2016-05-13T09:01:03-05:00 2015-12-31 593070669 MOORE STEPHENS LOVELACE PA 701 BRICKELL AVENUE SUITE 550 MIAMI FL 33131 990 2015-01-01 263411635 SILVER LAKE CENTER INC SILV 2153466454 TWO BALA CYNWYD PLAZA NO 300 BALA CYNWYD PA 19004 HOWARD JAFFE PRESIDENT 5618017600 2016-05-13 1 HARRY E HARP CPA P00176471 3058199555 2015 2016-09-27 15:27:22Z HOWARD JAFFE TWO BALA CYNWYD PLAZA NO 300 BALA CYNWYD PA 19004 19178329 0 X N/A X 2008 PA THE ENTITY IS ORGANIZED AND OPERATED FOR THE PROVISION OF SHORT AND LONG-TERM STAYS OFFERING POST ACUTE AND REHABILITATION SERVICES. THE ORGANIZATION PROVIDES 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 5 208 45 0 0 927823 250000 15826901 16541445 308 116 13297 2386768 16768329 19178329 0 0 0 0 4901124 7556518 0 0 0 11433896 8921266 16335020 16477784 433309 2700545 8326015 8390945 3623159 987544 4702856 7403401 X SEE SCHEDULE O.TO OPERATE ONE OR MORE NURSING HOMES OR PROVIDE OTHER HOUSING FOR THE ELDERLY AND TO DEVELOP MEDICAL PROGRAMS FOR THE CARE OF THE ELDERLY AND TO EDUCATE AND TRAIN HEALTHCARE PERSONNEL IN THE PROPER CARE OF THE ELDERLY.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. 0 0 14392086 18928213 THE ORGANIZATION OPERATES A SKILLED NURSING FACILITY, WITH A CAPACITY OF 174 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. 14392086 1 1 0 0 0 0 0 0 1 0 1 0 0 1 0 0 1 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 1 35 0 1 208 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 ROBERT WEBSTER 5612234232 1665 PALM BEACH LAKES BLVD STE 600 WEST PALM BEACH FL 33401 HOWARD JAFFE CHAIRMAN 1.50 X X 0 0 0 JOHN SEAL DIRECTOR 2.00 X 8000 0 0 BRUCE HALL DIRECTOR 2.00 X 2000 0 0 SANDRA OLIVER DIRECTOR 2.00 X 8000 0 0 ADRIENNE SCHMOLLINGER DIRECTOR 2.00 X 2000 0 0 DIANE ORZECHOWSKI ADMINISTRATOR 40.00 X 117167 0 380 DORIS NYEMAH LICENSED PRACTICAL NURSE 40.00 X 108827 0 71 ANN MARIE KOTZ DIRECTOR OF NURSING 40.00 X 106389 0 107 RENETTA KINNIEBREW REGISTERED NURSE 40.00 X 105347 0 41 PRISCA OKWARA REGISTERED NURSE 40.00 X 138488 0 0 596218 0 599 11 0 0 0 ACCOMPLISH THERAPY LLC 1665 PALM BEACH LAKES BLVD SUITE WEST PALM BEACH FL 33401 THERAPY PROVIDER 1282363 UNITED HEALTH CARE 22703 NETWORK PLACE CHICAGO IL 606731227 INSURANCE 758096 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE STE 300 BENSALEM PA 19020 HOUSEKEEPING & LAUNDRY 516257 PHARMERICA PO BOX 409251 ATLANTA GA 303849251 PHARMACY SERVICES 506970 SWETT & CRAWFORD PO BOX 100701 ATLANTA GA 303840701 INSURANCE 327142 5 250000 250000 RESIDENT SERVICE REVENUE 623000 16541445 16541445 16541445 116 116 OTHER INCOME 623000 2386768 2386768 2386768 19178329 18928213 0 116 20000 20000 6212732 5820274 392458 757968 556115 201853 565818 538058 27760 67018 67018 20500 20500 13409 2897 10512 87197 5285 81912 3345710 3336161 9549 18334 142 18192 177 177 7022 7022 351895 338814 13081 203856 178926 24930 CONTRACTED SERVICES 2884342 2321134 563208 BAD DEBTS 580731 580731 PHARMACY 475074 475074 FOOD 299036 298171 865 566965 514013 52952 16477784 14392086 2085698 0 1659098 336881 1663385 2741055 381808 407217 3273519 1247806 2023032 2025713 2329096 2184279 269596 695800 8326015 8390945 2435177 987544 1187982 0 3623159 987544 X 4702856 7403401 4702856 7403401 8326015 8390945 2700545 0 X X 0 1 X 1 0 X 927823 250000 1177823 16250153 15171699 15299716 15812234 16527560 79061362 16250153 15171699 15299716 16740057 16777560 80239185 0 0 0 80239185 59 39 66 308 116 588 59 39 66 308 116 588 4504 19338 5601 27964 2400653 2458060 16254716 15191076 15305383 16768329 19178329 82697833 0.97030 0.99920 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 201790 41496 243286 0 2467868 763654 1704214 805651 484152 321499 2025713 ASSETS WHOSE USE IS LIMITED 267689 THIRD PARTY PAYOR SETTLEMENTS 428111 695800 19178329 0 19178329 0 19178329 16477784 0 16477784 0 16477784 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 ACTS ONLY AS A CUSTODIAN. 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 11 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 ORGANIZATIONS 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 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.