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 020755960 SOUTH BEACH NURSING AND REHABILITATION CENTER INC SOUT 3059170460 1800 NE 168TH STREET NO 200 N MIAMI BEACH FL 33162 DR WILLIAM ZUBKOFF PRESIDENT & CHIEF EXECUTIVE OFFICER 3059170460 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 15372515 0 X WWW.HEBREWHOMES.ORG X 2005 FL THE ORGANIZATION'S MISSION IS TO PROVIDE DIGNIFIED CARE IN A HOME-LIKE ATMOSPHERE TO OUR RESIDENTS AND OUR FAMILIES. 7 4 324 14 0 0 0 0 15919846 15368800 571 44 2071 3671 15922488 15372515 0 0 0 0 8787243 8492482 0 0 0 6274574 6601742 15061817 15094224 860671 278291 7358271 7212852 2621474 2197759 4736797 5015093 X THE ORGANIZATION'S MISSION IS TO PROVIDE DIGNIFIED CARE IN A HOME-LIKE ATMOSPHERE TO OUR RESIDENTS AND OUR FAMILIES. 0 0 12741290 15372471 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 200,500 MEALS, EACH MEAL TAILORED TO THE RESIDENTS' DIETARY REQUIREMENTS- ADMINISTERING 28,000 MEDICATIONS- PROVIDING 36,500 PHYSICAL, SPEECH, AND OCCUPATIONAL UNITS OF TREATMENT- COORDINATING 3,250 RESIDENT ACTIVITIES INCLUDING FAMILY NIGHT DINNERS, INTER-GENERATIONAL PROGRAMS, HOLIDAY AND BIRTHDAY CELEBRATIONS, ENTERTAINMENT DAYS AND FIELD TRIPS. 12741290 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 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 324 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 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 STEHPEN BEAUJON CHIEF FINANCIAL OFFICER 0.00 40.00 X 0 256950 34092 CAPTAIN MARVIN GREENWALD DIRECTOR OF PROFESSIONAL S 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 0.00 40.00 X 71277 159554 13530 RACHEL SCHUSTER ADMINISTRATOR 20.00 20.00 X 135374 11150 17365 206651 1547615 105405 1 0 1 0 US FOOD SERVICE INC PO BOXC 281838 ATLANTA GA 303841838 FOOD SERVICE 272826 OMNICARE OF SOUTH FLORIDA 2955 WEST CORPORATE LAKES BLVDSTE WESTON FL 33331 PHARMACY SERVICE 201380 SYSCO SOUTH FLORIDA INC 12500 SYSCO WAY MEDLEY FL 33178 FOOD SERVICE 153784 GREENBERG TRAURIG LLP 2101 L STREET NW SUITE 100 WASHINGTON DC 20037 LEGAL SERVICES 101616 4 NET RESIDENT SERVICE REVENUE 623000 15368800 15368800 15368800 44 44 MISCELANEOUS REVENUE 623000 3671 3671 3671 15372515 15372471 0 44 7323703 6946267 377436 105307 102390 2917 526380 484379 42001 537092 510276 26816 103193 103193 31957 31957 477675 438311 39364 1594560 65412 1529148 2505 2505 2455210 2415732 39478 2460 1480 980 4643 4643 168411 168411 356126 221879 134247 SUPPLIES 1138154 1126770 11384 BAD DEBTS 229417 229417 EQUIPMENT REPAIRS 15588 11021 4567 EQUIPMENT RENTAL 12397 12397 9446 9446 15094224 12741290 2352934 0 621939 476428 105508 42422 2070509 1532462 352221 135474 1834701 1046745 680361 787956 3527733 4238110 7358271 7212852 1204252 1304639 81344 79817 1335878 813303 2621474 2197759 X 4736797 5015093 4736797 5015093 7358271 7212852 X 278291 5 X X 0 1 X 1 0 X 1150 1150 16443001 18077151 18421012 15919850 15368800 84229814 16443001 18078301 18421012 15919850 15368800 84230964 0 0 0 84230964 709 951 3225 571 44 5500 709 951 3225 571 44 5500 1091 5565 1120 2071 3671 13518 16444801 18084817 18425357 15922492 15372515 84249982 0.99980 0.99980 0.00010 0.00010 X 1 90867 59352 0 1082457 495276 587181 329407 220941 108466 422837 330528 92309 787956 DEPOSITS 143610 DUE FROM AFFILIATES 4092580 AMOUNTS HELD IN ESCROW 1920 4238110 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 810376 DUE TO MEDICARE SEQUESTRATION 2927 813303 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 STEHPEN BEAUJON CHIEF FINANCIAL OFFICER 0 256950 0 0 0 0 0 4970 0 29122 0 291042 0 0 CAPTAIN MARVIN GREENWALD DIRECTOR OF PROFESSIONAL S 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 63777 143554 7500 16000 0 0 1426 2822 0 9282 72703 171658 0 0 RACHEL SCHUSTER ADMINISTRATOR 123124 11150 12250 0 0 0 2708 0 14657 0 152739 11150 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. SOUTH POINTE HEIGHTS LC ENTITY PARTIALLY OWNED BY THE CHAIRMAN OF THE BOARD OF DIRECTORS. 1843804 PROPERTY LEASE PAYMENTS AND PROPERTY TAX PAYMENTS TO SOUTH POINTE HEIGHTS LC, AN ENTITY THAT IS PARTIALLY OWNED BY THE CHAIRMAN OF THE BOARD. 0 GREENBERG TRAURIG LLP ENTITY OF WHICH THE ORGANIZATION'S ASSISTANT SECRETARY IS A PARTNER. 101616 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 RACHEL SCHUSTER, JENNIFER ENRIQUEZ AND DESIREE SEBASTIAN, ARE COMPENSATED BY A RELATED ORGANIZATION, HEBREW HOMES MANAGEMENT SERVICES, INC., AND PERFORM SERVICES FOR ALL ENTITIES WITHIN THE CONSOLIDATED GROUP. FORM 990, PART XI, LINE 9: ROUNDING 5. 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 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 ITS 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 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 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 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 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 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 TO PROVIDE HEALTHCARE SERVICES AND SUPPORT 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 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 HEBREW HOMES HEALTH NETWORK INC D 4092580 HISTORICAL COST HEBREW HOMES CAPTIVE SERVICES INC M 254084 HISTORICAL COST HEBREW HOMES MANAGEMENT SERVICES INC M 1334128 HISTORICAL COST