2012-11-15T13:29:30-06:00 2012-06-30 593070669 MOORE STEPHENS LOVELACE PA 14400 NW 77TH COURT SUITE 306 MIAMI LAKES FL 330161507 990 2011-07-01 273293469 DGN III INC DGNI 3057621393 5200 NE 2ND AVE MIAMI FL 33137 LISA DESMARTEAU 3057621393 2012-11-15 1 LAWRENCE SCHIFF CPA P00479457 3058199555 2011 2016-02-24 21:20:13Z JEFFREY P FREIMARK 5200 NE 2ND AVE MIAMI FL 33137 0 0 X WWW.MIAMIJEWISHHEALTHSYSTEMS.ORG X 2010 FL THE ORGANIZATION'S MISSION IS TO PROVIDE AFFORDABLE SUPPORTIVE HOUSING FOR THE ELDERLY. 8 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108343 2809074 245054 2945785 -136711 -136711 X THE ORGANIZATION'S MISSION IS TO PROVIDE AFFORDABLE SUPPORTIVE HOUSING FOR THE ELDERLY. 0 0 SEE SCHEDULE O.THE ORGANIZATION WAS FORMED TO BE A SINGLE ASSET CORPORATION FOR FUNDING FOR DEVELOPMENT, CONSTRUCTION AND OPERATION OF A LOWER-INCOME ELDERLY PERSONS HOUSING FACILITY THROUGH THE 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 PERSONS AND PROVIDING AN ALTERNATIVE TO THE SUBSTANDARD AND INSTITUTIONAL TYPE OF HOUSING IN WHICH MANY LOWER INCOME ELDERLY PEOPLE NOW RESIDE. 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 3057621393 5200 NE 2ND AVE MIAMI FL 33137 X HAROLD BECK 1.00 X 0 0 0 DR RITA GUGEL 1.00 X 0 0 0 ALFRED J KATZIN 1.00 X X 0 0 0 RENEE LEFTON 1.00 X 0 0 0 LEONARD ROBBINS JR 1.00 X 0 0 0 CARL SHECHTER 1.00 X 0 0 0 FEDINAND DEBERARDINIS 1.00 X X 0 0 0 JEFFREY P FREIMARK 1.00 X X 0 1007800 1004744 LISA JO DESMARTEAU 1.00 X 0 550011 15965 MORRIS FUNK 3.00 X 0 507339 21339 0 2065150 1042048 0 0 1 0 0 0 0 0 0 0 0 0 0 10261 11280 2797794 0 0 2797794 98082 0 108343 2809074 245054 2945785 245054 2945785 X -136711 -136711 -136711 -136711 108343 2809074 0 0 X X 0 1 1 X 0 X 0 0 0.00000 0.00000 X 2797794 2797794 2797794 DUE TO AFFILIATES 203314 HUD CAPITAL ADVANCE 2742471 2945785 CONSTRUCTION IN PROGRESS RELATES TO THE CONSTRUCTION OF A THIRD TOWER ON LEASED LAND. X X X X X X 0 0 0 0 0 0 0 0 0 JEFFREY P FREIMARK 0 750000 0 250000 0 7800 0 991528 0 13216 0 2012544 0 0 LISA JO DESMARTEAU 0 357705 0 184506 0 7800 0 8262 0 7703 0 565976 0 0 MORRIS FUNK 0 372039 0 127500 0 7800 0 9800 0 11539 0 528678 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE MEMBER, MIAMI JEWISH HEALTH SYSTEMS, INC., HAS THE AUTHORITY TO ELECT MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE ORGANIZATION'S BOARD OF DIRECTORS ARE SUBJECT TO THE APPROVAL OF ITS SOLE MEMBER, MIAMI JEWISH HEALTH SYSTEMS, INC. FORM 990, PART VI, SECTION B, LINE 11 THE CHIEF FINANCIAL OFFICER AND EXECUTIVE DIRECTOR OF FINANCIAL OPERATIONS CONDUCT A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED. A COPY OF THE RETURN, AS ULTIMATELY FILED, IS PROVIDED TO BOTH AUDIT COMMITTEE MEMBERS, AND EACH VOTING MEMBER OF THE BOARD OF DIRECTORS PRIOR TO IT BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE 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 AND 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. FORM 990, PART VI, SECTION B, LINE 15 CERTAIN 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 BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS UTILIZING SALARY SURVEYS, COMPARABLE WAGE INFORMATION, AN AN INDEPENDENT COMPENSATION STUDY AND OPINION BY TOWERS WATSON & CO. THE COMPENSATION OF THE CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER ARE RECOMMENDED BY THE CEO AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION FOR THESE POSITIONS ARE ALSO SUPPORTED BY SALARY SURVEYS, COMPARABLE WAGE AND RESPONSIBILITY INFORMATION AND AN INDEPENDENT COMPENSATION STUDY AND OPINION BY TOWERS WATSON & CO. ALL 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. 