2021-05-17T14:49:49-05:00 2020-06-30 593070669 MSL PA 500 E BROWARD BLVD SUITE 1550 FORT LAUDERDALE FL 33394 990 2019-07-01 590624414 MIAMI JEWISH HEALTH SYSTEMS INC MIAM 3057518626 5200 NE 2ND AVENUE MIAMI FL 33137 MICHAEL DURR CHIEF FINANCIAL OFFICER 3057518626 2021-05-17 1 COURTNEY HOGBEN P01619105 9548478910 2019 2022-09-23 18:48:47Z JEFFREY FREIMARK 5200 NE 2ND AVENUE MIAMI FL 33137 126575697 0 X WWW.MIAMIJEWISHHEALTH.ORG X 1940 FL TO PROVIDE COMPASSIONATE HEALTHCARE THROUGH A FULL RANGE OF QUALITY SERVICES. 11 10 979 200 53467 50859 514313 8012292 59972493 87171868 -3125403 1459474 7113159 -1102393 64474562 95541241 0 0 0 0 53443423 48807587 0 0 0 40100969 61743922 93544392 110551509 -29069830 -15010268 105087102 91015655 119161115 117313771 -14074013 -26298116 X MIAMI JEWISH HEALTH SYSTEMS, INC. WAS INCORPORATED TO PROVIDE SHELTER FOR THE ELDERLY AND DEVELOP SOCIAL & HEALTH PROGRAMS RELATING TO THEIR CARE. IN ADDITION, RESEARCH & EDUCATIONAL PROGRAMS ARE CONDUCTED FOR THE ELDERLY TO ENHANCE THEIR ABILITY TO REMAIN INDEPENDENT AND ACTIVE. 0 0 93942254 86016008 MIAMI JEWISH HEALTH SYSTEMS, INC. (MJHS) PROVIDES SKILLED NURSING, LONG-TERM CARE, RESIDENTIAL AND COMMUNITY-BASED SERVICES TO THE ELDERLY AND OTHERS WHO WOULD BENEFIT. SINCE ITS INCEPTION, THE ORGANIZATION HAS EXPANDED TO INCLUDE A NUMBER OF AFFILIATED ENTITIES, ORGANIZED TO PROVIDE AN ARRAY OF ADDITIONAL PROGRAMS, SUCH AS ASSISTIVE HOUSING, OUTPATIENT SERVICES, AND COMMUNITY-BASED PROGRAMS. THESE PROGRAMS OFFER ALTERNATIVES TO INSTITUTIONALIZATION, AS WELL AS RESEARCH, EDUCATION, AND TRAINING IN AREAS PRIMARILY FOCUSED ON CARE FOR THE ELDERLY. ACROSS ALL PROGRAMS, THERE WERE 195,331 PATIENT DAYS IN THE CURRENT YEAR.SEE SCHEDULE O FOR ADDITIONAL INFORMATION.HEALTHCARE - MIAMI JEWISH HEATH SYSTEMS, INC. IS A 494-BED FACILITY PROVIDING A FULL RANGE OF HEALTHCARE SERVICES TO THE ELDERLY. THESE INCLUDE ITS 462-BED NURSING HOME, WHICH PROVIDES LONG-TERM RESIDENTIAL CARE AND SKILLED NURSING CARE FOR OLDER ADULTS WITH CHRONIC ILLNESSES. THE FACILITY ALSO PROVIDES SHORT-TERM REHABILITATION SERVIES FOR MEDICARE BENEFICIARIES RECOVERING FROM SURGERY, STROKE, ETC. AND A 32-BED GERIATRIC MEDICAL SPECIALTY HOSPITAL, WHICH PROVIDES ACUTE CARE FOR THE ELDERLY. IN ADDITION, THE FACILITY'S AMBULATORY HEALTH CENTERS PROVIDE OUTPATIENT HEALTH SERVICES AND SUB-SPECIALTY SERVICES DELIVERED BY PHYSICIANS AND HEALTH PRACTITIONERS SPECIALIZING IN GERIATRIC HEALTHCARE, MENTAL HEALTH, PAIN MANAGEMENT, AND PSYCHIATRY.RESIDENTIAL CARE - MIAMI JEWISH HEALTH SYSTEMS, INC. PROVIDES TWO LEVELS OF ADULT LIVING FACILITIES THE FIRST IS A LICENSED 98-APARTMENT ADULT CONGREGATE LIVING FACILITY, WHICH PROVIDES MODERATE HOUSING DESIGNED FOR THE FRAIL, BUT INDEPENDENT ELDERLY. ITS TENANTS ARE OFFERED TRANSPORTATION AND CULTURAL/SOCIAL AMENITIES. THE OTHER FACILITY IS A LICENSED 92-APARTMENT ASSISTED LIVING FACILITY, WHICH PROVIDES PHYSICAL, MENTAL, AND SOCIAL ACTIVITIES, AS WELL AS DIRECT CARE ASSISTANCE AND NURSING SUPERVISION.CASE MANAGEMENT/DAY CARE - MIAMI JEWISH HEALTH SYSTEMS, INC. OPERATES A STATE SPNSORED PROGRAM IN WHICH CASE MANAGERS COORDINATE IN-HOME ASSISTANCE SUCH AS PERSONAL CARE, MEALS, ADULT DAY CARE, AND MEDICAL SUPPLIES. THE PROGRAM SERVES PEOPLE LIVING IN MIAMI-DADE OR BROWARD COUNTIES, AGE 60 OR OLDER, WHO ARE ELIGIBLE FOR CARE IN A NURSING HOME AS REQUIRED BY MEDICAID. MIAMI JEWISH HEALTH SYSTEMS OPERATES THE PROJECT ON BEHALF OF THE STATE OF FLORIDA'S AGENCY FOR HEALTHCARE ADMINISTRATION AND THE DEPARTMENT OF ELDER AFFAIRS. 93942254 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 149 0 1 979 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 11 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X MICHAEL DURR CFO 3057518626 5200 NE 2ND AVENUE MIAMI FL 33137 JEFFREY P FREIMARK PRESIDENT/CEO 27.00 18.00 X X 1493383 0 23202 BRIAN KIEDROWSKI EXEC. VP ENTERPRISE CMO 40.00 0.00 X 393312 0 16864 ROBERT BECHT CFO (ENDING 04/2020) 30.00 10.00 X 389403 0 6746 MARC AGRONIN SENIOR VP BEHAVIORAL HEALTH 39.00 1.00 X 351346 0 25544 RICHARD SKELLY FORMER CFO 0.00 0.00 X 318928 0 952 SHAUN CORBETT MEDICAL DIRECTOR 40.00 0.00 X 286186 0 15239 DAVID PAGANO