2018-05-15T18:00:52-05:00 2017-06-30 350921680 CROWE HORWATH LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2016-07-01 590624414 Miami Jewish Health Systems Inc MIAM 3057518626 5200 NE 2nd Avenue Miami FL 33137 Richard D Skelly CFO 2018-02-26 true Brittney Kocaj P01320603 9542028600 2016 2022-09-23 18:48:47Z MIAMI JEWISH HEALTH Jeffrey Freimark 5200 NE 2nd Avenue Miami FL 33137 70890127 false X www.miamijewishhealthsystems.org X 1940 FL To provide compassionate healthcare through a full range of quality services, guided by research and education, honoring traditional Jewish values of dignity and respect. 14 13 985 220 512570 392582 5563961 563661 61924819 63495269 433228 973889 5891343 5857308 73813351 70890127 0 0 38309443 42089524 0 0 35876152 36837987 74185595 78927511 -372244 -8037384 97647009 101390603 73952501 79659624 23694508 21730979 THE ORGANIZATION'S PURPOSE IS TO PROVIDE SKILLED NURSING, LONG-TERM CARE, RESIDENTIAL AND COMMUNITY BASED SERVICES TO THE ELDERLY AND OTHERS WHO WOULD BENEFIT FROM SUCH SERVICES. IN ADDITION, RESEARCH AND EDUCATIONAL PROGRAMS ARE CONDUCTED TO ENHANCE THE ABILITY OF THE ELDERLY TO REMAIN INDEPENDENT AND ACTIVE IN THE COMMUNITY. false false 44655320 0 54169266 HEALTHCARE - MIAMI JEWISH HEALTH 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 SERVICES 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. 8616072 0 10225064 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. 4178030 0 4958247 CASE MANAGEMENT/DAY CARE - MIAMI JEWISH HEALTH SYSTEMS, INC. OPERATES A STATE SPONSORED 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. 57449422 true true false true false false false false true true true true false false true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 252 0 true 985 true true true false false false false false false false false false X 14 13 true false false false false false false true false false false false true true true true true true true true true X Richard D Skelly 3057518626 5200 NE 2nd Avenue Miami FL 33137 JEFFREY FREIMARK President & CEO/ Director 25.0 25.0 X X 1075391 0 937635 ALFRED KATZIN Chairman/Director 1.0 4.0 X X 0 0 0 JAY SOLOWSKY Vice Chairman/Director 1.0 1.0 X X 0 0 0 STEPHEN H CYPEN Director 1.0 2.0 X 0 0 0 WAYNE A CYPEN Director 1.0 1.0 X 0 0 0 RONALD FIELDSTONE Director 1.0 2.0 X 0 0 0 DR ROBERT GOLDSZER Director 1.0 0 X 0 0 0 SAMUEL HARTE Director 1.0 2.0 X 0 0 0 JANE KAHN JACOBS Director 1.0 1.0 X 0 0 0 JOHN RICHARD Director 1.0 0 X 0 0 0 JEFFREY RITTENBERG Director 1.0 0 X 0 0 0 ORA LEA STRICKLAND Director 1.0 0 X 0 0 0 ARTHUR UNGER Director 1.0 2.0 X 0 0 0 TERESA VALDES-FAULI WEINTRAUB Director (through October 2016) 1.0 0 X 0 0 0 Carol Lang DIRECTOR 1.0 0 X 0 0 0 LESLIE TORRES Secretary 28.0 12.0 X 68490 0 13697 JOHN F KELLEHER CFO/Treasurer (THROUGH FEB 2017) 25.0 25.0 X 221310 0 24701 RICHARD D SKELLY CFO/TREASURER (BEG JAN 2017) 25.0 25.0 X 0 0 0 DR MARC E AGRONIN Medical Director Mental Health 10.0 30.0 X 374983 0 27268 CLIFF BAUER Chief Operating Officer 25.0 25.0 X 0 299092 22220 DR BRIAN J KIEDROWSKI Chief Medical Officer 40.0 10.0 X 451377 0 20017 PAUL M ROBIE VP BUSINESS STRATEGY 40.0 1.0 X 199039 0 21785 DR SHAUN C CORBETT MED DIR PAIN CENTER 40.0 0 X 258049 0 12894 CHURE GLADWELL VP Foundation and CDO 20.0 20.0 X 226580 0 10784 ELISA R HERNANDEZ VP-HR 40.0 0 X 204281 0 15228 JASON PINCUS Director of Residential Living 40.0 8.0 X 173225 0 23382 DANA KULVIN Vice President - Legal and Compliance 40.0 0 X 168801 0 6041 3421526 299092 1135652 22 false true true MORRISON MANAGEMENT SPECIALIST 