2013-04-17T11:29:38-05:00 2012-06-30 593070669 MOORE STEPHENS LOVELACE PA 311 PARK PLACE BLVD SUITE 100 CLEARWATER FL 33759 990 2011-07-01 200904526 INSTITUTE FOR SENIOR LIVING OF FLORIDA INC INST 2153466454 TWO BALA CYNWYD PLAZA NO 300 BALA CYNWYD PA 19004 HOWARD JAFFE 2153466454 2013-04-17 1 MELANIE A MCPEAK P01346034 7275314477 2011 2016-03-07 17:11:31Z X HOWARD JAFFE TWO BALA CYNWYD PLAZA NO 300 BALA CYNWYD PA 19004 40944670 0 X N/A X 2004 FL TO OPERATE ONE OR MORE NURSING HOMES OR PROVIDE OTHER HOUSING FOR THE ELDERLY, DEVELOP MEDICAL PROGRAMS FOR THE CARE OF THE ELDERLY AND TO EDUCATE AND TRAIN HEALTHCARE PERSONNEL IN THE PROPER CARE OF THE ELDERLY. 5 5 695 119 0 0 0 0 42572109 40905284 348 2910 0 36476 42572457 40944670 0 10000 0 0 15841450 15696329 0 0 0 24222485 24294329 40063935 40000658 2508522 944012 13775084 14372635 5020065 4673604 8755019 9699031 TO OPERATE ONE OR MORE NURSING HOMES OR PROVIDE OTHER HOUSING FOR THE ELDERLY, AND DEVELOP MEDICAL PROGRAMS FOR THE CARE OF THE ELDERLY AND TO EDUCATE AND TRAIN HEALTHCARE PERSONNEL IN THE PROPER CARE OF THE ELDERLY. 0 0 35589435 40941760 THE ORGANIZATION OPERATES SKILLED NURSING AND ASSISTED LIVING FACILITIES DEDICATED AND COMMITTED TO PROVIDING REHABILITATION AND LONG-TERM CARE FOR PATIENTS AND RESIDENTS, AND HOUSING AND ASSITANCE FOR THOSE PERSONS REQUIRING LESSER CARE, AND PROVIDES NUMEROUS ACTIVITIES AND PROGRAMS INCORPORATING AND PROMOTING FAMILY ACTIVITIES AND INVOLVEMENT WITH RESIDENTS AND STAFF. THESE ACTIVITIES PROMOTE A NORMALIZED CARE ENVIRONMENT. THE COMBINED CAPACITY OF THE SKILLED NURSING FACILITIES IS 360 BEDS. THE COMBINED CAPACITY OF THE ASSISTED LIVING FACILITIES IS 297 UNITS. 35589435 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 91 0 1 695 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X AARON FETTES KANE FINANCIAL SERVICES 5612234300 1675 PALM BEACH LAKES BLVD SUITE WEST PALM BEACH FL 33401 NATE DUDLEY 1.00 X 8478 0 0 HOWARD JAFFE 1.00 X X 8000 0 0 PENNY RICHMOND 1.00 X 8000 0 0 BRIAN M WYATT 1.00 X 8000 0 0 ROBERT SCHMOLLINGER 1.00 X 8000 0 0 HARRY DILLON MADONNA 3.60 X X 25424 0 0 MARILYN CAMERON-FERNEZ 40.00 X 102078 0 5130 THERESA SCARBOROUGH 40.00 X 103313 0 2889 271293 0 8019 2 0 0 0 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 PHYSICAL THERAPY 3541814 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE STE 300 BENSALEM PA 19020 HOUSEKEEPING AND LAUNDRY 1074254 ANU HEALTH SERVICES LLC 1675 PALM BEACH LAKES BLVD STE 9 WEST PALM BEACH FL 33401 CONSULTING 741577 EPONA HEALTH SERVICES LLC 1675 PALM BEACH LAKES BLVD STE 9 WEST PALM BEACH FL 33401 CONSULTING 736061 ELEUS HEALTH SERVICES LLC 1675 PALM BEACH LAKES BLVD STE 9 WEST PALM BEACH FL 33401 CONSULTING 569451 8 PROGRAM SERVICE REVENU 623000 40905284 40905284 40905284 2910 2910 MISCELLANEOUS REVENUE 900099 36476 36476 36476 40944670 40941760 0 2910 10000 10000 65902 65902 13504765 12423386 1081379 883998 807602 76396 1241664 1136335 105329 239119 239119 63646 63646 8349302 6758376 1590926 83468 15548 67920 367541 16245 351296 6631881 6631881 83103 7298 75805 2174 268 1906 8970 8970 523860 523860 618533 267259 351274 STATE ASSESSMENT 1920740 1920740 PHARMACY 1512190 1512190 FOOD 1064412 1049421 14991 EQUIPMENT RENTAL 835215 754732 80483 1990175 1745324 244851 40000658 35589435 4411223 0 4579856 4391389 3586686 3966141 309287 212292 5208946 