CHIEF CLINICAL OFFICER (END 10/2019) 40.00 0.00 X 254171 0 13459 JASON PINCUS VP NURSING HOME ADMINISTRATOR 31.00 9.00 X 200630 0 21873 ELISA HERNANDEZ CHIEF HUMAN RESOURCES OFFICER 40.00 0.00 X 207492 0 13555 DANA KULVIN VP LEGAL & COMPLIANCE 40.00 0.00 X 206388 0 7905 BERNARDO LARRALDE VP INFORMATION TECHNOLOGY 40.00 0.00 X 182619 0 24455 STEPHANIE COSDEN ASSOCIATE VP NH CLINICAL SERVICES 40.00 0.00 X 173676 0 18181 LEAH BRODERICK VP OF MARKETING 40.00 0.00 X 161261 0 18900 RAE BULLARD VP HUMAN RESOURCES 40.00 0.00 X 165913 0 9749 MARYNELL LUBINSKI VP PHYSICIAN SERVICES 40.00 0.00 X 162105 0 12979 JOHANNA SUAREZ VP SENIOR LIVING 40.00 0.00 X 168318 0 0 CHURE GLADWELL FORMER CHIEF DEVELOPMENT OFFICER 0.00 0.00 X 157067 0 2365 RICARDO CASTANEDA DIR. CLINICAL RESEARCH/BUS. DEV. 40.00 0.00 X 147416 0 11429 CLIFF BAUER VP GOVERNMENT RELATIONS 38.00 2.00 X 137975 0 17571 BEATRIZ COSCULLUELA CONTROLLER 40.00 0.00 X 137283 0 12195 GERARDO MINSAL STAFF PHYSICIAN 40.00 0.00 X 147334 0 724 JOSEPH SOUS EXEC. DIR. PROC./TRANSPORTATION 40.00 0.00 X 133171 0 12179 JEFFREY RITTENBERG CHAIR 1.00 1.00 X X 0 0 0 JOHN RICHARD VICE CHAIR 1.00 1.00 X X 0 0 0 STEPHEN H CYPEN DIRECTOR 1.00 2.00 X 0 0 0 WAYNE A CYPEN DIRECTOR 1.00 1.00 X 0 0 0 RONALD FIELDSTONE DIRECTOR 1.00 5.00 X 0 0 0 JANE KAHN JACOBS DIRECTOR 1.00 1.00 X 0 0 0 CAROL LANG DIRECTOR 1.00 0.00 X 0 0 0 JAY SOLOWSKY DIRECTOR 1.00 1.00 X 0 0 0 ORA LEA STRICKLAND DIRECTOR 1.00 0.00 X 0 0 0 ARTHUR UNGER DIRECTOR 1.00 0.00 X 0 0 0 DAN O' DONNEL CFO (BEG 04/2020) 30.00 10.00 X 0 0 0 5975377 0 286066 48 1 1 0 THE WHITING TURNER CONTRACTING 1901 W CYPRESS CREEK ROAD FORT LAUDERDALE FL 33309 CONSTRUCTION SERVICES 4391146 MORRISON MANAGEMENT 400 NORTHRIDGE ROAD ATLANTA GA 30350 FOOD SERVICES 3758220 ENCOMPASS ONSITE 6555 POWERLINE ROAD 304 FORT LAUDERDALE FL 33309 JANITORIAL SERVICES 2924318 AEGIS THERAPIES 2601 NETWORK BLVD 102 FRISCO TX 75034 REHAB HEALTHCARE SERVICES 2456580 QUALITY CARE REHAB 8477 SOUTH SUNCOAST BLVD HOMOSASSA FL 34446 REHAB HEALTHCARE SERVICES 1865190 53 5755775 2256517 8012292 CLIENT REVENUE 623000 57679877 57679877 REIMBURSEMENT OF CENTRALIZED COST 623000 27322886 27322886 TRANSPORTATION FEES 623000 2089105 2089105 MANAGEMENT FEES 541610 80000 80000 87171868 379398 379398 31388816 725716 31034456 0 354360 725716 1080076 1080076 EQUITY EARNINGS IN SUBSIDIARIES 623000 -1102393 -1155860 53467 -1102393 95541241 86016008 53467 1459474 X 4972869 1942134 3030735 417949 417949 34227890 28960457 5267433 3143580 1760405 1383175 3316070 1856999 1459071 2729229 2183383 545846 427127 427127 198446 198446 122857 122857 31772534 30530275 1242259 289391 289391 791722 672964 118758 1121878 190719 931159 3969415 3969415 38113 38113 98563 95709 2854 2227195 2227195 5251384 5251384 937720 333849 603871 INCOME TAX 131317 131317 BAD DEBT EXPENSE 6616756 6616756 FOOD 3700207 3700207 MEDICAL SUPPLIES 1347190 1347190 2702107 1975709 726398 110551509 93942254 16609255 0 5862055 7505334 2710039 21087 8879959 4734443 106552 58862 473387 1103287 164733675 100058235 63974365 64675440 12861841 10140468 2123125 10784731 87782 105087102 91015655 13976963 12438400 409478 2389905 43838812 42879528 4881909 735261 2104586 56053953 56766091 119161115 117313771 X -16375935 -28600652 2301922 2302536 -14074013 -26298116 105087102 91015655 X -15010268 -157484 2943649 X X 0 1 X 1 1 1 X 5563961 563661 1916120 514313 8012292 16570347 61924819 63495269 64263593 59972493 87171868 336828042 67488780 64058930 66179713 60486806 95184160 353398389 0 0 0 353398389 643028 369601 262889 514365 379398 2169281 643028 369601 262889 514365 379398 2169281 392582 798421 53467 1244470 5891343 5857308 15476698 7113159 34338508 74023151 70678421 82717721 68114330 95617025 391150648 0.90350 0.87480 0.00550 0.00770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 257846 134858 392704 0 1123875 30300 30300 1123875 1123875 30300 30300 1123875 6386998 15271005 362067 2014769 20005301 3872771 2863574 177763 527110 6386998 3369581 602860 146574 246244 3872771 1.00000 0 1 1 155645 9675125 9830770 97582669 61308653 36274016 3257695 2953650 304045 47162073 35795932 11366141 6900468 6900468 64675440 