2023-11-09T11:24:17-06:00 2022-12-31 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2022-01-01 232856813 HEARTHSTONE SENIOR COMMUNITIES INC HEAR 2153466454 TWO BALA CYNWYD PLAZA 300 BALA CYNWYD PA 19004 HOWARD JAFFE PRESIDENT 5618017600 2023-11-09 1 HOWARD JAFFE 999009999 0 HARRY E HARP CPA P00176471 4077405400 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z HOWARD JAFFE TWO BALA CYNWYD PLAZA 300 BALA CYNWYD PA 19004 83044362 0 X N/A X 1996 FL OPERATE NURSING HOMES, PROVIDE HOUSING, AND DEVELOP MEDICAL PROGRAMS FOR THE CARE OF THE ELDERLY. 5 0 1333 0 0 0 1852204 1897350 81572473 81133704 23441 13308 0 0 83448118 83044362 0 0 0 0 42421018 43549906 0 0 0 53570289 50587295 95991307 94137201 -12543189 -11092839 23952064 102382240 15900680 105423695 8051384 -3041455 THE MISSION OF HEARTHSTONE SENIOR COMMUNITIES, INC. INCLUDES OPERATION OF ONE OR MORE NURSING HOMES, PROVISION OF HOUSING FOR THE ELDERLY, DEVELOPMENT OF MEDICAL PROGRAMS FOR THE CARE OF THE ELDERLY AND EDUCATION OF HEALTHCARE PERSONNEL IN THE PROPER CARE OF THE ELDERLY. 0 0 81922111 81133704 THE ORGANIZATION OPERATES 8 SKILLED NURSING FACILITIES, WITH A COMBINED CAPACITY OF 960 BEDS, DEDICATED AND COMMITTED TO PROVIDING REHABILITATION AND SHORT AND LONG TERM NURSING AND MEDICAL CARE OF PATIENTS AND RESIDENTS. THE ORGANIZATION PROVIDES NUMEROUS ACTIVITIES AND PROGRAMS INCORPORATING AND PROMOTING FAMILY ACTIVITIES AND INVOLVEMENT WITH RESIDENTS AND STAFF. THESE ACTIVITIES PROMOTE A NORMALIZED ENVIRONMENT. DURING THE CURRENT YEAR, THERE WERE 147,569 RESIDENT DAYS. 81922111 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 92 0 1 1333 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 0 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X KANE FINANCIAL SERVICES CO SUSAN SHAIN 5612234161 1665 PALM BEACH LAKES BLVD STE 400 WEST PALM BEACH FL 33401 CAROLYN P ALVARAN LICENSED PRACTICAL NURSE 40.00 X 195776 0 15621 FATIMA DOWNEY LICENSED PRACTICAL NURSE 40.00 X 183787 0 8136 MANOUCHEKA MAGLOIRE LANEAU LICENSED PRACTICAL NURSE 40.00 X 179848 0 0 FRANKLIN DUME LICENSED PRACTICAL NURSE 40.00 X 177811 0 8796 BRENDA L DAVIS ADMINISTRATOR 40.00 X 176946 0 7232 HOWARD JAFFE PRESIDENT 5.50 X X 82039 0 0 BRIAN M WYATT DIRECTOR 2.00 X 12222 0 0 ALVIN GARNER DIRECTOR 2.00 X 12000 0 0 LORI ROMBOLD DIRECTOR 2.00 X 12000 0 0 JOHN S SEAL JR DIRECTOR 2.00 X 12000 0 0 1044429 0 39785 51 0 1 0 SELECT REHABILITATION INC 2600 COMPASS ROAD GLENVIEW IL 60026 THERAPY SERVICES 5432526 CONSULTING SUPPORT SERVICES LLC 1665 PALM BEACH LAKES BLVD SUITE 4 WEST PALM BEACH FL 33401 CONSULTING SERVICES 5186586 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 ENVIRONMENTAL SERVICES 2102288 KANE FINANCIAL SERVICES 1675 PALM BEACH LAKES BLVD SUITE 4 WEST PALM BEACH FL 33401 CONSULTING SERVICES 2023828 THEMIS HEALTH SERVICES LLC 1675 PALM BEACH LAKES BLVD SUITE 4 WEST PALM BEACH FL 33401 CONSULTING SERVICES 