JACKSON PLAZA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
JACKSON PLAZA INC (EIN 65-1040926)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201333169349302163
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)
Timestamp2013-11-11T14:09:51-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN593070669EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOORE STEPHENS LOVELACE PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line114400 NW 77TH COURT SUITE 306AddressLine1
CityMIAMI LAKESCity
StateFLState
ZIP Code330161507ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN651040926EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JACKSON PLAZA INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJACKNameControl
Phone3059170428Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11800 NE 168TH STREET NO 200AddressLine1
CityN MIAMI BEACHCity
StateFLState
ZIP Code33162ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDR WILLIAM ZUBKOFFName
TitlePRESIDENT & CHIEF EXECUTIVE OFFICERTitle
Phone3059170428Phone
Date Signed2013-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAWRENCE SCHIFF CPAName
PTINP00479457PTIN
Phone3058199555Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDR WILLIAM ZUBKOFFNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11800 NE 168TH STREET NO 200AddressLine1
CityN MIAMI BEACHCity
StateFLState
ZIP Code33162ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12718926GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HEBREWHOMES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION'S MISSION IS TO PROVIDE DIGNIFIED CARE IN A HOME-LIKE ATMOSPHERE TO OUR RESIDENTS AND OUR FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees275TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13757664ProgramServiceRevenuePriorYear
Program Service Revenue CY12718705ProgramServiceRevenueCY
Investment Income Prior Year571InvestmentIncomePriorYear
Investment Income Current Year42InvestmentIncomeCurrentYear
Other Revenue Prior Year1165OtherRevenuePriorYear
Other Revenue Current Year179OtherRevenueCurrentYear
Total Revenue Prior Year13759400TotalRevenuePriorYear
Total Revenue Current Year12718926TotalRevenueCurrentYear
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 Year7149163SalariesEtcPriorYear
Salaries Etc Current Year7126763SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5537985OtherExpensePriorYear
Other Expenses Current Year5944365OtherExpensesCurrentYear
Total Expenses Prior Year12687148TotalExpensesPriorYear
Total Expenses Current Year13071128TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1072252RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-352202RevenuesLessExpensesCY
Total Assets BOY8215095TotalAssetsBOY
Total Assets EOY8191467TotalAssetsEOY
Total Liabilities BOY1018864TotalLiabilitiesBOY
Total Liabilities EOY1347438TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7196231NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6844029NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION'S PRIMARY OBJECTIVE IS TO PROVIDE DIGNIFIED CARE IN A HOME-LIKE ATMOSPHERE TO OUR RESIDENTS AND OUR FAMILIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11317178Expense
Revenue12718884Revenue
DescriptionSEE 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 123,570 MEALS, EACH MEAL TAILORED TO THE RESIDENTS' DIETARY REQUIREMENTS- ADMINISTERING 19,889 MEDICATIONS- PROVIDING 68,649 PHYSICAL, SPEECH, AND OCCUPATIONAL TREATMENTS- COORDINATING 2,538 RESIDENT ACTIVITIES INCLUDING FAMILY NIGHT DINNERS, INTER-GENERATIONAL PROGRAMS, HOLIDAY AND BIRTHDAY CELEBRATIONS, ENTERTAINMENT DAYS AND FIELD TRIPS.Description
Total Program Service Expense11317178TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees275NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HAL STERNBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3059170428TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11800 NE 168TH STREET SUITE 200AddressLine1
CityNORTH MIAMI BEACHCity
StateFLState
ZIP Code33162ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RUSSELL GALBUT
CHAIRMAN0.004.00XX000
DANIEL M HOLTZ
VICE CHAIRMAN0.001.00XX000
DR RAFAEL SOTO
VICE PRESIDENT0.0010.00XX0420000
BENZION KORF
SECRETARY0.001.00XX000
MARTIN WASSERMAN
TREASURER0.001.00XX000
JOAN BRENT
DIRECTOR0.001.00X000
ALLAN HIRSCHFIELD
DIRECTOR0.001.00X000
DR SANFORD ZIFF
DIRECTOR0.001.00X000
MICHAEL ALLER
DIRECTOR0.001.00X000
ALAN G RANDOLPH
DIRECTOR0.001.00X000
CASEY KLEIN
DIRECTOR0.001.00X000
YOSSI DUCHMAN
DIRECTOR0.001.00X000
DR WILLIAM ZUBKOFF
CEO AND PRESIDENT0.0040.00X062100022069
WILLIAM ECK
ASSISTANT SECRETARY0.001.00X000
STEPHEN BEAUJON
CHIEF FINANCIAL OFFICER0.0040.00X027045032665
CAPTAIN MARVIN GREENWALD
DIR. OF PROF. SERVICES0.0040.0001653992985X
JOYCE GALBUT