EQUITY SECURITIES 4204235 F FIXED INCOME SECURITIES 4915502 F INVESTMENT IN SEASONS HOSPICE & PALLIATIVE CARE 239562 F INVESTMENT IN PALISADES DIALYSIS, LLC 781169 F 10140468 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) 7393876 INSURANCE CLAIMS 2820204 ANNUITY PAYMENT 609423 DUE TO AFFILIATES 45942588 56766091 X PART IV, LINE 1B: MJHS OFFERS A CASH MANAGEMENT SERVICE TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF EACH RESIDENT, TO BE DISBURSED ONLY AS REQUESTED AND, ACCORDINGLY, THESE FUNDS ARE EXCLUDED FROM THESE COMBINED FINANCIAL STATEMENTS. MJHS HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS AND ACTS ONLY AS A CUSTODIAN. AT JUNE 30, 2020 AND 2019, THE AGGREGATE BALANCE IN THESE RESIDENT TRUST FUNDS WAS APPROXIMATELY $393,000 AND $258,000, RESPECTIVELY. PART V, LINE 4: ENDOWMENTS ARE SPENT IN ACCORDANCE WITH THE RESTRICTIONS PLACED UPON THEM. RESTRICTIONS MAY INCLUDE TIME-BASED RESTRICTIONS AND USE-BASED RESTRICTIONS, AMONG OTHER RESTRICTIONS. PART V, LINE 1A, COLUMN (B) PRIOR YEAR THE CHANGE IN BEGINNING OF YEAR BALANCE OF ENDOWMENT FUNDS REFLECTS A PRESENTATION CHANGE AS A RESULT OF THE THE IMPLEMENTATION OF FASB ASU 2016-14, PRESENTATION OF FINANCIAL STATEMENTS NOT-FOR-PROFIT ENTITIES (TOPIC 958). PART X, LINE 2: MJHS, ITS SUBSIDIARIES AND ITS CONSOLIDATED AFFILIATES, ARE NOT-FOR-PROFIT ORGANIZATIONS EXEMPT FROM INCOME TAXES, AS DESCRIBED UNDER SECTIONS 501(C)(3) AND 501(C)(2) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THESE COMBINED FINANCIAL STATEMENTS FOR MJHS, ITS SUBSIDIARIES OR ITS CONSOLIDATED AFFILIATES. MJHS PAYS ITS PROPORTIONATE SHARE OF INCOME TAXES ON THE TAXABLE INCOME OF ITS UNCONSOLIDATED AFFILIATES. DURING THE YEARS ENDED JUNE 30, 2020 AND 2019, MJHS INCURRED AND PAID $60,000 AND $312,000, RESPECTIVELY, OF ITS PROPORTIONATE SHARE OF INCOME TAXES AND RECORDED THE AMOUNT IN THE COMBINED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS OTHER NON-OPERATING EXPENSE. 1 1 1 X 1 X 1 0 1 1 28087378 24832934 3254444 0.02940 28087378 24832934 3254444 0.02940 28087378 24832934 3254444 0.02940 0 6616756 5987467 8951450 -2963983 X 1 1 1 1 DOUGLAS GARDENS HOSPITAL 5200 NE 2ND AVENUE MIAMI FL 33137 WWW.MIAMIJEWISHHEALTH.ORG 3988 X DOUGLAS GARDENS HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X WWW.MIAMIJEWISHHEALTH.ORG/RESOURCES/ X 1 19 1 WWW.MIAMIJEWISHHEALTH.ORG/RESOURCES/ 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 DOUGLAS GARDENS HOSPITAL PART V, SECTION B, LINE 5: DOUGLAS GARDENS HOSPITAL (DGH OR THE HOSPITAL) PROVIDES SERVICES TO MORE THAN 10,000 INDIVIDUALS ANNUALLY FROM MIAMI-DADE AND BROWARD COUNTY. FOR PURPOSES OF ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL DEFINED ITS COMMUNITY AS THE COUNTY IN WHICH THE HOSPITAL FACILITY IS LOCATED, AND THE COMMUNITY SERVED BY THE HOSPITAL, AS WELL AS THOSE INDIVIDUALS RESIDING WITHIN THE HOSPITAL'S SERVICE AREA. IN PARTNERSHIP WITH HOLLERAN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM, DOUGLAS GARDENS HOSPITAL COLLECTED AND INTERPRETED DATA FROM SECONDARY DATA SOURCES AND KEY INFORMANT INTERVIEWS FOR THE PURPOSE OF PRIORITIZING ITS IDENTIFIED COMMUNITY HEALTH NEEDS.AS PART OF ITS EFFORTS TO ENSURE BROAD COMMUNITY-BASED INPUT INTO THE CHNA PROCESS, KEY INFORMANT ONLINE SURVEYS WERE COMPLETED BY A TOTAL OF 33 KEY INFORMANTS. KEY INFORMANTS WERE DEFINED AS COMMUNITY STAKEHOLDERS WITH EXPERT KNOWLEDGE OF THE NEEDS OF OLDER ADULTS, INCLUDING SOCIAL SERVICE PROVIDERS, LONG-TERM CARE/AGING SERVICE PROVIDERS, HOUSING AGENCIES, NON-PROFIT LEADERS, PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS, AND OTHER COMMUNITY LEADERS. THESE KEY INFORMANTS PARTICIPATED IN A SURVEY FOCUSED AROUND OLDER ADULTS AND INCLUDED QUESTIONS THAT FOCUSED AROUND PRESSING ISSUES AND BARRIERS FOR OLDER ADULTS, AVAILABILITY OF SERVICES/RESOURCES, AND HOW TO BEST SUPPORT OLDER ADULTS LIVING AT HOME IN THE COMMUNITY. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES FACING OLDER ADULTS, AND LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY, INCLUDING THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS.THE SECONDARY DATA PROFILE USED EXISTING LOCAL-LEVEL DATA WITH STATE AND NATIONAL COMPARISONS OF DEMOGRAPHIC AND HEALTH DATA FOCUSING SPECIFICALLY ON THE OLDER ADULT POPULATION IN MIAMI-DADE COUNTY. THE DATA SOURCES DEPICTED POPULATION AND HOUSEHOLD STATISTICS, EDUCATION AND ECONOMIC MEASURES, MORBIDITY AND MORTALITY RATES, INCIDENCE RATES, AND OTHER HEALTH STATISTICS FOR OLDER ADULTS IN MIAMI-DADE COUNTY.TOGETHER, THE RESULTS OF THIS DATA FACILITATE THE HOSPITAL'S IMPLEMENTATION PLAN AND HELP ALIGN THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH THE NEEDS THAT ARE EXPRESSED BY THE COMMUNITY. DOUGLAS GARDENS HOSPITAL PART V, SECTION B, LINE 11: THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN FISCAL YEAR 2020 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND ANY SUCH NEEDS THAT WERE NOT ADDRESSED AND THE REASONS WHY SUCH NEEDS WERE NOT ADDRESSED. AS PART OF ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, DOUGLAS GARDENS HOSPITAL (DGH OR THE HOSPITAL) DEVELOPED A STRATEGY TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH PRIORITIES FROM THE COLLECTION OF DATA FROM SECONDARY DATA SOURCES AND KEY INFORMANT INTERVIEWS. BASED ON FEEDBACK FROM COMMUNITY PARTNERS, INCLUDING HEALTH CARE PROVIDERS, PUBLIC HEALTH EXPERTS, HEALTH AND OTHER COMMUNITY REPRESENTATIVES, THE HOSPITAL PLANS TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS ON THE FOLLOWING FOUR (4) HEALTH ISSUES: - AFFORDABLE HEALTHCARE AND HOUSING PROGRAMS FOR THE ELDERLY- NAVIGATION OF THE HEALTHCARE SYSTEM- CHRONIC DISEASE MANAGEMENT- ALZHEIMER'S DISEASE AND DEMENTIA OBJECTIVES AND OUTCOMES RELATED TO THE FOUR (4) PRIORITIZED NEEDS ARE SUMMARIZED BELOW. AFFORDABLE HEALTHCARE AND HOUSING PROGRAMS FOR THE ELDERLYIN ORDER TO INCREASE HOUSING AFFORDABILITY AND ASSOCIATED SUPPORTIVE HEALTHCARE SERVICES TO SENIORS IN THE GREATER MIAMI JEWISH HEALTH SYSTEM'S SERVICE AREA, DOUGLAS GARDENS HOSPITAL WILL USE ITS CASE MANAGEMENT AND SOCIAL WORK RESOURCES IN CONJUNCTION WITH PACE, OUTSIDE HOME CARE AND CASE MANAGEMENT SERVICES, HUD/LOW INCOME HOUSING, EXISTING NETWORK OF OVER 350 ALFS, AND BEHAVIORAL HEALTH PROGRAMS. THESE RESOURCES WILL ALLOW FOR THE MAINTENANCE AND/OR INCREASE IN THE NUMBER OF HOSPITAL AND NURSING HOME PATIENTS DISCHARGED TO AFFORDABLE HEALTHCARE AND HOUSING PROGRAMS AND, WHERE APPLICABLE, BEHAVIORAL HEALTH. NAVIGATION OF THE HEALTHCARE SYSTEMTO IMPROVE NAVIGATION AND ACCESS TO QUALITY HEALTH CARE AS IT RELATES TO AGING FOR INDIVIDUALS LIVING THE COMMUNITY, DOUGLAS GARDENS HOSPITAL WILL USE ITS CASE MANAGEMENT AND SOCIAL WORK RESOURCES IN CONJUNCTION WITH PACE, OUTSIDE HOME CARE AND CASE MANAGEMENT SERVICES, HUD/LOW INCOME HOUSING, EXISTING NETWORK OF OVER 350 ALFS, AND BEHAVIORAL HEALTH PROGRAMS. THESE RESOURCES WILL ASSIST IN MAINTAINING AND/OR INCREASING RESIDENTS' AWARENESS OF AGING HEALTH CARE OPTIONS, INCLUDING BEHAVIORAL HEALTH OPTIONS, AND HELP INDIVIDUALS NAVIGATE THE HEALTHCARE SYSTEM AS IT RELATES TO AGING THROUGH DISCHARGE PLANNING REFERRALS TO APPROPRIATE PROGRAMS. CHRONIC DISEASE MANAGEMENTTO ENHANCE CHRONIC DISEASE MANAGEMENT AND PREVALENCE OF CANCER AND RESPIRATORY DISEASE AMONG HOSPITAL AND NURSING HOME RESIDENTS, DOUGLAS GARDENS HOSPITAL WILL OFFER EDUCATION AND COMMUNITY OUTREACH THROUGH OUTREACH EVENTS AND PARTNERSHIPS IN THE COMMUNITY. THE HOSPITAL'S RESOURCES INCLUDE HOSPITAL AND NURSING HOME SERVICES THAT FOCUS ON CHRONIC DISEASE MANAGEMENT AND A GERIATRIC FELLOW OVERSEEING MANY OF THE CHRONIC CARE PATIENTS. IN ADDITION, DOUGLAS GARDENS HOSPITAL PLANS TO OPEN A SUPER SKILLED NURSING FACILITY THAT WILL FOCUS HIGHLY ON CANCER AND RESPIRATORY DISEASE. ALZHEIMER'S DISEASE AND DEMENTIATO IMPROVE OUTREACH AND AWARENESS OF RESEARCH AND EDUCATION PROGRAMS RELATED TO ALZHEIMER'S DISEASE AND DEMENTIA, DOUGLAS GARDENS HOSPITAL WILL INCREASE EDUCATION AND AWARENESS THROUGH HOSPITAL AND NURSING HOME SERVICES THAT FOCUS ON THESE ISSUES. IT WILL PROVIDE EDUCATIONAL PRESENTATIONS AND SPEAKING ENGAGEMENT EVENTS AND CONDUCT CLINICAL RESEARCH TRIALS RELATED TO ALZHEIMER'S DISEASE AND DEMENTIA. THE HOSPITAL'S RESOURCES FOR SUCH INCLUDE SUPPORT NETWORKS AND CAREGIVER GROUPS AS WELL AS A BOARD-CERTIFIED ADULT AND GERIATRIC PSYCHIATRIST WHO IS INVOLVED IN PLANNING