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. ALLOCATION OF AVERAGE HOURS FORM 990, PART VII, LINE 1A THIS ENTITY IS ONE OF 13 AFFILIATED/RELATED ORGANIZATIONS. CERTAIN MEMBERS OF THE SENIOR LEADERSHIP TEAM OF THE MIAMI JEWISH HEALTH SYSTEMS (THE CONTROLLING ENTITY) HAVE DIRECT AND INDIRECT OVERSIGHT AND OPERATIONAL RESPONSIBILITIES AMONG THE VARIOUS ENTITIES. THE ALLOCATION 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. AUDIT OF FINANCIAL STATEMENTS FORM 990, PART XI, LINE 2B THE ORGANIZATION IS A SUBSIDIARY OF MIAMI JEWISH HEALTH SYSTEMS, INC. ITS FINANCIAL STATEMENTS WERE AUDITED AS PART OF A CONSOLIDATED FINANCIAL STATEMENT. OVERSIGHT OF AUDIT FORM 990, PART XI, LINE 2C THE AUDIT COMMITTEE HAS RESPONSIBILITY FOR THE OVERSIGHT OF AUDIT, RELATED INCOME TAX FILING REVIEWS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. LAND, BUILDINGS AND EQUIPMENT - OTHER SCHEDULE D, PART VI OTHER ASSETS RELATE TO THE CONSTRUCTION IN PROGRESS OF A THIRD TOWER ON LEASED LAND. MIAMI JEWISH HEALTH SYSTEMS INC 5200 NE 2ND AVE MIAMI FL 33137 590624414 HEALTHCARE FL 501(C)(3) LINE 7 N/A 0 HALLANDALE HOLDINGS INC 5200 NE 2ND AVE MIAMI FL 33137 650799424 HOLDING PROPERTY TITLE AND RENT COLLECTION FL 501(C)(2) MIAMI JEWISH HEALTH SYSTEMS INC 1 STEIN GERNOTOLOGICAL INSTITUTE INC 5200 NE 2ND AVE MIAMI FL 33137 650289632 GERONTOLOGICAL RESEARCH FL 501(C)(3) LINE 11A, I MIAMI JEWISH HEALTH SYSTEMS INC 1 DOUGLAS GARDENS HOLDING CORP INC 5200 NE 2ND AVE MIAMI FL 33137 237302931 HOLDING PROPERTY TITLE AND RENT COLLECTION FL 501(C)(2) MIAMI JEWISH HEALTH SYSTEMS INC 1 DGN INC 5200 NE 2ND AVE MIAMI FL 33137 113672256 LOW INCOME HOUSING FOR THE ELDERLY FL 501(C)(3) LINE 9 MIAMI JEWISH HEALTH SYSTEMS INC 1 FLORIDA PATHWAYS INC 5200 NE 2ND AVE MIAMI FL 33137 650198276 HOLDING PROPERTY LEASE FL 501(C)(3) LINE 7 MIAMI JEWISH HEALTH SYSTEMS INC 1 DOUGLAS GARDENS THRIFT SHOP INC 5713 NW 27TH AVENUE MIAMI FL 33142 650856154 PROGRAM SUPPORT FL 501(C)(3) LINE 11A, I MIAMI JEWISH HEALTH SYSTEMS INC 1 DOUGLAS GARDENS HOME CARE INC 5200 NE 2ND AVE MIAMI FL 33137 651151478 HEALTHCARE FL 501(C)(3) LINE 11A, I MIAMI JEWISH HEALTH SYSTEMS INC 1 DOUGLAS GARDENS SENIOR HOUSING INC 5200 NE 2ND AVE MIAMI FL 33137 650838183 MANAGEMENT SERVICES FL 501(C)(3) LINE 11A, I MIAMI JEWISH HEALTH SYSTEMS INC 1 DGN II INC 5200 NE 2ND AVE MIAMI FL 33137 113672256 LOW INCOME HOUSING FOR THE ELDERLY FL 501(C)(3) LINE 9 MIAMI JEWISH HEALTH SYSTEMS INC 1 MIAMI JEWISH HEALTH SYSTEMS FOUNDATION INC 5200 NE 2ND AVE MIAMI FL 33137 200267158 INVESTMENT OF CONTRIBUTIONS FL 501(C)(3) LINE 9 MIAMI JEWISH HEALTH SYSTEMS INC 1 FLORIDA PACE CENTER INC 5200 NE 2ND AVE MIAMI FL 33137 651051439 HEALTHCARE FL 501(C)(3) LINE 9 MIAMI JEWISH HEALTH SYSTEMS INC 1 DOUGLAS GARDENS HOSPICE INC 5200 NE 2ND AVE MIAMI FL 33137 651139194 HOSPICE CARE SERVICES FL 501(C)(3) LINE 9 MIAMI JEWISH HEALTH SYSTEMS INC 1 WOLFCYPEN FOUNDATION 5200 NE 2ND AVE MIAMI FL 33137 656417244 SUPPORTS ACTIVITIES OF MIAMI JEWISH HEALTH SYSTEMS, INC. FL 501(C)(3) LINE 11A, I MIAMI JEWISH HEALTH SYSTEMS INC 1 DOUGLAS GARDENS AT CORAL WAY INC 5200 NE 2ND AVENUE MIAMI FL 33137 260849165 IMAGING CENTER FL C 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0