2020-08-03T13:09:13-05:00 2019-12-31 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2019-01-01 200904526 INSTITUTE FOR SENIOR LIVING OF FLORIDA INC INST 2153466454 TWO BALA CYNWYD PLAZA NO 300 BALA CYNWYD PA 19004 HOWARD JAFFE PRESIDENT 2153466454 2020-08-03 1 HEIDI G ALLES P02149266 4077405400 68.95.178.125 2020-08-03 12:55:04 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 ED790DDA320950C8CA808C751220ABE6F56A1A3D 2019 2021-01-29 14:40:06Z HOWARD JAFFE TWO BALA CYNWYD PLAZA NO 300 BALA CYNWYD PA 19004 47258043 0 X N/A X 2004 FL TO OPERATE ONE OR MORE NURSING HOMES OR PROVIDE OTHER HOUSING FOR THE ELDERLY, DEVELOP MEDICAL PROGRAMS FOR THE CARE OF THE ELDERLY AND TO EDUCATE AND TRAIN HEALTHCARE PERSONNEL IN THE PROPER CARE OF THE ELDERLY. 5 4 772 115 0 0 1166934 180000 50208020 47026823 22368 25354 74656 25866 51471978 47258043 0 0 0 0 18100922 18045074 0 0 0 32743741 30692558 50844663 48737632 627315 -1479589 20806507 20649999 5029183 6352264 15777324 14297735 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 42411226 47052689 THE ORGANIZATION OPERATES SKILLED NURSING AND ASSISTED LIVING FACILITIES DEDICATED AND COMMITTED TO PROVIDING REHABILITATION AND LONG-TERM CARE FOR PATIENTS AND RESIDENTS, HOUSING AND ASSISTANCE FOR THOSE PERSONS REQUIRING LESSER CARE, AND PROVIDES NUMEROUS ACTIVITIES AND PROGRAMS INCORPORATING AND PROMOTING FAMILY ACTIVITIES AND INVOLVEMENT WITH RESIDENTS AND STAFF. THESE ACTIVITIES PROMOTE A NORMALIZED CARE ENVIRONMENT. THE COMBINED CAPACITY OF THE SKILLED NURSING FACILITIES IS 360 BEDS. THE COMBINED CAPACITY OF THE ASSISTED LIVING FACILITIES IS 319 UNITS. 42411226 1 1 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 0 0 0 0 0 1 0 0 0 0 1 74 0 1 772 1 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X SUSAN SHAIN KANE FINANCIAL SERVICES 5612234161 1665 PALM BEACH LAKES BLVD SUITE WEST PALM BEACH FL 33401 HOWARD JAFFE PRESIDENT 2.37 X X 40441 0 0 NATE DUDLEY DIRECTOR 2.00 X 12000 0 0 PENNY RICHMOND DIRECTOR 2.00 X 12000 0 0 BRIAN M WYATT DIRECTOR 2.00 X 12000 0 0 KATHY HALL DIRECTOR 2.00 X 12000 0 0 JEFF A NUSBAUM ADMINISTRATOR 40.00 X 181590 0 5232 MARK KESSLER ADMINISTRATOR 40.00 X 110179 0 5232 ELIZABETH C SANCHEZ RISK MANAGEMENT SPECIALIST 40.00 X 103749 0 5232 CHARMAINE E BOWES-FINEGAN ASSISTED LIVING MANAGER 40.00 X 102076 0 5232 JESSA COLLINS ADMINISTRATOR 40.00 X 100390 0 5232 686425 0 26160 5 0 1 0 SELECT REHABILITATION INC 2600 COMPASS RD GLENVIEW IL 60026 REHABILITATION 6090112 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 HOUSEKEEPING AND LAUNDRY 4118760 PHARMERICA PO BOX 409251 ATLANTA GA 30384 PHARMACY SERVICES 1437159 EPONA HEALTH SERVICES LLC 1665 PALM BEACH LAKES BLVD STE 40 WEST PALM BEACH FL 33401 CONSULTING SERVICES 1030782 KANE FINANCIAL SERVICES 1665 PALM BEACH LAKES BLVD STE 40 WEST PALM BEACH FL 33401 CONSULTING SERVICES 984365 32 180000 180000 NET RESIDENT SERVICE R 623000 38754885 38754885 ASSISTED LIVING REVENU 623000 8271938 8271938 47026823 25354 25354 OTHER REVENUE 900099 25866 25866 25866 47258043 47052689 0 25354 X 88441 88441 14863146 13853813 1009333 23356 23356 1914181 954213 959968 1155950 1053483 102467 52636 52636 84762 84762 14338347 12626173 1712174 66598 66598 525214 31465 493749 206249 23915 182334 8669121 7802209 866912 212558 2255 210303 892238 803014 89224 477421 429679 47742 