AND OVERSEEING MANY OF THE ALZHEIMER'S AND DEMENTIA PATIENTS' CARE.DOUGLAS GARDENS HOSPITAL RECOGNIZES THAT THERE ARE SEVERAL KEY ISSUES AND SEVERE CHRONIC CONDITIONS FACING THE COMMUNITY, INCLUDING, BUT NOT LIMITED TO DIABETES, ARTHRITIS, AND HEART CONDITIONS. THE FOLLOWING COMMUNITY HEALTH ISSUES WERE IDENTIFIED, BUT THE HOSPITAL DID NOT CHOOSE THEM AS A PRIORITY DUE TO LIMITED RESOURCES AND WILL CONTINUE TO MONITOR THE TREATMENT AND ADJUST ITS PROGRAMMING AND SERVICES ACCORDINGLY:- ACCESS TO CARE- AGE-FRIENDLY COMMUNITY- AGING IN PLACE- HOME CARE SUPPORT SERVICES PART V, LINE 16A, FAP WEBSITE: WWW.MIAMIJEWISHHEALTH.ORG/RESOURCES/PART V, LINE 16B, FAP APPLICATION WEBSITE:WWW.MIAMIJEWISHHEALTH.ORG/RESOURCES/PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:WWW.MIAMIJEWISHHEALTH.ORG/RESOURCES/ 2 1 - MIAMI JEWISH HEALTH CARE INC 5200 NE 2ND AVENUE MIAMI FL 33137 462-BED SKILLED NURSING FACILITY 2 - HAZEL CYPEN TOWER 5200 NE 2ND AVENUE MIAMI FL 33137 132-BED ASSISTED LIVING FACILITY PART I, LINE 7: AMOUNTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS. PART III, LINE 2: THE ORGANIZATION RECOGNIZES REVENUE AS PERFORMANCE OBLIGATIONS ARE SATISFIED. MJHS DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH MJHS'S POLICY, OR IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. MJHS DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. MJHS DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. AGREEMENTS WITH THIRD-PARTY PAYORS PROVIDE FOR PAYMENTS AT AMOUNTS LESS THAN ESTABLISHED CHARGES. SUBSEQUENT MATERIAL EVENTS THAT ALTER THE PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. PART III, LINE 3: THE BAD DEBT EXPENSE IS REPORTED AT TOTAL BAD DEBT EXPENSE PER THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PART III, LINE 4: IN THE CURRENT YEAR, THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 11. PART III, LINE 8: THE ORGANIZATION USED THE MEDICARE COST REPORT TO DETERMINE THE TOTAL REVENUE RECEIVED FROM MEDICARE AND ALLOWABLES COSTS.MIAMI JEWISH HEALTH SYSTEMS (MJHS) ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. MJHS BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES. PART III, LINE 9B: ACCOUNTS RECEIVABLE MAY, FOR A VARIETY OF REASONS, NOT BE PAID ON A TIMELY BASIS. IT IS THE POLICY OF MIAMI JEWISH HEALTH SYSTEMS, INC. NOT TO ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) UNTIL ALL REASONABLE EFFORTS ARE MADE TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IF A PERSON IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, THE ORGANIZATION IMMEDIATELY STOPS ALL COLLECTION EFFORTS. ADDITIONALLY, CERTAIN PROCEDURES MUST BE FOLLOWED IN COLLECTION EFFORTS TO ENSURE THAT ALL PATIENTS ARE TREATED IN A PROFESSIONAL MANNER AND THE SAME PROCESS IS BEING FOLLOWED FOR ALL PAYORS. PART VI, LINE 2: IN ADDITION TO THE COMMUNITY NEEDS HEALTH ASSESSMENT DISCUSSED IN PART V OF SCHEDULE H, MIAMI JEWISH HEALTH SYSTEMS EMPLOYS MULTIPLE PATHS TO IDENTIFY THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES:1. FREQUENT, OPEN, DIRECT COMMUNICATION WITH OUR REFERRAL PARTNERS, PARTICULARLY WITH THE HOSPITALS WHO PROVIDE OUR CORE REFERRAL BASE.2. PARTICIPATION IN COMMUNITY-WIDE HEALTH CARE ORGANIZATIONS SUCH AS THE LEADING AGE, ALLIANCE FOR AGING, SOUTH FLORIDA HOSPITAL & HEALTHCARE ASSOCIATION, THE CHAMBER OF COMMERCE, AND ALZHEIMER'S ASSOCIATION TO IDENTIFY BROAD COMMUNITY HEALTH NEEDS.3. ANALYSIS OF ADMISSIONS AND DISCHARGES TO MIAMI JEWISH HEALTH SYSTEMS PROGRAMS. IDENTIFY TRENDS IN THE DIAGNOSES, LENGTH OF STAY, AND OUTCOME PERFORMANCE. FOR EXAMPLE, ONE SUCH ANALYSIS LED TO THE DEVELOPMENT OF A SPECIALIZED WOUND CARE PROGRAM. TODAY, MIAMI JEWISH HEALTH SYSTEMS CURES MORE WOUNDS THAN ANY OTHER NURSING HOME IN MIAMI-DADE COUNTY.4. ANALYSIS OF FALLS STATISTICS TO IDENTIFY TRENDS IN THE INCIDENCE AND CONTRIBUTING FACTORS. SUCH ANALYSIS LED TO THE DEVELOPMENT OF A SPECIALIZED FALL-PREVENTION PROGRAM. TODAY, MIAMI JEWISH HEALTH SYSTEMS HAS A FALL INCIDENT RATE BETTER THAN LOCAL AND NATIONAL AVERAGES.5. MIAMI JEWISH HEALTH SYSTEMS CONDUCTS, THROUGH INDEPENDENT THIRD PARTIES, CUSTOMER SATISFACTION TRACKING. THESE SURVEYS ARE CONDUCTED SEVERAL TIMES PER