2012-06-25T13:04:18-05:00 2011-08-31 MOORE STEPHENS LOVELACE PA 14400 NW 77TH COURT SUITE 306 MIAMI LAKES FL 330161507 990 2010-09-01 631160642 SALEM NURSING & REHAB CENTER OF HOMESTEAD INC SALE 3055963288 909B PLANTATION BLVD FAIRHOPE AL 36532 OSCAR ROIZ 3055963288 2012-06-25 1 LAWRENCE SCHIFF CPA 3058199555 2010 2016-02-24 21:20:13Z ALFRED COWLEY 909B PLANTATION BLVD FAIRHOPE AL 36532 5604165 0 X N/A X 1996 FL THE ORGANIZATION'S PURPOSE IS TO PROVIDE SKILLED AND INTERMEDIATE CARE NURSING SERVICES TO PRIVATE RESIDENTS AND TO BENEFICIARIES OF FEDERAL AND STATE FUNDED PROGRAMS. 3 3 128 0 0 0 0 0 5337772 5603247 1262 918 61 0 5339095 5604165 0 0 0 0 2781726 2987161 0 0 0 2640527 3172613 5422253 6159774 -83158 -555609 5900232 5794249 7651783 8101409 -1751551 -2307160 X THE ORGANIZATION'S PURPOSE IS TO PROVIDE SKILLED AND INTERMEDIATE CARE NURSING SERVICES TO PRIVATE RESIDENTS AND TO BENEFICIARIES OF FEDERAL AND STATE FUNDED PROGRAMS. 0 0 5130254 5603247 THE ORGANIZATION'S PURPOSE IS TO PROVIDE SKILLED AND INTERMEDIATE CARE NURSING SERVICES TO PRIVATE RESIDENTS AND TO BENEFICIARIES OF FEDERAL AND STATE FUNDED PROGRAMS. 5130254 1 0 0 0 0 0 0 0 0 1 0 0 1 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 1 0 0 0 0 1 11 0 1 128 1 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 X OSCAR ROIZ 3055963288 10850 SW 113 PLACE MIAMI FL 33176 X ALFRED COWLEY X 0 0 0 DONALD FOLKENBERG X 0 0 0 GARY LIGHT X 0 0 0 0 0 0 0 0 0 0 AGENCY FOR HEALTHCARE ADMINISTRATION 2727 MAHAN DRIVE TALLAHASSEE FL 32308 QUALITY ASSESSMENT 363990 SYSCO FOOD SERVICES PO BOX 64000-A MIAMI FL 33164 FOOD AND DIETARY SUPPLIES 226054 ROOF MASTER 1550 SW 216TH STREET MIAMI FL 33170 CONTRACTOR 172025 OMNICARE INC PO BOX 715268 COLUMBUS OH 43271 PHARMACY 162294 4 MEDICARE/MEDICAID PAYM 623000 4436049 4436049 PROGRAM SERVICE REVENU 623000 1167198 1167198 5603247 918 918 5604165 5603247 0 918 2553038 2396826 156212 226509 226509 207614 184589 23025 258840 258840 43761 43761 13700 13700 384715 4830 379885 10482 10482 10809 10786 23 15364 2522 12842 362050 362050 298073 298073 62782 62782 CONTRACT SERVICES 519272 519272 SUPPLIES 262393 248986 13407 FOOD 229319 229319 BAD DEBT EXPENSE 163108 163108 UTILITIES 141573 141573 396372 331329 65043 6159774 5130254 1029520 0 270310 220783 668475 371315 75145 134877 5341899 2368862 2769571 2973037 2116731 2094237 5900232 5794249 2827891 3267207 27070 37620 4785000 4785000 11822 11582 7651783 8101409 X -1751551 -2307160 -1751551 -2307160 5900232 5794249 -555609 0 X 0 0 0 X 4334371 4468779 4997593 5337772 5603247 24741762 4334371 4468779 4997593 5337772 5603247 24741762 0 0 0 24741762 41092 30676 3793 1262 918 77741 41092 30676 3793 1262 918 77741 545 574 34405 61 35585 4376008 4500029 5035791 5339095 5604165 24855088 0.99540 0.99430 0.00310 0.00420 X 153000 153000 3803730 1734285 2069445 782391 248228 534163 585619 372671 212948 17159 13678 3481 2973037 ASSETS WHOSE USE IS LIMITED 1830213 BOND ISSUANCE COSTS 139134 OTHER ASSETS 6411 DUE FROM THIRD PARTY 118479 2094237 RESIDENT TRUST 11582 11582 FORM 990, PART VI, SECTION A, LINE 3 A MANAGEMENT COMPANY IS RESPONSIBLE FOR THE ORGANIZATION'S ENTIRE OPERATIONS. THE ORGANIZATION IS CURRENTLY UNDERGOING BANKRUPTCY PROCEEDINGS. AS SUCH, THE ORGANIZATION'S BOARD DOES NOT TAKE AN ACTIVE PART IN THE ORGANIZATION'S OPERATIONS. FORM 990, PART VI, SECTION A, LINE 8A THE ORGANIZATION IS CURRENTLY UNDERGOING BANKRUPTCY PROCEEDINGS. AS SUCH, THE ORGANIZATION'S BOARD DOES NOT TAKE AN ACTIVE PART IN THE ORGANIZATION'S OPERATIONS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE 990 IS NOT PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII ALFRED COWLEY - 500 FLOYD ROAD, CALHOUN, GA 30701. DONALD FOLKENBERG - 500 FLOYD ROAD, CALHOUN, GA 30701. GARY LIGHT - 500 FLOYD ROAD, CALHOUN, GA 30701. SALEM HOUSING CORPORATION 500 FLOYD RD CALHOUN GA 30701 581849762 INACTIVE FL 501(C)(3) 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0