2012-11-14T13:37:50-06:00 2011-12-31 593070669 MOORE STEPHENS LOVELACE PA 14400 NW 77TH COURT SUITE 306 MIAMI LAKES FL 330161507 990 2011-01-01 651040926 JACKSON PLAZA INC JACK 3059170428 1800 NE 168TH STREET NO 200 N MIAMI BEACH FL 33162 DR WILLIAM ZUBKOFF 3059170428 2012-11-14 1 LAWRENCE SCHIFF CPA P00479457 3058199555 2011 2016-02-24 21:20:13Z DR WILLIAM ZUBKOFF 1800 NE 168TH STREET NO 200 N MIAMI BEACH FL 33162 13759400 0 X WWW.HEBREWHOMES.ORG X 2000 FL THE ORGANIZATION'S MISSION IS TO PROVIDE DIGNIFIED CARE IN A HOME-LIKE ATMOSPHERE TO OUR RESIDENTS AND OUR FAMILIES. 13 11 262 0 0 0 0 0 13040310 13757664 642 571 0 1165 13040952 13759400 0 0 0 0 6887974 7149163 0 0 0 5311634 5537985 12199608 12687148 841344 1072252 7257423 8215095 1133444 1018864 6123979 7196231 X THE ORGANIZATION'S PRIMARY OBJECTIVE IS TO PROVIDE DIGNIFIED CARE IN A HOME-LIKE ATMOSPHERE TO OUR RESIDENTS AND OUR FAMILIES. 0 0 10699289 13758829 THE 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 127,902 MEALS, EACH MEAL TAILORED TO THE RESIDENTS' DIETARY REQUIREMENTS- ADMINISTERING 19,802 MEDICATIONS- PROVIDING 72,623 PHYSICAL, SPEECH, AND OCCUPATIONAL TREATMENTS- COORDINATING 1,710 RESIDENT ACTIVITIES INCLUDING FAMILY NIGHT DINNERS, INTER-GENERATIONAL PROGRAMS, HOLIDAY AND BIRTHDAY CELEBRATIONS, ENTERTAINMENT DAYS AND FIELD TRIPS. 10699289 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 0 0 0 0 1 18 0 1 262 1 0 0 0 0 0 0 0 0 0 0 X 13 11 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 4.00 X X 0 0 0 DANIEL M HOLTZ 4.00 X X 0 0 0 DR RAFAEL SOTO 10.00 X X 0 48000 0 BENZION KORF 1.00 X X 0 0 0 MARTIN WASSERMAN 1.00 X X 0 0 0 JOAN BRENT 1.00 X 0 0 0 ALLAN HIRSCHFIELD 1.00 X 0 0 0 DR SANFORD L ZIFF 1.00 X 0 0 0 DOV KONETZ 1.00 X 0 0 0 MICHAEL ALLER 1.00 X 0 0 0 ALAN G RANDOLPH 1.00 X 0 0 0 CASEY KLEIN 1.00 X 0 0 0 YOSSI DUCHMAN 1.00 X 0 0 0 DR WILLIAM ZUBKOFF 40.00 X 0 622000 20133 WILLIAM ECK 1.00 X 0 0 0 STEPHEN BEAUJON 40.00 X 0 270992 29754 CAPTAIN MARVIN GREENWALD 40.00 X 0 166399 2277 JOYCE GALBUT 40.00 X 0 233600 15387 EYTA BRAFMAN 40.00 X 0 214101 28937 TERESITA GARCIA 40.00 X 144503 0 12130 144503 1555092 108618 1 0 1 0 OMNICARE OF SOUTH FLORIDA 2955 WEST CORPORATE LAKES BLVD ST WESTON FL 33331 PHAMARCY SERVICE 387194 IDOQUIN OF FLORIDA 1 COMPANY 3742 NW 81ST STREET MIAMI FL 33147 CONSTRUCTION 167873 TRI STATE SURGICAL & EQUIP SUPPLY 409 HOYT STREET BROOKLYN NY 11231 MEDICAL SUPPLIES 138486 SYSCO SOUTH FLORIDA INC 12500 SYSCO WAY MEDLEY FL 33178 FOOD SERVICE 135339 4 NET RESIDENT SERVICE R 623000 13757664 13757664 13757664 571 571 MISCELLANEOUS REVENUE 623000 1165 1165 1165 13759400 13758829 0 571 6037152 5774997 262155 75175 71007 4168 591007 553177 37830 445829 428556 17273 778487 778487 18187 18187 18300 18300 1149265 489940 659325 4873 4873 208373 134930 73443 1362 1362 1748064 1687790 60274 43133 39227 3906 977 977 64502 64502 253127 252478 649 SUPPLIES 1097876 1071882 25994 EQUIPMENT RENTAL 60589 46715 13874 BAD DEBTS 53061 53061 EQUIPMENT REPAIRS 37026 29665 7361 783 783 12687148 10699289 1987859 0 517014 324549 1737625 1367792 21235 35093 657616 346280 268360 311336 9953 0 4703236 6176325 7257423 8215095 1118206 970818 39515 15238 8531 1133444 1018864 X 6123979 7196231 6123979 7196231 7257423 8215095 1072252 0 X X 0 1 1 X 0 X 54465 54465 9914669 10386002 11476978 13040310 13757664 58575623 9969134 10386002 11476978 13040310 13757664 