YEAR. RESULTS FROM THE CUSTOMER SATISFACTION TRACKING ARE SHARED THROUGHOUT THE ORGANIZATION FROM THE FRONT LINE OPERATORS TO THE BOARD OF DIRECTORS. RESULTS FROM THE CUSTOMER SATISFACTION PROGRAM HAVE CHANGED ELEMENTS OF THE SERVICE PROTOCOL IN A NUMBER OF PROGRAMS THAT WE OFFER TO IMPROVE SERVICE DELIVERY.6. IN CONJUNCTION WITH NATIONAL AND INTERNATIONAL PHARMACEUTICAL COMPANIES AND RESEARCH FACILITIES, MIAMI JEWISH HEALTH SYSTEMS PARTICIPATES IN MULTIPLE CLINICAL TRIALS TO TEST THE EFFICACY OF NEW DRUGS FOR THE TREATMENT OF ALZHEIMER'S, DEMENTIA, AND OTHER AILMENTS. PART VI, LINE 3: MIAMI JEWISH HEALTH SYSTEMS, INC. COMPLIES WITH SECTION 501(R) OF THE INTERNAL REVENUE CODE WHICH REQUIRES HOSPITAL ORGANIZATIONS TO ESTABLISH A WRITTEN FINANCIAL ASSISTANCE POLICY (FAP). UPON ADMISSION, ALL PATIENTS RECEIVE A FINANCIAL SCREENING AND ARE NOTIFIED OF PROGRAMS UNDER WHICH THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE. IN ADDITION, FINANCIAL ASSISTANCE OPTIONS ARE PUBLICIZED WITHIN THE HOSPITAL AND ON THE ORGANIZATION'S WEBSITE. THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE UPON REQUEST AND THE PLAIN LANGUAGE SUMMARY IS MADE AVAILABLE ONLINE AND IN-PERSON AND IS DISTRIBUTED TO ALL PATIENTS OF THE HOSPITAL. PART VI, LINE 4: THE PRIMARY SERVICE AREA OF THE HOSPITAL FACILITY INCLUDES MIAMI-DADE COUNTY, FLORIDA. IN 2017, MIAMI-DADE COUNTY HAD A POPULATION OF 2,751,796, RENDERING IT THE MOST POPULATED COUNTY IN FLORIDA. THE COUNTY EXPERIENCED A POPULATION GROWTH OF 8.3% BETWEEN 2010 AND 2017. THE OVERALL POPULATION OF BOTH MIAMI-DADE COUNTY AND FLORIDA HAS GROWN FASTER BETWEEN 2000 AND 2017 (8.3% AND 7.9%) THAN THE OVERALL POPULATION IN THE ENTIRE NATION (4.0%). IN ADDITION, THE POPULATION IN MIAMI-DADE COUNTY IS NOTABLY OLDER WHEN COMPARED TO THE STATE AND THE NATION. ACCORDING TO THE U.S. CENSUS BUREAU, THE MEDIAN AGE OF RESIDENTS AGED 65 YEARS AND OVER IN MIAMI-DADE COUNTY WAS 74.2; WHEREAS STATE RESIDENTS HAD A MEDIAN AGE OF 73.8 AND 73.2 ACROSS THE NATION. THE OLDER POPULATION TENDS TO HAVE A HIGHER SHARE OF FEMALES IN THE POPULATION IN MIAMI-DADE COUNTY (58.3%) WHEN COMPARED TO FLORIDA (55.0%) AND THE NATION (55.9%). IN ADDITION, THE OLDER ADULT POPULATION AGED 65 YEARS AND OVER ARE PREDOMINANTLY WHITE (81.7%), NEARLY TWO-THIRDS OF THE OVERALL POPULATION IN MIAMI-DADE COUNTY. (69.5%) IS HISPANIC OR LATINO. THIS PERCENTAGE IS MUCH HIGHER THAN BOTH FLORIDA (14.6%) AND THE NATION (7.9%). THE RACIAL BREAKDOWN DOES PROVIDE A FOUNDATION FOR PRIMARY LANGUAGE STATISTICS. ALMOST THREE QUARTERS OF MIAMI-DADE COUNTY RESIDENTS AGED 65 YEARS AND OVER (74.5%) SPEAK A LANGUAGE OTHER THAN ENGLISH AS THEIR PRIMARY LANGUAGE AT HOME COMPARED TO 20.5% IN FLORIDA AND ALMOST 15% IN THE UNITED STATES. OF THOSE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME IN MIAMI-DADE COUNTY, 58.3% SPEAK ENGLISH LESS THAN VERY WELL, WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE AND THE NATION. AS MIAMI-DADE COUNTY CONTINUES TO GROW IN DIVERSITY, IT WILL BE INCREASING IMPORTANT TO ADDRESS THE LANGUAGE NEEDS AND HEALTH BARRIER THAT EXISTS FOR INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY AND FOR WHOM ENGLISH IS NOT THEIR PRIMARY LANGUAGE. LASTLY, IN MIAMI-DADE COUNTY, ABOUT 41% OF OLDER ADULTS LIVE IN A SINGLE-PERSON HOUSEHOLD, WHICH IS EQUIVALENT TO NEARLY 83,525 OLDER ADULTS. LIVING ALONE GENERALLY ENTAILS A HIGHER RISK FOR SOCIAL ISOLATION AND THIS FIGURE MAY WARRANT ATTENTION. PART VI, LINE 5: MIAMI JEWISH HEALTH SYSTEMS, INC. IS DEDICATED TO PROMOTING THE HEALTH AND WELFARE OF THE SOUTH FLORIDA COMMUNITY OF WHICH THEY HAVE BEEN A PART OF FOR MORE THAN 75 YEARS. SOME OF THE WAYS IN WHICH THE HEALTH OF THE COMMUNITY IS PROMOTED IS AS FOLLOWS:- COMMUNITY BOARDS: MJHS HAS AN INDEPENDENT COMMUNITY BOARD STAFFED BY HEALTH CARE PROFESSIONALS AND COMMUNITY ACTIVISTS AND MEMBERS.- MEDICAL STAFF: QUALIFIED PHYSICIANS AND PRACTITIONERS FROM ACROSS THE COMMUNITY CAN BE CREDENTIALED TO PRACTICE AT MIAMI JEWISH HEALTH SYSTEMS.