1490214 27 1090664 806686 1897350 NET RESIDENT SERVICE REVENUE 623000 80054447 80054447 OTHER RESIDENT REVENUE 623000 1079257 1079257 81133704 13308 13308 83044362 81133704 0 13308 X 151986 151986 35346320 31615630 3730690 51746 51590 156 5243441 4500205 743236 2756413 2563821 192592 2425095 2425095 380869 380869 131062 131062 20809224 19822816 986408 160651 2644 158007 520267 55261 465006 578846 24109 554737 8853841 7994904 858937 777588 559042 218546 45507 45507 1102759 992483 110276 2404449 2137557 266892 STATE BED ASSESSMENTS 6452621 6452621 SUPPLIES & EQUIPMENT 5419480 5083442 336038 FINES & PENALTIES 310018 310018 MISCELLANEOUS 227507 14979 212528 -12489 5500 -17989 94137201 81922111 12215090 0 569495 2403366 554028 5253724 5136795 1862356 1410151 21940242 11811598 10394896 10128644 4667565 4667565 650000 78635719 23952064 102382240 13946394 21326477 1360644 5013385 593642 79083833 15900680 105423695 X 8051384 -3041455 8051384 -3041455 23952064 102382240 -11092839 0 X X 0 0 0 X 1000000 2213962 6560005 1852204 1897350 13523521 100762861 82511910 81070658 81572473 81133704 427051606 101762861 84725872 87630663 83424677 83031054 440575127 0 0 0 440575127 49577 64555 71525 23441 13308 222406 49577 64555 71525 23441 13308 222406 113857 131114 244971 101926295 84921541 87702188 83448118 83044362 441042504 0.99890 0.99860 0.00050 0.00060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 930846 255901 674945 0 16050077 7262598 8787479 5678037 4549000 1129037 212128 212128 10128644 RENT RESERVE 650000 RIGHT OF USE ASSET 77985719 78635719 DEFERRED PAYROLL TAXES 148996 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 78000 LONG TERM OBLIGATIONS 78856837 79083833 83044362 0 83044362 0 83044362 94137201 0 94137201 0 94137201 PART IV, LINE 1B: EACH OF THE SUBSIDIARIES OFFERS A CASH MANAGEMENT SERVICE TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF THE RESIDENTS, TO BE DISBURSED ONLY AS REQUESTED. THE SUBSIDIARIES HAVE A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS AND REMAIN ONLY CUSTODIANS. AT DECEMBER 31, 2022 AND 2021, THESE FUND BALANCES, IN AGGREGATE, WERE APPROXIMATELY $675,000 AND $931,000, RESPECTIVELY. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 PROGRAM SERVICES CAPTIVE INSURANCE COMPANY 4667565 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 PROGRAM SERVICES INSURANCE PREMIUMS 1595485 0 0 0 0 0 0 6263050 0 6263050 0 0 1 0 0 0 PART III ACCOUNTING METHOD: X X X 0 0 0 0 0 0 0 0 0 CAROLYN P ALVARAN LICENSED PRACTICAL NURSE 195776 0 0 0 0 0 0 0 15621 0 211397 0 0 0 FATIMA DOWNEY LICENSED PRACTICAL NURSE 183787 0 0 0 0 0 0 0 8136 0 191923 0 0 0 MANOUCHEKA MAGLOIRE LANEAU LICENSED PRACTICAL NURSE 179848 0 0 0 0 0 0 0 0 0 179848 0 0 0 FRANKLIN DUME LICENSED PRACTICAL NURSE 177811 0 0 0 0 0 0 0 8796 0 186607 0 0 0 BRENDA L DAVIS ADMINISTRATOR 176946 0 0 0 0 0 0 0 7232 0 184178 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE FILING ORGANIZATION HAS DELEGATED MANAGEMENT DUTIES OVER ITS FINANCIAL OPERATIONS TO KANE FINANCIAL SERVICES, LLC PURSUANT TO A BOARD-APPROVED AGREEMENT. 