIONSFL501(C)(3)9falseMIAMI JEWISH HEALTH SYSTEMS INC
FLORIDA PACE CENTER INC
5200 NE 2ND AVEMIAMIFL33137HEALTHCAREFL501(C)(3)9falseMIAMI JEWISH HEALTH SYSTEMS INC
DOUGLAS GARDENS HOSPICE INC
5200 NE 2ND AVEMIAMIFL33137HOSPICE CARE SERVICESFL501(C)(3)9falseMIAMI JEWISH HEALTH SYSTEMS INC
WOLFCYPEN FOUNDATION
5200 NE 2ND AVEMIAMIFL33137INVESTMENT OF CONTRIBUTIONSFL501(C)(3)11falseMIAMI JEWISH HEALTH SYSTEMS INC

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1DOUGLAS GARDENS AT CORAL WAY INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15200 NE 2ND AVENUEAddressLine1
CityMIAMICity
StateFLState
ZIP Code33137ZIPCode
FieldValueIRS element (for citing)
EIN260849165EIN
Primary ActivityIMAGING CENTERPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MIAMI JEWSIH HEALTH SYSTEMS INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPORATIONTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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