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 CATERING 6746385 CROTHALL HEALTHCARE INC 955 CHESTERBROOK BLVD SUITE 300 WAYNE PA 19087 HOUSEKEEPING/JANITORIAL SERVICES 2780772 AEGIS THERAPIES INC 7160 DALLAS PARKWAY STE 400 PLANO TX 75024 PHYSICAL THERAPY 1807145 G4S Secure Solutions (USA) Inc PO Box 277469 Atlanta GA 303847469 Security Services 674464 CC HODGSON ARCHITECTURAL GROUP 23240 Chagrin Blvd 350 Cleveland OH 44122 Architectural services 436637 16 95234 345388 117173 5866 563661 HEALTH CARE 623000 49594294 49594294 CASE MANAGEMENT/DAY CARE 900099 4539489 4539489 RESIDENTIAL CARE 623990 7227326 7227326 PATIENT TRANSPORTATION 900099 2134160 2134160 0 0 0 0 63495269 882171 512570 369601 0 0 91718 91718 0 91718 91718 Reimbursement from affiliates 900099 5627439 5627439 Other Revenue 900099 229869 229869 0 0 0 0 5857308 70890127 69352577 512570 461319 X 2669127 807598 1861529 31555881 26491788 5064093 1254595 804435 450160 4230061 2697903 1532158 2379860 1975224 404636 310631 310631 168216 168216 93843 93843 23445 23445 10743044 9191779 1551265 0 824 824 579550 499054 80496 1201343 143021 1058322 6646742 4193844 2452898 237604 113764 123840 1386071 1386071 4759699 1188674 3571025 Provision for Doubtful Accounts 3214359 3214359 Meals & Food Supplies 3043373 3014385 28988 Medical supplies 2226555 2226555 State Assessment Fees 595306 595306 1607382 291733 1315649 0 78927511 57449422 21478089 0 12600339 26386306 70799 34854 11037763 8762974 0 0 0 0 0 616910 656346 133634988 85437041 47582103 48197947 1588112 4545432 10437862 10762410 0 195731 0 13517390 2044334 97647009 101390603 9649454 9726588 150903 300617 18700000 44809122 11718000 4874060 33734144 19949237 73952501 79659624 X 21236364 19314180 1334269 1292924 1123875 1123875 23694508 21730979 97647009 101390603 X -8037384 1558153 4515702 X false true X true true true X 13569393 2403708 2522575 5563961 563661 24623298 68148004 61959116 59625735 61924819 63495269 315152943 0 0 0 81717397 64362824 62148310 67488780 64058930 339776241 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339776241 999792 1150940 1043968 643028 369601 4207329 0 0 0 0 0 0 999792 1150940 1043968 643028 369601 4207329 0 0 0 0 392582 392582 689079 5168076 7506699 5891343 5857308 25112505 83406268 70681840 70698977 74023151 70678421 369488657 0.9196 0.9304 0.0114 0.0121 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 689079.0, COLUMN B - 116170.0, COLUMN C - 409483.0, COLUMN D - 467917.0, COLUMN E - 229869.0, COLUMN F - 1912518.0; DESCRIPTION - REIMBURSEMENT OF INDIRECT COSTS FROM AFFILIATES, COLUMN A - 0.0, COLUMN B - 5051906.0, COLUMN C - 5273122.0, COLUMN D - 5423426.0, COLUMN E - 5627439.0, COLUMN F - 21375893.0; DESCRIPTION - GAIN ON DISCONTINUED OPERATIONS, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 1824094.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 1824094.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 93843 93843 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION UTILIZES CONSULTANTS FOR LOBBYING ACTIVITIES. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION UTILIZES CONSULTANTS FOR LOBBYING ACTIVITIES. true 214264 214264 false 3872771 2863574 177763 527110 6386998 3369581 602860 146574 246244 3872771 3281060 222534 131165 265178 3369581 3168772 323598 133919 345229 3281060 2223821 1025993 102208 183250 3168772 0.0437 0.176 0.7803 false true true 155645 9675125 9830770 79435695 53546541 25889154 127357 75394 51963 31083396 22671503 8411893 13157770 9143603 4014167 48197947 Seasons Hospice & Palliative Care 2162410 C Village Green Apartment