2020-08-13T10:30:23-05:00 2019-12-31 593070669 MSL PA 255 SOUTH ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2019-01-01 311571683 SENIOR HEALTH PROPERTIES-SOUTHINC SENI 2153466454 TWO BALA CYNWYD PLAZA NO 300 BALA CYNWYD PA 19004 HOWARD JAFFE PRESIDENT 5618017600 2020-08-13 1 HEIDI G ALLES P02149266 3058199555 68.95.178.125 2020-08-13 10:29:30 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 ED790DDA320950C8CA808C751220ABE6F56A1A3D 2019 2020-09-23 17:36:50Z HOWARD JAFFE TWO BALA CYNWYD PLAZA NO 300 BALA CYNWYD PA 19004 71462517 0 X N/A X 2000 FL THE ENTITY IS ORGANIZED AND OPERATED FOR THE PROVISION OF SHORT AND LONG-TERM STAYS OFFERING POST ACUTE AND REHABILITATION SERVICES. THE ORGANIZATION PROVIDES THESE SERVICES BY PROVIDING ROOM AND BOARD, NURSING SERVICES, HEALTHCARE, THERAPY, RESIDENT SERVICES AND SECURITY AT AN AFFORABLE COST. THE ORGANIZATION STRIVES TO PROVIDE OPEN, DIVERSE, AND CARING ENVIRONMENTS FOR RESIDENTS, FAMILY MEMBERS AND STAFF. 6 5 1046 111 0 0 384220 594217 86728455 67332475 14033 35825 142736 3500000 87269444 71462517 3070611 10759 0 0 38871598 29584451 0 0 0 49394866 38172161 91337075 67767371 -4067631 3695146 34749811 23430620 19267471 8069184 15482340 15361436 TO OPERATE ONE OR MORE NURSING HOMES OR PROVIDE OTHER HOUSING FOR THE ELDERLY AND DEVELOP MEDICAL PROGRAMS FOR THE CARE OF THE ELDERLY AND TO EDUCATE AND TRAIN HEALTHCARE PERSONNEL IN THE PROPER CARE OF THE ELDERLY. 0 0 59695890 10759 67332475 THE ORGANIZATION OPERATES SKILLED NURSING FACILITIES WITH A CAPACITY OF 710 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. 59695890 1 1 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 139 0 1 1046 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 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 HOWARD JAFFE PRESIDENT 4.00 X X 42287 0 0 RICHARD DIPIANO JR DIRECTOR 2.00 X 12000 0 0 ANN MULLEN DIRECTOR 2.00 X 12000 0 0 PENNY RICHMOND DIRECTOR 2.00 X 12000 0 0 ADRIENNE SCHMOLLINGER DIRECTOR 2.00 X 12000 0 0 LINDA DALE DIRECTOR 2.00 X 12000 0 0 RICHARD GIESLER DIRECTOR OF NURSING 40.00 X 124485 0 6562 GRACE MARRERO REGISTERED NURSE 40.00 X 116184 0 6562 LUCRETA BROWN DIRECTOR OF NURSING 40.00 X 115873 0 6562 HEIDI TUCKER ADMINISTRATOR 40.00 X 113203 0 6562 DONNA ROGERS ADMINISTRATOR 40.00 X 111182 0 6562 683214 0 32810 8 0 0 0 SELECT REHABILITATION INC 2600 COMPASS RD GLENVIEW IL 60026 THERAPY PROVIDER 7705708 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 HOUSEKEEPING AND LAUNDRY SERVICES 5563306 PHARMERICA PO BOX 409251 ATLANTA GA 30384 PHARMACY SERVICES AND DRUGS 1707694 KANE FINANCIAL SERVICES 1675 PALM BEACH LAKES BLVD SUITE 6 WEST PALM BEACH FL 33401 CONSULTING 1364759 CIGNA HEALTH & LIFE INSURANCE COMPANY 2701 N ROCKY POINT DR SUITE 800 TAMPA FL 33607 EMPLOYEE BENEFITS 1119673 38 594217 594217 RESIDENT SERVICE REVENUE 623000 67332475 67332475 67332475 35825 35825 OTHER INCOME 900099 3500000 3500000 3500000 71462517 67332475 0 3535825 X 10759 10759 102287 102287 23943644 21301754 2641890 27216 25732 1484 3656803 3247600 409203 1854501 1714599 139902 65303 65303 106019 106019 18192688 15912428 2280260 62371 62371 511601 22027 489574 315361 72111 243250 8475820 7628238 847582 221160 24600 196560 924521 832069 92452 751387 676248 75139 STATE ASSESSMENT 4780250 4780250 SUPPLIES 3283236 3096973 186263 PATIENT TRANSFER 224811 224787 24 FOOD 132899 114583 18316 124734 11132 113602 67767371 59695890 8071481 0 938553 0 4444979 3815569 8280466 6245817 1346340 863652 14311210 7100185 12600680 7211025 90750 0 1407523 1291038 5640520 4003519 34749811 23430620 6952539 6568716 