CHIEF NURSING OFFICER0.0040.00023260016349X
EYTA BRAFMAN
DIR. OF PLANNING & SYS DEV0.0040.00021910132047X
TERESITA GARCIA
ADMINISTRATOR40.000.00152565011934X
FieldValueIRS element (for citing)
Total Reportable Comp From Org152565TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1550550TotalReportableCompFrmRltdOrgs
Total Other Compensation118049TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
OMNICARE OF SOUTH FLORIDA
2955 WEST CORPORATE LAKES BLVD STWESTONFL33331PHAMARCY SERVICE505508
IDOQUIN OF FLORIDA 1 COMPANY
3742 NW 81ST STREETMIAMIFL33147CONSTRUCTION180217
SYSCO SOUTH FLORIDA INC
12500 SYSCO WAYMEDLEYFL33178FOOD SERVICE143450
TRI STATE SURGICAL & EQUIP SUPPLY
409 HOYT STREETBROOKLYNNY11231MEDICAL SUPPLIES110426
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET RESIDENT SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column12718705TotalRevenueColumn
Related Or Exempt Function Income12718705RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12718705TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column42TotalRevenueColumn
Exclusion$42ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column179TotalRevenueColumn
Related Or Exempt Function Income179RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue179TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12718926TotalRevenueColumn
Related Or Exempt Function Income12718884RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$42ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6050265Total
Program Services5759896ProgramServices
Management And General290369ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total75004Total
Program Services72827ProgramServices
Management And General2177ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total556791Total
Program Services520995ProgramServices
Management And General35796ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total444703Total
Program Services425788ProgramServices
Management And General18915ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total90806Total
Management And General90806ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total27056Total
Management And General27056ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1142977Total
Program Services1077635ProgramServices
Management And General65342ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3267Total
Management And General3267ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total972832Total
Program Services85681ProgramServices
Management And General887151ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1948Total
Program Services1948ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1696212Total
Program Services1696212ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total40913Total
Program Services38301ProgramServices
Management And General2612ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3842Total
Program Services3842ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total87249Total
Program Services87249ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total418655Total
Program Services142246ProgramServices
Management And General276409ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1205367116109644271
BAD DEBTS175914175914
EQUIPMENT RENTAL4443444434
EQUIPMENT REPAIRS32893231149779

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13071128Total
Program Services11317178ProgramServices
Management And General1753950ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY26033BOY
EOY423180EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY298516BOY
EOY23305EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1367792BOY
EOY1360540EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY35093BOY
EOY28729EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis957044LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec433527LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY311336BOY
EOY523517EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6176325BOY
EOY5832196EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8215095BOY
EOY8191467EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY970818BOY
EOY1310634EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY39515BOY
EOY35536EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8531BOY
EOY1268EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1018864BOY
EOY1347438EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7196231BOY
EOY6844029EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7196231BOY
EOY6844029EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8215095BOY
EOY8191467EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-352202ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10386002CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11476978CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13040310CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13757664CurrentTaxYearMinus1Year