Complex 8600000 C 10762410 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) 5457913 LIABILITY FOR INSURANCE CLAIMS 2923000 INTEREST RATE SWAP UNFUNDED PENSION BENEFIT OBLIGATION 4886191 ANNUITY PAYMENT LIABILITY 1001876 DUE TO RELATED PARTIES 5604225 OTHER LIABILITIES 76032 19949237 X Schedule D, Part IV, Line 1b Agent, trustee, custodian, or other intermediary arrangement Miami Jewish Health System, Inc. (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 the organization's balance sheet. MJHS has a fiduciary duty of accountability for these funds and acts only as a custodian. Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS ARE HELD, INVESTED AND UTILIZED TO FUND THE PROGRAM PURPOSE DESCRIBED IN THE ORIGINAL ENDOWMENT AGREEMENT BETWEEN THE DONOR AND MIAMI JEWISH HEALTH SYSTEMS, INC. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MJHS, its subsidiaries and its affiliates, except Douglas Gardens Coral Way, which was closed in 2010 and is currently in the process of dissolution, 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. As of June 30, 2017, with few exceptions, MJHS and subsidiaries and affiliates are no longer subject to income tax examinations by the United States federal taxing authority for any tax years before June 30, 2014. true true X true X true X true false true true 0 0 0 0.0 28962111 25473641 3488470 0.0461 0 0 0 0.0 0 0 28962111 25473641 3488470 0.0461 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 28962111 25473641 3488470 0.0461 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 3214359 0 8972509 9069647 -97138 X true true 1 1 DOUGLAS GARDENS HOSPITAL 5200 NE 2ND AVENUE MIAMI FL 33137 www.miamijewishhealthsystems.org 3988 X A A 1 false false true X X X X X X X X X 16 true false false true X https://miamijewishhealthsystems.org/annual-report/ X true 16 true https://miamijewishhealthsystems.org/annual-report/ false true X 200.0 400.0 X X X X true true X X X true X https://miamijewishhealthsystems.org/family-resources/financial-assistance/ X https://miamijewishhealthsystems.org/family-resources/financial-assistance/ X https://miamijewishhealthsystems.org/family-resources/financial-assistance/ X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - DOUGLAS GARDENS HOSPITAL. The organization conducted surveys with 35 individuals between February and March 2017. These surveys consisted of a combination of quantitative ratings and qualitative feedback through closed- and open-ended questions. Survey participants include public health and healthcare professionals, social service providers, non-profit leaders, business leaders, faith-based organizations and other community leaders. The organization conducted blind focus groups, as well as scheduled sessions with local and community leaders. During the blind focus group sessions, a moderator asked a series of questions about the community, the organization, and healthcare in general. Two separate groups met with results compiled. The organization also conducted a community meeting to review and discuss ideas, obtain feedback from health and welfare areas, and what we should consider in our future development plans. In addition, the organization solicited feedback from the City of Miami Planning Department staff to hear its perspective on community benefit needs and areas in which the organization should consider engaging. The organization utilized existing data from local and national sources depicting population and household statistics, education and economic measures, morbidity and mortality rates, incidence rates and other health statistics for Miami-Dade County. Data were compiled and compared to state and national level data, where applicable. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - DOUGLAS GARDENS HOSPITAL. Through the FYE 6/30/2017 Community Health Needs Assessment, the organization identified four health issues to be prioritized. Prioritized Health Issue #1: Access to Healthcare for Elderly & Underserved Populations. The organization will launch new locations, and will provide greater access to both new and existing organizations, throughout Miami-Dade and Broward Counties so that the elderly can receive access to services within a 60 minute or 30-mile basis. The organization will coordinate with local healthcare providers to develop referral relationships for continuity of care and integration for smooth transition to local providers. Prioritized Health Issue #2: Transportation to Healthcare Services The organization is looking to decrease time and distance traveled to/from appointments of patients served by the organization. The organization will do this by increasing its bus fleet, as well as by providing additional route options for new locations. The goal of the organization is to ensure that health needs are met by more accessible transportation to a wider variety of healthcare providers. The organization will collaborate with local resources to overlay our transportation availability with those already operating in the market to enhance access and avoid duplication where possible. Prioritized Health Issue #3: Access to Specialized Services In order to increase awareness of availability of programs and participation within each program, the organization will enhance marketing and outreach of our Rehab, Biofeedback, Restorative Medicine, Clinical Trials, and Alzheimer's disease/Dementia program. The organization will partner with local/regional/national organizations (e.g. Alzheimer's Association) to assist in communication/referrals to already available services. Prioritized Health Issue #4: Geriatric Education & Research The organization's objective is to increase participation in clinical trials, Alzheimer's disease/dementia programs, and education programs by 5% within the next 3 years at Miami Jewish Health Systems. The organization will improve outreach/awareness of these programs through collaboration with local associations and elderly programs with collaborative offerings to leverage collective capabilities for outreach and participation. 0 MIAMI JEWISH HEALTH CARE INC 5200 NE 2ND AVE MIAMI FL 33137 462 BED SKILLED NURSING FACILITY HAZEL CYPEN TOWER 5200 NE 2ND AVE MIAMI FL 33137 132 BED ASSISTED LIVING FACILITY Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 3214359 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE ORGANIZATION USED THE IRS WORKSHEETS TO CALCULATE THE COST OF FINANCIAL ASSISTANCE AND MEDICAID SHORTFALL REPORTED IN PART I, LINE 7. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE BAD DEBT EXPENSE IN PART III, LINE 2 IS REPORTED AT TOTAL BAD DEBT EXPENSE PER THE ORGANIZATIONS AUDITED FINANCIAL STATEMENTS. Discounts and Payments on patient accounts are not included in bad debt expense. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The organization is included in consolidated financial statements. Below is the text of the footnote which addresses accounts receivable. Accounts receivable are reported net of an allowance for doubtful accounts, to represent MJHS's estimate of the amount that ultimately will be realized in cash. The allowance for doubtful accounts was approximately $5,917,000 and $6,924,000 as of June 30, 2017 and 2016, respectively. The adequacy of MJHS's allowance for doubtful accounts is reviewed on an ongoing basis, using historical payment trends, write-off experience, analysis of receivable portfolios by payor source and aging of receivables, as well as a review of specific accounts, and adjustments are made to the allowance as necessary. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The organization uses a cost to charge ratio to determine the Medicare allowable 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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ACCOUNTS RECEIVABLE MAY, FOR A VARIETY OF REASONS, NOT BE PAID ON A TIMELY BASIS. ONCE ALL REASONABLE EFFORTS ARE MADE TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE AND THE ACCOUNTS ARE REFERRED TO EITHER A COLLECTION AGENCY OR COLLECTION ATTORNEY, CERTAIN PROCEDURES MUST BE FOLLOWED IN THEIR COLLECTION EFFORTS TO ENSURE THAT ALL PATIENTS ARE TREATED IN A PROFESSIONAL MANNER AS WELL AS THE SAME PROCESS BEING FOLLOWED FOR ALL PAYORS. THE ORGANIZATION ENSURES THAT REASONABLE EFFORTS ARE MADE TO DETERMINE ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE PROGRAM PRIOR TO PATIENTS ACCOUNTS BEING SENT TO COLLECTIONS. IF A PERSON IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, THE ORGANIZATION IMMEDIATELY STOPS ALL COLLECTION EFFORTS. Schedule H, Part V, Section B, Line 16a FAP website A - DOUGLAS GARDENS HOSPITAL: Line 16a URL: https://miamijewishhealthsystems.org/family-resources/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website A - DOUGLAS GARDENS HOSPITAL: Line 16b URL: https://miamijewishhealthsystems.org/family-resources/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - DOUGLAS GARDENS HOSPITAL: Line 16c URL: https://miamijewishhealthsystems.org/family-resources/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment Douglas Gardens Hospital and Miami Jewish Health Systems employ 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 at Douglas Gardens Hospital and Miami Jewish health Systems identify trends in the incidence and contributing factors. Such analysis led to the development of a specialized fall-prevention program. Today, Douglas Gardens Hospital and Miami Jewish Health Systems have a fall incident rate better than local and national averages. 5. Douglas Gardens Hospital and 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, Douglas Gardens Hospital and Miami Jewish Health Systems participate in multiple clinical trials to test the efficacy of new drugs for the treatment of Alzheimer, dementia, and other ailments. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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. Refer to Schedule H, Part V, Line 16 for methods utilized by the organization to educate patients regarding the organization's financial assistance policy. Schedule H, Part VI, Line 4 Community information Miami Jewish Health System has grown to serve over 12,000 patients annually through 12 core programs. Over ninety percent of the patients came from Miami-Dade County, and ninety seven percent of the patients served were 65+ in age. Approximately 75% of the patients we serve are Hispanics and Haitian or other islander. Approximately 20% are Jewish and the remainder from a broad variety of cultures. Schedule H, Part VI, Line 5 Promotion of community health Douglas Gardens Hospital and Miami Jewish Health Systems are dedicated to promoting the health and welfare of the South Florida Community of which