1526054 1257776 8353301 242692 2435577 0 19267471 8069184 X 15482340 15361436 15482340 15361436 34749811 23430620 3695146 -3816050 0 X X 0 1 X 1 0 X 1930 31718 467327 384220 594217 1479412 81902834 82566467 81722466 86728455 67332475 400252697 81904764 82598185 82189793 87112675 67926692 401732109 0 0 0 401732109 7419 33754 47306 14033 35825 138337 7419 33754 47306 14033 35825 138337 54415 61979 176549 142736 3500000 3935679 81966598 82693918 82413648 87269444 71462517 405806125 0.99000 0.99850 0.00030 0.00020 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME GAIN ON FORGIVENESS OF LOAN FROM PRIOR MEMBER PART III, LINE 12 SENIOR HEALTH SOUTH-EX, LLC IS A SINGLE MEMBER LLC FORMED AS A SUBSIDIARY OF SENIOR HEALTH PROPERTIES - SOUTH, INC. DURING THE YEAR ENDED DECEMBER 31, 2019, SENIOR HEALTH PROPERTIES - SOUTH, INC. FORGAVE THE $3,500,000 OUTSTANDING LOAN WITH SOUTH-EX. ACCORDINGLY, SOUTH-EX RECORDED A GAIN ON FORGIVENESS OF LOAN FROM MEMBER IN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 704604 11464 248887 467181 0 8327916 3972641 4355275 3685375 2193264 1492111 2297919 934280 1363639 7211025 ASSETS WHOSE USE IS LIMITED 975153 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 28366 DUE FROM OTHERS 3000000 4003519 PART IV, LINE 1B: THE ORGANIZATION OFFERS CASH MANAGEMENT SERVICES TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF THE RESIDENTS AND ARE DISBURSED AS REQUESTED. THE ORGANIZATION HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS AND REMAINS ONLY A CUSTODIAN. 1 SENIOR HEALTH PROPERTIES SOUTH INC LEGAL ENTITY TWO BALA CYNWYD PLAZA SUITE 300 BALA CYNWYD PA 19004 10759 GENERAL SUPPORT PART I, LINE 2: THE CONSULTING COMPANY OF THE ORGANIZATION IS ON THE STEERING COMMITTEE OF THE FLORIDA HEALTHCARE ASSOCIATION (FHCA). THE ORGANIZATION HAS ASKED FHCA TO NOTIFY THEM AS TO WHAT THE GRANT MONEY IS BEING USED FOR BEFORE THE FUNDS ARE SPENT. DISBURSEMENTS FROM THE FUNDS ARE REVIEWED AND APPROVED BY A PAC ATTORNEY WHO VERIFIES THE EXPENDITURE IS ONE PERMITTED UNDER IRS REGULATIONS GOVERNING 501(C)(3) TAX EXEMPT ENTITIES. 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 ACTIVITIES: PROGRAM SERVICE EXPENSES 2,915. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,915. CONSULTING: PROGRAM SERVICE EXPENSES 1,606,171. MANAGEMENT AND GENERAL EXPENSES 827,221. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,433,392. HOUSEKEEPING & LAUNDRY: PROGRAM SERVICE EXPENSES 1,943,700. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,943,700. LAB & X-RAY: PROGRAM SERVICE EXPENSES 223,207. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 223,207. MEDICAL & SOCIAL SERVICES: PROGRAM SERVICE EXPENSES 7,844,696. MANAGEMENT AND GENERAL EXPENSES 12,291. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,856,987. OTHER CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 67,176. MANAGEMENT AND GENERAL EXPENSES 106,166. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 173,342. REHABILITATION: PROGRAM SERVICE EXPENSES 284,032. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 284,032. FINANCIAL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,334,582. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,334,582. FOOD: PROGRAM SERVICE EXPENSES 3,940,531. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,940,531. FORM 990, PART XII, LINE 2C OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT: THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT IS ASSUMED BY THE GOVERNING BODY. THIS PROCESS HAS NOT CHANGED IN ANY WAY FROM THE PRIOR YEAR. 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