2319920 2915699 2889026 2383556 2913787 13775084 14372635 5020065 4575657 0 97947 5020065 4673604 X 8755019 9699031 8755019 9699031 13775084 14372635 944012 0 X X 0 1 1 X 0 X 1579 1579 37226852 38947329 41582336 42572109 40905284 201233910 37226852 38948908 41582336 42572109 40905284 201235489 0 0 0 201235489 13067 427 1622 348 2910 18374 13067 427 1622 348 2910 18374 36476 36476 37239919 38949335 41583958 42572457 40944670 201290339 0.99970 0.99990 0.00010 0.00010 X 1 88454 9190 79264 0 4190252 1973515 2216737 933409 307492 625917 85285 38913 46372 2889026 ASSETS WHOSE USE IS LIMITED 2798115 DEPOSITS 17355 DEFERRED FINANCING CHARGES 80083 OTHER RECEIVABLES 18234 2913787 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 97947 97947 40944670 40000658 944012 944012 40944670 0 40944670 0 40944670 40000658 0 40000658 0 40000658 PART IV, LINE 1B: THE ORGANIZATION OFFERS CASH MANAGEMENT SERVICES TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF THE RESIDENTS AND ARE DISBURSED AS REQUESTED. THE ORGANIZATION ACTS ONLY AS A CUSTODIAN. 1 FLORIDA HEALTH CARE ASSOCIATION 307 WEST PARK AVENUE TALLAHASSEE FL 32301 591229583 501(C)(6) 10000 GENERAL PURPOSE 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE CONSULTING COMPANY OF THE ORGANIZATION IS ON THE STEERING COMMITTEE OF THE FLORIDA HEALTHCARE ASSOCIATION (FHCA). THE ORGANIZATION HAS ASKED FHCA TO NOTIFY THEM AS TO WHAT THE GRANT MONEY IS BEING USED FOR BEFORE THE FUNDS ARE SPENT. DISBURSEMENTS FROM THE FUNDS ARE REVIEWED AND APPROVED BY A PAC ATTORNEY WHO VERIFIES THE EXPENDITURE IS ONE PERMITTED UNDER IRS REGULATIONS GOVERNING 501(C)(3) TAX EXEMPT ENTITIES. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE BOARD PRESIDENT AND THE CONSULTING COMPANY. THE RETURN IS PROVIDED TO ALL VOTING BOARD MEMBERS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS CONTAINED IN THE EMPLOYEE HANDBOOK. THE POLICY EXTENDS TO THE ORGANIZATION'S OFFICERS AND DIRECTORS. THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ITS ANNUAL DISCLOSURE PROCESS. THE BOARD REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS THE AUTHORITY TO FIX THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR AS WELL AS OTHER OFFICERS AND KEY EMPLOYEES. THE COMPENSATION LEVELS ARE SET BASED ON CONSULTATION WITH THE CONSULTING COMPANY. ALL PARTIES ARE INDEPENDENT WITH RESPECT TO THE COMPENSATION DECISIONS. COMPENSATION LEVELS ARE SET BASED ON CURRENT MARKET CONDITIONS, THE ECONOMY AND FUNDING SOURCES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT: FORM 990, PART XI, LINE 2C THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT IS ASSUMED BY THE GOVERNING BODY. THIS PROCESS HAS NOT CHANGED IN ANY WAY FROM THE PRIOR YEAR. ISLF DERWOOD PLACE - JACKSONVILLE LLC 8700 AC SKINNER PARKWAY JACKSONVILLE FL 32256 209083025 NURSING HOME, ELDERLY CARE FL INSTITUTE FOR SENIOR LIVING OF FLORIDA INC ISLF REGENTS PARK - WINTER PARK LLC 558 NORTH SEMORAN BLVD WINTER PARK FL 32792 200983133 NURSING HOME, ELDERLY CARE FL INSTITUTE FOR SENIOR LIVING OF FLORIDA INC ISLF WESTCHESTER OF SUNRISE LLC 9701 WEST OAKLAND PARK BLVD SUNRISE FL 33351 200983159 NURSING HOME, ELDERLY CARE FL INSTITUTE FOR SENIOR LIVING OF FLORIDA INC MATURE CARE INSURANCE CO PO BOX 64 SUITE C12 MARKET PLACE TK BWI 251900526 INSURANCE TK N/A C 32411 1531586 0.03810 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0