- EMPLOYEE WELLNESS, HEALTH, AND SAFETY: MJHS IS THE LARGEST EMPLOYER IN THE HAITIAN COMMUNITY. PART VI, LINE 6: MIAMI JEWISH HEALTH SYSTEMS, INC. HAS MANY AFFILIATED ENTITIES THAT PROVIDE AN ARRAY OF PROGRAMS SUCH AS ASSISTED LIVING, OUTPATIENT PROGRAMS, AND COMMUNITY-BASED PROGRAMS. THE ORGANIZATION AND ITS AFFILIATES INCLUDE: A 462-BED SKILLED NURSING FACILITY, A MEDICARE CERTIFIED HOSPITAL UNIT WITH 32 ACUTE CARE BEDS, SEVERAL INDEPENDENT AND ASSISTED LIVING FACILITIES, AN AMBULATORY HEALTH CENTER, A REHABILITATION CENTER, A PROGRAM FOR THE ALL-INCLUSIVE CARE OF THE ELDERLY (PACE), AND IN ADDITION, THE ORGANIZATION OPERATES A NURSE REGISTRY PROGRAM, A PROGRAM TO PROVIDE MANAGEMENT SERVICES TO SENIOR HOUSING PROVIDERS, AND TWO FOUNDATIONS. X X X X X 1 1 0 0 0 0 0 0 0 JEFFREY P FREIMARK PRESIDENT/CEO 985583 0 500000 0 7800 0 10600 0 12602 0 1516585 0 0 0 BRIAN KIEDROWSKI EXEC. VP ENTERPRISE CMO 385512 0 0 0 7800 0 9800 0 7064 0 410176 0 0 0 ROBERT BECHT CFO (ENDING 04/2020) 332903 0 50000 0 6500 0 0 0 6746 0 396149 0 0 0 MARC AGRONIN SENIOR VP BEHAVIORAL HEALTH 343546 0 0 0 7800 0 8440 0 17104 0 376890 0 0 0 RICHARD SKELLY FORMER CFO 23406 0 0 0 295522 0 0 0 952 0 319880 0 0 0 SHAUN CORBETT MEDICAL DIRECTOR 284886 0 0 0 1300 0 8145 0 7094 0 301425 0 0 0 DAVID PAGANO CHIEF CLINICAL OFFICER (END 10/2019) 206986 0 0 0 47185 0 7547 0 5912 0 267630 0 0 0 JASON PINCUS VP NURSING HOME ADMINISTRATOR 192830 0 0 0 7800 0 4769 0 17104 0 222503 0 0 0 ELISA HERNANDEZ CHIEF HUMAN RESOURCES OFFICER 199692 0 0 0 7800 0 6461 0 7094 0 221047 0 0 0 DANA KULVIN VP LEGAL & COMPLIANCE 198588 0 0 0 7800 0 7905 0 0 0 214293 0 0 0 BERNARDO LARRALDE VP INFORMATION TECHNOLOGY 176619 0 0 0 6000 0 7351 0 17104 0 207074 0 0 0 STEPHANIE COSDEN ASSOCIATE VP NH CLINICAL SERVICES 172376 0 0 0 1300 0 1077 0 17104 0 191857 0 0 0 LEAH BRODERICK VP OF MARKETING 153461 0 0 0 7800 0 1796 0 17104 0 180161 0 0 0 RAE BULLARD VP HUMAN RESOURCES 138113 0 20000 0 7800 0 4695 0 5054 0 175662 0 0 0 MARYNELL LUBINSKI VP PHYSICIAN SERVICES 154305 0 0 0 7800 0 5885 0 7094 0 175084 0 0 0 JOHANNA SUAREZ VP SENIOR LIVING 160518 0 0 0 7800 0 0 0 0 0 168318 0 0 0 CHURE GLADWELL FORMER CHIEF DEVELOPMENT OFFICER 54467 0 0 0 102600 0 0 0 2365 0 159432 0 0 0 RICARDO CASTANEDA DIR. CLINICAL RESEARCH/BUS. DEV. 147416 0 0 0 0 0 0 0 11429 0 158845 0 0 0 CLIFF BAUER VP GOVERNMENT RELATIONS 130175 0 0 0 7800 0 4969 0 12602 0 155546 0 0 0 PART I, LINES 4A-B MIAMI JEWISH HEALTH SYSTEMS, INC., OFFERS A NONQUALIFIED EXECUTIVE PENSION BENEFIT THROUGH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AGREEMENT. DURING 2019, $1,500,000 WAS CONTRIBUTED INTO THE PLAN ON BEHALF OF THE CEO. DURING THE YEAR, THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS PURSUANT TO MIAMI JEWISH HEALTH SYSTEMS, INC.'S POLICIES AND PROCEDURES FOLLOWING AN INVOLUNTARY SEPARATION FROM EMPLOYMENT: - RICHARD SKELLY - $294,872 - DAVID PAGANO - $40,685 - CHURE GLADWELL - $100,000 A CITY OF MIAMI FLORIDA HEALTH FACILITIES AUTHORITY 596000375 593416CM0 2017-01-01 44035000 SEE SUPPLEMENTAL INFORMATION. 0 0 0 A 3140000 46331227 3062988 23630946 17439573 2197720 2019 1 0 1 1 A 0 0 1 1 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 0 SCHEDULE K, PART I, LINE A(F) ON JANUARY 1, 2017, MJHS COMPLETED THE REFUNDING OF THE SERIES 2005, CITY OF MIAMI, FLORIDA HEALTH FACILITIES AUTHORITY REVENUE BONDS (THE "2005 BONDS") WITH THE ISSUANCE OF THE SERIES 2017, CITY OF MIAMI, FLORIDA HEALTH FACILITIES AUTHORITY REVENUE BONDS (THE "2017 BONDS") IN THE AMOUNT OF $44,035,000, WITH AN ORIGINAL ISSUE PREMIUM OF $2,296,227 ALSO BEING RECEIVED. THE PROCEEDS OF THE 2017 BONDS WERE USED TO PAY OFF THE 2005 BONDS, OTHER PREVIOUSLY HELD DEBT OBLIGATIONS, AND TO FINANCE CERTAIN CAPITAL IMPROVEMENTS OF MJHS'S OPERATING FACILITIES. SCHEDULE K, PART II, LINE 3 TOTAL PROCEEDS OF ISSUE INCLUDES AN ORIGINAL ISSUE PREMIUM OF $2,296,227. FORM 990, PART VI, SECTION A, LINE 2 STEPHEN H. CYPEN AND WAYNE A. CYPEN - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER AND CONTROLLER OF MIAMI JEWISH HEALTH SYSTEMS, INC. CONDUCT A COMPREHENSIVE REVIEW OF THE FORM 990 PRIOR TO FILING A COPY OF THE RETURN. THE DRAFT RETURN IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH 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 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 