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 11B THE FORM 990 IS REVIEWED BY THE BOARD PRESIDENT AND THE CONSULTING COMPANY. THE RETURN IS MADE AVAILABLE 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. FORM 990, PART IX, LINE 11G PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 15,164,649. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,164,649. CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,344,872. MANAGEMENT AND GENERAL EXPENSES 892,554. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,237,426. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 2,313,295. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,313,295. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 93,854. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,854. FORM 990, PART XII, LINE 2C THE GOVERNING BODY IS RESPONSIBLE FOR THE OVERSIGHT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE AUDIT OF THE FINANCIAL STATEMENTS IS CURRENTLY ONGOING, BUT THEY WILL BE ISSUED UPON COMPLETION AND AVAILABLE UPON REQUEST. BARTOW REHABILITATION CENTER LLC 2055 EAST GEORGIA STREET BARTOW FL 33830 263410674 NURSING FL 10791838 1010170 HEARTHSTONE SENIOR COMMUNITIES INC BAY CENTER REHABILITATION CENTER LLC (THROUGH 42020) 1336 ST ANDREWS BLVD PANAMA CITY FL 32405 263411018 NURSING FL 0 45515 HEARTHSTONE SENIOR COMMUNITIES INC BOCA CIEGA REHABILITATION CENTER LLC 1414 59TH STREET SOUTH GULFPORT FL 33707 263411147 NURSING FL 11195800 1095559 HEARTHSTONE SENIOR COMMUNITIES INC CLEARWATER REHABILITATION CENTER LLC 1270 TURNER STREET CLEARWATER FL 33756 263419520 NURSING FL 9667310 1045723 HEARTHSTONE SENIOR COMMUNITIES INC EGRET COVE REHABILITATION CENTER LLC 550 62ND STREET SOUTH ST PETERSBURG FL 33707 263411425 NURSING FL 9238265 1181394 HEARTHSTONE SENIOR COMMUNITIES INC EMERALD COAST REHABILITATION CENTER LLC 114 3RD STREET SOUTH EAST FT WALTON BEACH FL 32548 263411532 NURSING FL 10382131 2037146 HEARTHSTONE SENIOR COMMUNITIES INC GROVES REHABILITATION CENTER LLC 512 SOUTH 11TH STREET LAKE WALES FL 33853 263411666 NURSING FL 11656577 856547 HEARTHSTONE SENIOR COMMUNITIES INC LAKELAND HILLS REHABILITATION CENTER LLC 610 EAST BELLA VISTA DRIVE LAKELAND FL 33805 263411839 NURSING FL 11387163 2451348 HEARTHSTONE SENIOR COMMUNITIES INC TARPON REHABILITATION CENTER LLC 515 CHESAPEAKE DRIVE TARPON SPRINGS FL 34689 263411945 NURSING FL 9911085 2195152 HEARTHSTONE SENIOR COMMUNITIES INC UNIVERSITY EAST REHABILITATION CENTER LLC (THROUGH 42020) 991 EAST NEW YORK AVENUE DELAND FL 33274 263412167 NURSING FL HEARTHSTONE SENIOR COMMUNITIES INC UNIVERSITY WEST REHABILITATION CENTER LLC (THROUGH 42020) 545 WEST EUCLID AVENUE DELAND FL 32720 263412294 NURSING FL HEARTHSTONE SENIOR COMMUNITIES INC