we have been a part for more than 75 years. Some of the ways in which we promote the health of the community: -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 & Safety - Miami Jewish Health Systems is the largest employer in the Haitian community. Schedule H, Part VI, Line 6 Affiliated health care system 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) 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 false true false false false false false true false JEFFREY FREIMARK President & CEO/ Director 758483 0 300000 0 16908 0 919240 0 18395 0 2013026 0 0 0 JOHN F KELLEHER CFO/Treasurer (THROUGH FEB 2017) 199454 0 12500 0 9356 0 6536 0 18165 0 246011 0 0 0 DR MARC E AGRONIN Medical Director Mental Health 307054 0 58500 0 9429 0 9600 0 17668 0 402251 0 0 0 CLIFF BAUER Chief Operating Officer 0 184639 0 104000 0 10453 0 6810 0 15410 0 321312 0 0 DR BRIAN J KIEDROWSKI Chief Medical Officer 353393 0 88363 0 9621 0 10600 0 9417 0 471394 0 0 0 PAUL M ROBIE VP BUSINESS STRATEGY 151978 0 38938 0 8123 0 6386 0 15399 0 220824 0 0 0 DR SHAUN C CORBETT MED DIR PAIN CENTER 237846 0 20000 0 203 0 5279 0 7615 0 270943 0 0 0 CHURE GLADWELL VP Foundation and CDO 172912 0 44000 0 9668 0 0 0 10784 0 237364 0 0 0 ELISA R HERNANDEZ VP-HR 156800 0 38938 0 8543 0 6387 0 8841 0 219509 0 0 0 JASON PINCUS Director of Residential Living 140299 0 25000 0 7926 0 6073 0 17309 0 196607 0 0 0 DANA KULVIN Vice President - Legal and Compliance 130000 0 30625 0 8176 0 5177 0 864 0 174842 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE CEO PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). DURING 2016, $908,640 WAS ACCRUED INTO THE PLAN. Schedule J, Part I, Line 7 Non-fixed payments BONUSES ARE DETERMINED AT THE DISCRETION OF MANAGEMENT. A CITY OF MIAMI FLORIDA HEALTH FACILITIES AUTHORITY 596000375 2017-01-01 44035000 TO REFUND 2005 BOND ISSUE; TO FINANCE COSTS OF ACQUISITION/CONSTRUCTION OF HEALTHCARE FACILITIES false false false A 385000 0 44261697 0 0 0 611697 0 0 0 0 43265000 true false false true A false false true true false 0.0 0.0 0.0 false false false A false true false false false false false false false A false Form 990, Part VI, Line 2 Family/business relationships amongst interested persons STEPHEN H. CYPEN AND WAYNE A. CYPEN - Family relationship Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. THEREFORE, THIS QUESTION IS ANSWERED "NO" IN ACCORDANCE WITH FORM 990 INSTRUCTIONS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE CHIEF FINANCIAL OFFICER AND CORPORATE COMPTROLLER OF MIAMI JEWISH HEALTH SYSTEMS, INC. CONDUCT A COMPREHENSIVE REVIEW OF THE FORM 990 PRIOR TO FILING. A COPY OF THE RETURN, AS ULTIMATELY FILED, IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy 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, Line 15a Process to establish compensation of top management official 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 approves any changes in base compensation as well as bonuses and other components on an annual basis. Although a formal compensation study was not conducted in FY17, his compensation was based on a study conducted in a previous year and only minor cost of living changes were made to compensation for the CEO. The minutes of the compensation committee document the decisions and deliberations of the committee. Form 990, Part VI, Line 15b Process to establish compensation of other employees 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. Although a formal compensation study was not conducted in FY17, the compensation of the other officers and key employees