THE CEO REPORTS DIRECTLY TO THE BOARD OF DIRECTORS AND A COMPENSATION COMMITTEE OF THE BOARD IS RESPONSIBLE FOR APPROVING COMPENSATION ADJUSTMENTS TO THE CEO. THE COMPENSATION COMMITTEE REVIEWS AND APPROVIES ANY CHANGES IN BASE COMPENSATION AS WELL AS BONUSES AND OTHER COMPONENTS ON AN ANNUAL BASIS. FORMAL COMPENSATION STUDIES ARE REQUESTED AND CONDUCTED AS NEEDED. THE MINUTES OF THE COMPENSATION COMMITTEE DOCUMENT THE DECISIONS AND DELIBERATIONS OF THE COMMITTEE. COMPENSATION OF ALL OTHER OFFICERS AND KEY EMPLOYEES IS ESTABLISHED BY THE CEO AND IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. FORMAL COMPENSATION STUDIES ARE REQUESTED AND CONDUCTED AS NEEDED. THE MINUTES OF THE COMPENSATION COMMITTEE DOCUMENT THE DECISIONS AND DELIBERATIONS OF THE COMMITTEE. 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. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 3,877,286. MANAGEMENT AND GENERAL EXPENSES 1,232,185. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,109,471. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,095,665. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,095,665. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,074. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,074. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 7,665,799. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,665,799. STATE ASSESSMENT FEES: PROGRAM SERVICE EXPENSES 654,886. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 654,886. CENTRALIZED SERVICES: PROGRAM SERVICE EXPENSES 15,236,639. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,236,639. FORM 990, PART XI, LINE 9: OTHER PENSION RELATED CHANGES 2,184,698. GAIN ON ABANDONMENT OF PROJECT 758,951. FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. DGN INC 5200 NE 2ND AVENUE MIAMI FL 33137 113672256 LOW INCOME HOUSING FOR THE ELDERLY FL 501(C)(3) LINE 7 MIAMI JEWISH HEALTH SYSTEMS INC 1 DGN II INC 5200 NE 2ND AVENUE MIAMI FL 33137 651270932 LOW INCOME HOUSING FOR THE ELDERLY FL 501(C)(3) LINE 7 MIAMI JEWISH HEALTH SYSTEMS INC 1 DGN III INC 5200 NE 2ND AVENUE MIAMI FL 33137 273293469 LOW INCOME HOUSING FOR THE ELDERLY FL 501(C)(3) LINE 7 MIAMI JEWISH HEALTH SYSTEMS INC 1 STEIN GERONTOLOGICAL INSTITUTE INC 5200 NE 2ND AVENUE MIAMI FL 33137 650289632 GERONTOLOGICAL RESEARCH FL 501(C)(3) LINE 10 MIAMI JEWISH HEALTH SYSTEMS INC 1 DOUGLAS GARDENS HOLDING CORP INC 5200 NE 2ND AVENUE MIAMI FL 33137 237302931 SUPPORT MIAMI JEWISH HEALTH SYSTEMS, INC. FL 501(C)(2) MIAMI JEWISH HEALTH SYSTEMS INC 1 FLORIDA PATHWAYS INC 5200 NE 2ND AVENUE MIAMI FL 33137 650198276 HOLD PROPERTY AND LEASE TO RELATED ORGANIZATIONS FL 501(C)(3) LINE 12A, I MIAMI JEWISH HEALTH SYSTEMS INC 1 DOUGLAS GARDENS HOME CARE INC 5200 NE 2ND AVENUE MIAMI FL 33137 651151478 NURSE REGISTRY PROGRAM/HEALTHCARE FL 501(C)(3) LINE 10 MIAMI JEWISH HEALTH SYSTEMS INC 1 DOUGLAS GARDENS SENIOR HOUSING INC 5200 NE 2ND AVENUE MIAMI FL 33137 650838183 MANAGEMENT SERVICES TO RELATED ORGANIZATIONS FL 501(C)(3) LINE 12A, I MIAMI JEWISH HEALTH SYSTEMS INC 1 MIAMI JEWISH HEALTH SYSTEMS FOUNDATION INC 5200 NE 2ND AVENUE MIAMI FL 33137 200267158 SOLICIT AND INVEST CONTRIBUTIONS ON BEHALF OF MIAMI JEWISH HEALTH SYSTEMS FL 501(C)(3) LINE 7 MIAMI JEWISH HEALTH SYSTEMS INC 1 FLORIDA PACE CENTERS INC 5200 NE 2ND AVENUE MIAMI FL 33137 651051439 HEALTHCARE FL 501(C)(3) LINE 10 MIAMI JEWISH HEALTH SYSTEMS INC 1 WOLFCYPEN FOUNDATION 5200 NE 2ND AVENUE MIAMI FL 33137 656417244 INVESTMENT OF CONTRIBUTIONS FL 501(C)(3) LINE 12A, I MIAMI JEWISH HEALTH SYSTEMS INC 1 SOLOMON KLEIN IRREVOCABLE ANNUITY TRUST FBO RITA MILLNER 5200 NE 2ND AVENUE MIAMI FL 33137 363489288 INVESTMENT FL MIAMI JEWISH HEALTH SYSTEMS INC T 38481 1.00000 1 1 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 1 MIAMI JEWISH HEALTH SYSTEMS FOUNDATION INC C 5755775 ACTUAL AMOUNT RECCEIVED DGN INC Q 245660 COST DGN II INC Q 166975 COST DGN III INC Q 154848 COST DOUGLAS GARDENS HOME CARE INC Q 1600000 COST STEIN GERONTOLOGICAL INSTITUTE INC Q 883865 COST FLORIDA PACE CENTERS INC Q 6100000 COST FLORIDA PACE CENTERS INC S 13800000 ACTUAL AMOUNT RECCEIVED MIAMI JEWISH HEALTH SYSTEMS FOUNDATION INC Q 1803538 COST