2014-01-15T16:39:19-06:00 2013-06-30 593070669 MOORE STEPHENS LOVELACE PA 311 PARK PLACE BLVD SUITE 100 CLEARWATER FL 33759 990 2012-07-01 200904526 INSTITUTE FOR SENIOR LIVING OF FLORIDA INC INST 2153466454 TWO BALA CYNWYD PLAZA NO 300 BALA CYNWYD PA 19004 HOWARD JAFFE 2153466454 2014-01-16 1 MELANIE A MCPEAK P01346034 7275314477 2012 2015-11-30 17:44:51Z HOWARD JAFFE TWO BALA CYNWYD PLAZA NO 300 BALA CYNWYD PA 19004 46673116 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 4 695 75 0 0 0 3541347 40905284 43060593 2910 2071 36476 69105 40944670 46673116 10000 10745 0 0 15696329 17295156 0 0 0 24294329 25510931 40000658 42816832 944012 3856284 14372635 18015503 4673604 4460188 9699031 13555315 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 38799630 10745 43129698 THE ORGANIZATION OPERATES SKILLED NURSING AND ASSISTED LIVING FACILITIES DEDICATED AND COMMITTED TO PROVIDING REHABILITATION AND LONG-TERM CARE FOR PATIENTS AND RESIDENTS, AND HOUSING AND ASSITANCE 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 297 UNITS. 38799630 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 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 69 0 1 695 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 AARON FETTES KANE FINANCIAL SERVICES 5612234300 1675 PALM BEACH LAKES BLVD SUITE WEST PALM BEACH FL 33401 NATE DUDLEY 1.00 X 8000 0 0 HOWARD JAFFE 1.00 X X 17103 0 181 PENNY RICHMOND 1.00 X 8000 0 0 BRIAN M WYATT 1.00 X 8000 0 0 ROBERT SCHMOLLINGER 1.00 X 8000 0 0 THERESA SCARBOROUGH 40.00 X 104823 0 6089 153926 0 6270 1 0 0 0 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 REHABILITATION 4664327 SURFACE LOGIC LLC 10640 IRON BRIDGE ROAD STE 2-B JESSUP MD 20794 CONSTRUCTION 1991298 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE STE 300 BENSALEM PA 19020 HOUSEKEEPING & LAUNDRY 1180419 EPONA HEALTH SERVICES LLC 1675 PALM BEACH LAKES BLVD STE 800 WEST PALM BEACH FL 33401 CONSULTING 579939 ANU HEALTH SERVICES LLC 1675 PALM BEACH LAKES BLVD STE 800 WEST PALM BEACH FL 33401 CONSULTING 572795 14 3541347 3541347 RESIDENT SERVICE 623000 43060593 43060593 43060593 2071 2071 MISCELLANEOUS REVENUE 900099 69105 69105 69105 46673116 43129698 0 2071 X 10745 10745 49868 49868 14927085 13685554 1241531 982059 874171 107888 1336144 1243661 92483 357640 290635 67005 34900 34900 8216331 6786633 1429698 78803 61962 16841 277022 193955 83067 188529 44603 143926 7025011 6673889 351122 92543 7779 84764 1416 87 1329 630083 575754 54329 622939 555091 67848 STATE QUALITY ASSESSMEN 2064335 2064335 PHARMACY 1873461 1873461 FOOD 1107595 1093637 13958 BAD DEBTS 1040030 1040030 1900293 1723648 176645 42816832 38799630 4017202 0 4391389 3505626 3966141 4517381 212292 441812 9331064 2919198 2889026 6411866 2913787 3138818 14372635 18015503 4575657 4104114 0 118576 0 182531 97947 54967 4673604 4460188 X 9699031 13555315 9699031 13555315 14372635 18015503 3856284 0 X X 0 1 X 1 0 X 1579 3541347 3542926 38947329 41582336 42572109 40905284 43060593 207067651 38948908 41582336 42572109 40905284 46601940 210610577 0 0 0 210610577 427 1622 348 2910 2071 7378 427 1622 348 2910 2071 7378 36476 69105 105581 38949335 41583958 42572457 40944670 46673116 210723536 0.99950 0.99970 0.00000 0.00010 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 79264 15393 94657 0 8044795 2435993 5608802 1199992 423233 776759 86277 59972 26305 6411866 ASSETS WHOSE USE IS LIMITED 3067641 DEPOSITS 17355 DEFERRED FINANCING CHARGES 53322 OTHER RECEIVABLES 500 3138818 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 54967 54967 46673116 0 46673116 0 46673116 42816832 0 42816832 0 42816832 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 ACTS ONLY AS A CUSTODIAN. 1 FLORIDA HEALTH CARE ASSOCIATION PO BOX 1459 TALLAHASSEE FL 32302 591229583 501(C)(6) 10745 GENERAL PURPOSE 0 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 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 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. OTHER FEES FORM 990, PART IX, LINE 11G MEDICAL & SOCIAL SERVICES: PROGRAM SERVICE EXPENSES 192,522. MANAGEMENT AND GENERAL EXPENSES 85,232. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 277,754. HOUSEKEEPING & LAUNDRY: PROGRAM SERVICE EXPENSES 1,143,856. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,143,856. LAB & X-RAY : PROGRAM SERVICE EXPENSES 244,829. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 244,829. REHABILITATION: PROGRAM SERVICE EXPENSES 4,093,941. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,093,941. CONSULTING: PROGRAM SERVICE EXPENSES 1,111,485. MANAGEMENT AND GENERAL EXPENSES 460,869. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,572,354. FINANCIAL SERVICE CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 883,597. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 883,597. OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT: 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 DERWOOD PLACE - JACKSONVILLE LLC 8700 AC SKINNER PARKWAY JACKSONVILLE FL 32256 209083025 NURSING HOME, ELDERLY CARE FL 0 0 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 0 0 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 0 0 INSTITUTE FOR SENIOR LIVING OF FLORIDA INC MATURE CARE INSURANCE CO PO BOX 64 SUITE C12 MARKET PLACE PROVIDENCIALE TK BWI 251900526 INSURANCE TK N/A C 48866 2830509 0.07020 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0