58630088 0 0 0 58630088 901 359 2356 642 571 4829 901 359 2356 642 571 4829 20018 109 33446 1165 54738 9990053 10386470 11512780 13040952 13759400 58689655 0.99900 0.99530 0.00010 0.00010 X 1 38835 4365 34470 0 179143 67234 111909 324088 159300 164788 154385 119746 34639 311336 DEPOSITS 5800 DUE FROM AFFILIATES 6009164 ESTIMATED THIRD PARTY SETTLEMENTS 161361 6176325 LEASE OBLIGATION 8531 8531 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. X X X 0 0 0 0 0 1 0 0 0 DR WILLIAM ZUBKOFF 0 550000 0 72000 0 0 0 4900 0 15233 0 642133 0 0 STEPHEN BEAUJON 0 218992 0 52000 0 0 0 4640 0 25114 0 300746 0 0 CAPTAIN MARVIN GREENWALD 0 134399 0 32000 0 0 0 1803 0 474 0 168676 0 0 JOYCE GALBUT 0 201600 0 32000 0 0 0 4637 0 10750 0 248987 0 0 EYTA BRAFMAN 0 188101 0 26000 0 0 0 4282 0 24655 0 243038 0 0 TERESITA GARCIA 135703 0 8800 0 0 0 2895 0 9235 0 156633 0 0 0 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 AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM. GREENBERG TRAURIG LLP ENTITY OF WHICH THE ORGANIZATION'S ASSISTANT SECRETARY IS A PARTNER. 5823 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 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 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. AVG. HOURS-PAID OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES FORM 990,PART VII, LINE 1A ALL 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. AUDIT OF FINANCIAL STATEMENTS: 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. OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT: 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 0 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 9 HEBREW HOMES HEALTH NETWORK INC 0 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 0 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 9 HEBREW HOMES HEALTH NETWORK INC 0 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 9 HEBREW HOMES HEALTH NETWORK INC 0 HEBREW HOME 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 0 HEBREW HOME 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 0 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 0 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 9 HEBREW HOMES HEALTH NETWORK INC 0 PLAZA NORTH INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 651040910 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 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 0 SOUTH BEACH NURSING & REHABILITATION CENTER INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 020755960 OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 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 9 HEBREW HOMES HEALTH NETWORK INC 0 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 9 HEBREW HOMES HEALTH NETWORK INC 0 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 11A, I HEBREW HOMES HEALTH NETWORK INC 0 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 11A, I HEBREW HOMES HEALTH NETWORK INC 0 UNIVERSITY PLAZA REHABILITATION AND NURSING CENTER INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 300541840 WILL OPERATES A NURSING FACILITY FL 501(C)(3) LINE 9 HEBREW HOMES HEALTH NETWORK INC 0 UNIVERSITY PLAZA PROPERTIES INC 1800 NE 168TH STREET SUITE 200 N MIAMI BEACH FL 33162 264468758 WILL RENT SKILLED NURSING FACILITY TO TAX-EXEMPT AFFILIATE FL 501(C)(3) LINE 11A, I HEBREW HOMES HEALTH NETWORK INC 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0