was based on a study conducted in a previous year and only minor cost of living changes were made. The minutes of the compensation committee document the decisions and deliberations of the committee. Form 990, Part VI, Line 19 Required documents available to the public 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 Other Fees CONTRACT SERVICES - Total Expense: 10743044, Program Service Expense: 9191779, Management and General Expenses: 1551265, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances UNCOLLECTIBLE PLEDGES - -26179; ADJUSTMENT TO ACTUARIAL VALUE OF PENSION AND SERP - 5599614; Change in value of split interest agreement - -67733; NET ASSET TRANSFER - -990000; DGN INC 5200 NE 2ND AVE MIAMI FL 33137 113672256 LOW INCOME HOUSING FOR THE ELDERLY FL 501(c)(3) 7 MIAMI JEWISH HEALTH SYSTEMS INC false DGN II INC 5200 NE 2ND AVE MIAMI FL 33137 651270932 LOW INCOME HOUSING FOR THE ELDERLY FL 501(c)(3) 7 MIAMI JEWISH HEALTH SYSTEMS INC false DGN III INC 5200 NE 2ND AVE MIAMI FL 33137 273293469 LOW INCOME HOUSING FOR THE ELDERLY FL 501(c)(3) 7 MIAMI JEWISH HEALTH SYSTEMS INC false DOUGLAS GARDENS ACQUISITION 5200 NE 2ND AVE MIAMI FL 33137 650799424 HOLD TITLE TO PROPERTY AND COLLECT RENT FL 501(c)(2) MIAMI JEWISH HEALTH SYSTEMS INC false STEIN GERONTOLOGICAL INSTITUTE INC 5200 NE 2ND AVE MIAMI FL 33137 650289632 GERONTOLOGICAL RESEARCH FL 501(c)(3) 10 MIAMI JEWISH HEALTH SYSTEMS INC false DOUGLAS GARDENS HOLDING CORP INC 5200 NE 2ND AVE MIAMI FL 33137 237302931 SUPPORT MIAMI JEWISH HEALTH SYSTEMS, INC. FL 501(c)(2) MIAMI JEWISH HEALTH SYSTEMS INC false FLORIDA PATHWAYS INC 5200 NE 2ND AVE MIAMI FL 33137 650198276 HOLDING PROPERTY LEASE FL 501(c)(3) 7 MIAMI JEWISH HEALTH SYSTEMS INC false DOUGLAS GARDENS THRIFT SHOP INC 5200 NE 2ND AVE MIAMI FL 33137 650856154 SUPPORT MIAMI JEWISH HEALTH SYSTEMS, INC. & AFFILIATES FL 501(c)(3) Type I MIAMI JEWISH HEALTH SYSTEMS INC false DOUGLAS GARDENS HOME CARE INC 5200 NE 2ND AVE MIAMI FL 33137 651151478 NURSE REGISTRY PROGRAM/HEALTHCARE FL 501(c)(3) 10 MIAMI JEWISH HEALTH SYSTEMS INC false DOUGLAS GARDENS SENIOR HOUSING INC 5200 NE 2ND AVE MIAMI FL 33137 650838183 MANAGEMENT SERVICES TO RELATED ORGANIZATIONS FL 501(c)(3) Type I MIAMI JEWISH HEALTH SYSTEMS INC false MIAMI JEWISH HEALTH SYSTEMS FOUNDATION INC 5200 NE 2ND AVE MIAMI FL 33137 200267158 SOLICIT & INVEST CONTRIBUTIONS ON BEHALF OF MIAMI JEWISH HEALTH SYSTEMS, INC. & AFFILIATES FL 501(c)(3) 10 MIAMI JEWISH HEALTH SYSTEMS INC false FLORIDA PACE CENTERS INC 5200 NE 2ND AVE MIAMI FL 33137 651051439 HEALTHCARE FL 501(c)(3) 10 MIAMI JEWISH HEALTH SYSTEMS INC false WOLFCYPEN FOUNDATION 5200 NE 2ND AVE MIAMI FL 33137 656417244 INVESTMENT OF CONTRIBUTIONS FL 501(c)(3) Type II MIAMI JEWISH HEALTH SYSTEMS INC false MIAMI JEWISH HOME HEALTH AGENCY LLC 5200 NE 2ND AVENUE MIAMI FL 33137 300757717 HEALTHCARE FL NA N/A DOUGLAS GARDENS AT CORAL WAY INC 5200 NE 2ND AVENUE MIAMI FL 33137 260849165 INACTIVE FL MIAMI JEWISH HEALTH SYSTEMS INC C Corporation 0 0 1 true Charitable Remainder Trusts (7) investment FL NA Trust false false false true false false false false false false true false false true true true false true true false Miami Jewish Health Systems Foundation Inc C 345388 FMV DOUGLAS GARDENS HOLDING CORP R 990000 FMV DOUGLAS GARDENS HOME CARE INC Q 1042384 FMV DOUGLAS GARDENS SENIOR HOUSING INC Q 51418 FMV DGN INC Q 116425 FMV DGN II INC Q 75681 FMV DGN III INC Q 100834 FMV MIAMI JEWISH HEALTH SYSTEMS FOUNDATION INC Q 664075 FMV STEIN GERONTOLOGICAL INSTITUTE INC Q 970387 FMV FLORIDA PACE CENTERS INC Q 2606235 FMV