Current Tax Year12718705CurrentTaxYear
Total61379659Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10386002CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11476978CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13040310CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13757664CurrentTaxYearMinus1Year
Current Tax Year12718705CurrentTaxYear
Total61379659Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50961379659PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years359CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2356CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years642CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year571CurrentTaxYearMinus1Year
Current Tax Year42CurrentTaxYear
Total3970Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years359CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2356CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years642CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year571CurrentTaxYearMinus1Year
Current Tax Year42CurrentTaxYear
Total3970Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years109CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33446CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year1165CurrentTaxYearMinus1Year
Current Tax Year179CurrentTaxYear
Total34899Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10386470CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11512780CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13040952CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13759400CurrentTaxYearMinus1Year
Current Tax Year12718926CurrentTaxYear
Total61418528Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99940PublicSupportPercentage509
Prior Year Support Percentage0.99900PriorYearSupportPercentage
Investment Income Percentage0.00010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00010PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance34470BeginningBalance
Additions During Year13793AdditionsDuringYear
Ending Balance48263EndingBalance
Included On FS0IncludedOnFS

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis429144OtherCostOrOtherBasis
Depreciation100154Depreciation
Book Value328990BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis359525OtherCostOrOtherBasis
Depreciation197660Depreciation
Book Value161865BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis168375OtherCostOrOtherBasis
Depreciation135713Depreciation
Book Value32662BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings523517TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DEPOSITS5800
DUE FROM AFFILIATES5736493
ESTIMATED THIRD PARTY SETTLEMENTS89903
FieldValueIRS element (for citing)
Total Book Value Other Assets5832196TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLEASE OBLIGATIONDescription
Amount$1,268Amount
FieldValueIRS element (for citing)
Total Of Amounts1268TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
Return ReferencePART IV, LINE 1B:ReturnReference
ExplanationTHE ORGANIZATION OFFERS A CASH MANAGEMENT SERVICE TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF THE RESIDENT, TO BE DISBURSED ONLY AS REQUESTED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 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
DR WILLIAM ZUBKOFF
CEO AND PRESIDENT05500000710000005000017069064306900
STEPHEN BEAUJON
CHIEF FINANCIAL OFFICER02194500510000005000027665030311500
CAPTAIN MARVIN GREENWALD
DIR. OF PROF. SERVICES013439903100000024700515016838400
JOYCE GALBUT
CHIEF NURSING OFFICER02016000310000004652011697024894900
EYTA BRAFMAN
DIR. OF PLANNING & SYS DEV01881010310000004382027665025114800
TERESITA GARCIA
ADMINISTRATOR1359650166000003051088830164499000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 3THE 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 6THE 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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2JOYCE GALBUT, THE ORGANIZATION'S CHIEF NURSING OFFICER, IS THE WIFE OF WILLIAM ZUBKOFF, THE CEO AND PRESIDENT.
FORM 990, PART VI, SECTION B, LINE 11THE CHAIRMAN, PRESIDENT, DIRECTOR OF COMPLIANCE, COMPLIANCE COMMITTEE, CHIEF FINANCIAL OFFICER AND CONTROLLER CONDUCT A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15THE 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990,PART VII, LINE 1AALL OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES, WITH THE EXCEPTION OF TERESITA GARCIA, ARE COMPENSATED BY A RELATED ORGANIZATION, HEBREW HOMES MANAGEMENT SERVICES, INC., AND PERFORM SERVICES FOR ALL ENTITIES WITHIN THE CONSOLIDATED GROUP.AVG. HOURS-PAID OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES
FORM 990, PART XII, LINE 2BTHE ORGANIZATION IS A SUBSIDIARY OF HEBREW HOMES HEALTH NETWORK, INC. ITS FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS.AUDIT OF FINANCIAL STATEMENTS:
FORM 990, PART XII, LINE 2CTHE 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.OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (19 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ARCH PLAZA INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162651040917OPERATES A NURSING FACILITYFL501(C)(3)LINE 9HEBREW HOMES HEALTH NETWORK INC1
AVENTURA PLAZA INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162830500199RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATEFL501(C)(3)LINE 11B, IIHEBREW HOMES HEALTH NETWORK INC1
HEBREW HOMES HEALTH NETWORK INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162651040936ORGANIZES THE ACTIVITIES OF ITS TAX-EXEMPT AFFILIATESFL501(C)(3)LINE 11B, II1N/A
HEBREW HOMES HEALTH NETWORK FOUNDATION INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162651040934CONDUCTS FUNDRAISING ACTIVITIES ON BEHALF OF ITS TAX-EXEMPT AFFILIATESFL501(C)(3)LINE 11B, IIHEBREW HOMES HEALTH NETWORK INC1
HEBREW HOMES MANAGEMENT SERVICES INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162651040928PROVIDES MANAGEMENT SERVICES TO ITS TAX-EXEMPT AFFILIATESFL501(C)(3)LINE 11B, IIHEBREW HOMES HEALTH NETWORK INC1
HEBREW HOME OF NORTH DADE INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162651040912OPERATES A NURSING FACILITYFL501(C)(3)LINE 9HEBREW HOMES HEALTH NETWORK INC1
HEBREW HOME OF SOUTH BEACH INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162651040911OPERATES A NURSING FACILITYFL501(C)(3)LINE 9HEBREW HOMES HEALTH NETWORK INC1
HEBREW HOME SINAI PLAZA INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162134245879OPERATES A NURSING FACILITYFL501(C)(3)LINE 9HEBREW HOMES HEALTH NETWORK INC1
HEBREW HOMES OF MIAMI BEACH INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162590825937RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATEFL501(C)(3)LINE 11B, IIHEBREW HOMES HEALTH NETWORK INC1
PLAZA NORTH INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162651040910WILL OPERATE AN ASSISTED LIVING FACILITYFL501(C)(3)LINE 9HEBREW HOMES HEALTH NETWORK INC1
PONCE PLAZA INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162651040919OPERATES A NURSING FACILITYFL501(C)(3)LINE 9HEBREW HOMES HEALTH NETWORK INC1
SOUTH BEACH NURSING & REHABILITATION CENTER INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162020755960OPERATES A NURSING FACILITYFL501(C)(3)LINE 9HEBREW HOMES HEALTH NETWORK INC1
SOUTH BEACH PLAZA INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162830500200RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATEFL501(C)(3)LINE 11B, IIHEBREW HOMES HEALTH NETWORK INC1
HEBREW HOMES CAPTIVE SERVICES INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162651040931PROVIDES SELF-INSURANCE TO TAX-EXEMPT AFFILIATESFL501(C)(3)LINE 11B, IIHEBREW HOMES HEALTH NETWORK INC1
ARCH PLAZA PROPERTIES INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162264233346RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATEFL501(C)(3)LINE 11B, IIHEBREW HOMES HEALTH NETWORK INC1
PONCE PLAZA PROPERTIES INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162264233085RENTS SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATEFL501(C)(3)LINE 11B, IIHEBREW HOMES HEALTH NETWORK INC1
UNIVERSITY PLAZA REHABILITATION AND NURSING CENTER INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162300541840WILL OPERATES A NURSING FACILITYFL501(C)(3)LINE 9HEBREW HOMES HEALTH NETWORK INC1
UNIVERSITY PLAZA PROPERTIES INC
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162264468758WILL RENT SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATEFL501(C)(3)LINE 11B, IIHEBREW HOMES HEALTH NETWORK INC1
PLAZA ADVANTAGE HEALTH CORP
1800 NE 168TH STREET SUITE 200N MIAMI BEACHFL33162455518434PROVIDES HEALTHCARE SERVICES AND SUPPORTS AFFILIATESFL501(C)(3)LINE 11B, IIHEBREW HOMES HEALTH NETWORK INC1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1HEBREW HOMES INSURANCE SERVICES LTDBusinessNameLine1

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line1PO BOX 69 2ND FLOOR BUCKINGHAMAddressLine1
CityGEORGE TOWNCity
CountryCJCountry
Postal CodeKY1-1102PostalCode
FieldValueIRS element (for citing)
EIN999999999EIN
Primary ActivityPROVIDES CAPTIVE INSURANCE TO RELATED ENTITYPrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HEBREW HOMES CAPTIVE SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HEBREW HOMES OF MIAMI BEACH INC
D106586HISTORICAL COST
HEBREW HOMES OF MIAMI BEACH INC
K1244097HISTORICAL COST
HEBREW HOMES HEALTH NETWORK INC
D5546527HISTORICAL COST
HEBREW HOMES CAPTIVE SERVICES INC
M394075HISTORICAL COST
HEBREW HOMES MANAGEMENT SERVICES INC
M734727HISTORICAL COST

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