2018-10-22T14:48:49-05:00 2017-12-31 593070669 MOORE STEPHENS LOVELACE PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2017-01-01 232856813 HEARTHSTONE SENIOR COMMUNITIES INC HEAR 2153466454 TWO BALA CYNWYD PLAZA NO 300 BALA CYNWYD PA 19004 HOWARD JAFFE PRESIDENT 5618017600 2018-10-22 1 KURT A ALTER CPA P00059492 4077405400 64.132.121.122 2018-10-22 14:21:15 ED P AA06F16595B971911646E1ABD4EF9FD1205D715B AA06F16595B971911646E1ABD4EF9FD1205D715B 2017 2018-06-14 16:35:46Z HOWARD JAFFE TWO BALA CYNWYD PLAZA NO 300 BALA CYNWYD PA 19004 104027188 0 X N/A X 1996 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. 5 5 1739 8 0 0 214140 25 98727187 103832736 51699 46695 110163 147732 99103189 104027188 32296 10765 0 0 45532361 45362631 0 0 0 57782331 61428086 103346988 106801482 -4243799 -2774294 43954760 42494450 9209691 10523675 34745069 31970775 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 93706354 10765 103980468 THE ORGANIZATION OPERATES 11 SKILLED NURSING FACILITIES, WITH A COMBINED CAPACITY OF 1240 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. 93706354 1 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 128 0 1 1739 1 0 0 0 0 0 0 0 0 0 0 X 5 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 1.00 X X 0 0 0 LORI ROMBOLD DIRECTOR 1.00 X 12000 0 0 JOHN S SEAL JR DIRECTOR 1.00 X 12000 0 0 BRIAN M WYATT DIRECTOR 1.00 X 12000 0 0 ALVIN GARNER DIRECTOR 1.00 X 12000 0 0 JOSEPH TABORA ADMINISTRATOR 40.00 X 112133 0 0 BRIAN KUELL ADMINISTRATOR 40.00 X 130534 0 0 DIANA DACEY DIRECTOR OF NURSING 40.00 X 109071 0 0 FRANKLIN DUME ADMINISTRATOR 40.00 X 114543 0 0 GWENDOLYN WALLS-WILLIAMS ADMINISTRATOR 40.00 X 126684 0 0 640965 0 0 5 0 0 0 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE BENSALEM PA 19020 HOUSEKEEPING AND LAUNDRY 8634624 SELECT REHABILITATION INC 2600 COMPASS RD GLENVIEW IL 60026 THERAPY 6341627 SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 606809056 THERAPY 4444709 PHARMERICA PO BOX 409251 ATLANTA GA 303849251 PHARMACY SERVICES 3614726 KANE FINANCIAL SERVICES 1675 PALM BEACH LAKES BLVD WEST PALM BEACH FL 33401 CONSULTING SERVICES 3143419 19 25 25 RESIDENT SERVICE 623000 103832736 103832736 103832736 46695 46695 OTHER REVENUE 623000 147732 147732 147732 104027188 103980468 0 46695 X 10765 10765 48000 48000 39640621 35405238 4235383 46632 46216 416 2819088 2516357 302731 2808290 2594103 214187 1422474 6000 1416474 22151400 17937249 4214151 104545 9150 95395 1167507 88755 1078752 455136 33714 421422 15562575 15428930 133645 251542 12457 239085 1990 1990 15350 15350 1163260 1012036 151224 2317068 2062191 254877 FOOD 6124827 6114332 10495 BAD DEBTS 3913384 3913384 PHARMACY 3244928 3244928 EQUIPMENT RENTAL 1678489 1662873 15616 1853611 1592326 261285 106801482 93706354 13095128 0 4473633 10850809 9023998 10399569 11845802 2172579 1752153 19288066 8340146 9777668 10947920 8107313 7097766 43954760 42494450 8756321 8805782 880000 453370 481180 0 356713 9209691 10523675 X 34745069 31970775 34745069 31970775 43954760 42494450 -2774294 0 X X 0 1 X 1 0 X 1244041 174404 269312 214140 25 1901922 93052423 96408797 99986992 98727187 103832736 492008135 94296464 96583201 100256304 98941327 103832761 493910057 0 0 0 493910057 9396 21281 20559 49717 46695 147648 9396 21281 20559 49717 46695 147648 400927 302788 149775 110163 147732 1111385 94706787 96907270 100426638 99101207 104027188 495169090 0.99750 0.99730 0.00030 0.00030 X 1 666574 19907 686481 0 11561844 4798690 6763154 4015598 2797214 1218384 3710624 744242 2966382 10947920 INVESTMENT IN CAPTIVE 4667565 REAL ESTATE TAX ESCROW 116178 REPLACEMENT RESERVE 1399956 RENT RESERVE 650000 DEPOSITS 58588 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 205479 7097766 DUE TO OTHERS 574 INVESTMENTS 356139 356713 104027188 0 104027188 0 104027188 106801482 0 106801482 0 106801482 PART IV, LINE 1B: HEARTHSTONE OFFERS A CASH MANAGEMENT SERVICE TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF THE RESIDENT, TO BE DISBURSED ONLY AS REQUESTED. HEARTHSTONE HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS AND REMAINS ONLY A CUSTODIAN. ACCORDINGLY, THESE FUNDS ARE EXCLUDED FROM THESE FINANCIAL STATEMENTS. AT DECEMBER 31, 2017 AND 2016, THESE FUND BALANCES IN AGGREGATE WERE APPROXIMATELY $686,000 AND $667,000, RESPECTIVELY. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHARITABLE CONTRIBUTIONS ACCRUED LIAB. - HSG DIETARY TRANSACTIONS PART XII, LINE 4B - OTHER ADJUSTMENTS: CHARITABLE CONTRIBUTIONS ACCRUED LIAB. - HSG DIETARY TRANSACTIONS 1 COUNCIL FOR SENIOR FLORIDIANS PO BOX 1459 TALLAHASSEE FL 32302 591229583 501(C)(6) 10726 GENERAL SUPPORT FRONTLINE FOUNDATION INC PO BOX 680 WESTCHESTER PA 19381 274202010 501(C)(6) 1180000 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 CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 17,937,249. MANAGEMENT AND GENERAL EXPENSES 4,214,151. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,151,400. 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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