FACILITY QUALITY ASSESS 2499922 2499922 SUPPLIES AND EQUIPMENT 2268770 2140355 128415 LEGAL SETTLEMENT CLAIMS 217246 217246 PATIENT TRANSFERS 129394 125497 3897 52082 41877 10205 48737632 42411226 6326406 0 903564 1509734 1870478 917046 4865487 4784775 522420 529436 18535273 8185012 9947699 10350261 2696859 2558747 20806507 20649999 3605468 4347498 1423715 1797988 0 206778 5029183 6352264 X 15777324 14297735 15777324 14297735 20806507 20649999 -1479589 0 X X 0 1 X 1 0 X 400000 1166934 180000 1746934 46907442 45319811 23666964 50208020 47026823 213129060 47307442 45319811 23666964 51374954 47206823 214875994 0 0 0 214875994 9448 17685 9825 22368 25354 84680 9448 17685 9825 22368 25354 84680 46648 189596 5839 74656 25866 342605 47363538 45527092 23682628 51471978 47258043 215303279 0.99800 0.99770 0.00040 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 152452 21376 173828 0 14678344 6525605 8152739 2726597 1570172 1156425 1130332 89235 1041097 10350261 ASSETS WHOSE USE IS LIMITED 337510 DEPOSITS 1011927 INVESTMENTS IN CAPTIVE INSURANCE COMPANY 1209310 2558747 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 206778 206778 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 BY THE APPLICABLE RESIDENT. THE ORGANIZATION HAS A FIDUCIARY OF ACCOUNTABILITY FOR THESE FUNDS AND REMAINS ONLY A CUSTODIAN. X X 0 0 0 0 0 0 0 0 0 JEFF A NUSBAUM ADMINISTRATOR 181590 0 0 0 0 0 0 0 5232 0 186822 0 0 0 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 PROVIDED 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 TEMPORARY HELP: PROGRAM SERVICE EXPENSES 108,448. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,448. ANCILLARY SERVICES: PROGRAM SERVICE EXPENSES 6,566,253. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,566,253. HOUSEKEEPING & LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 1,274,376. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,274,376. FOOD SERVICE: PROGRAM SERVICE EXPENSES 3,251,668. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,251,668. LAB FEES AND XRAY: PROGRAM SERVICE EXPENSES 223,794. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 223,794. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 222,190. MANAGEMENT AND GENERAL EXPENSES 48,552. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 270,742. CONSULTING FEES: PROGRAM SERVICE EXPENSES 979,444. MANAGEMENT AND GENERAL EXPENSES 680,100. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,659,544. PARROLL PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 52,988. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,988. FINANCIAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 930,534. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 930,534. FORM 990, PART XI, LINE 2C 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. ISLF DEERWOOD PLACE - JACKSONVILLE LLC 8700 AC SKINNER PARKWAY JACKSONVILLE FL 32256 200983025 NURSING HOME, ELDERLY CARE FL 15214536 4528262 INSTITUTE FOR SENIOR LIVING OF FLORIDA INC ISLF REGENTS PARK - WINTER PARK LLC 558 NORTH SEMORAN BLVD WINTER PARK FL 32792 200983133 NURSING HOME, ELDERLY CARE FL 17743269 2748154 INSTITUTE FOR SENIOR LIVING OF FLORIDA INC ISLF WESTCHESTER OF SUNRISE LLC 9701 WEST OAKLAND PARK BLVD SUNRISE FL 33351 200983159 NURSING HOME, ELDERLY CARE FL 16196748 2970150 INSTITUTE FOR SENIOR LIVING OF FLORIDA INC