2024-05-15T10:27:21-05:00 2023-06-30 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2022-07-01 161676092 ALDERSGATE HEALTHCARE INC ALDE 3055565654 5300 W 16TH AVENUE HIALEAH FL 33012 REV RUBEN VELASCO CHAIR 3055565654 2024-05-15 1 REV RUBEN VELASCO 999009999 1 HARRY E HARP CPA P00176471 4077405400 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z SUSANNA WESLEY HEALTH CENTER REV RUBEN VELASCO 5300 W 16TH AVENUE HIALEAH FL 33012 11580921 0 X HTTPS://EPWORTHVILLAGERC.COM/ X 2003 FL OPERATION OF A SKILLED NURSING FACILITY DESIGNED TO MEET NEEDS OF ELDERLY AND HANDICAPPED PERSONS. 10 8 254 5 0 0 0 0 15374243 11580921 0 0 0 0 15374243 11580921 0 0 0 0 7839926 6495407 0 0 0 6123592 4982527 13963518 11477934 1410725 102987 8847225 7643380 1323775 16943 7523450 7626437 THE ORGANIZATION'S GOAL IS TO MAKE A DIFFERENCE IN EVERY LIFE IT TOUCHES BY PROVIDING ONLY THE HIGHEST QUALITY CARE AND SERVICE, MEETING THE NEEDS OF ITS RESIDENTS, FAMILIES, PHYSICIANS, AND EMPLOYEES WITH COMPASSION, DIGNITY AND LOVE. 0 0 10220479 11580921 THE ORGANIZATION OPERATES A 120-BED NURSING HOME THAT PROVIDES SKILLED AND INTERMEDIATE CARE NURSING SERVICES TO PRIVATE RESIDENTS AND BENEFICIARIES OF FEDERAL AND STATE FUNDED PROGRAMS. IN THE CURRENT YEAR, THERE WERE 30,595 RESIDENT DAYS. 10220479 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 2 0 1 254 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X CHANTAL FALBY 3055565654 5300 W 16TH AVENUE HIALEAH FL 33012 MADELYN SIMON LOZANO EXECUTIVE DIRECTOR 20.00 20.00 X X 12000 12000 0 ELVIRA MOUNTAIN CHAIR 1.00 1.00 X X 0 0 0 JUDITH PIERRE-OKERSON DIRECTOR 1.00 1.00 X 0 0 0 VICTORIA RANDOLPH DIRECTOR 1.00 1.00 X 0 0 0 REV AUDREY WARREN DIRECTOR 1.00 1.00 X 0 0 0 BELINDA BACON DIRECTOR 1.00 1.00 X 0 0 0 PAUL MOSKOWITZ DIRECTOR 1.00 1.00 X 0 0 0 REV RENE RAMIREZ DIRECTOR 1.00 1.00 X 0 0 0 REV CYNTHIA WEEMS DIRECTOR 1.00 1.00 X 0 0 0 LINDA LOM DIRECTOR 1.00 1.00 X 0 0 0 EUNICE FOMBU DIRECTOR OF NURSING 40.00 X 209534 0 0 MARCO CARRASCO ADMINISTRATOR 40.00 X 174819 0 0 OSCAR MUNIZ MAINTANENCE DIRECTOR 40.00 X 100352 0 0 496705 12000 0 3 0 1 0 0 RESIDENT SERVICE REVENUE 623000 10902428 10902428 OTHER RESIDENT REVENUE 623000 678493 678493 11580921 11580921 11580921 0 0 396354 206063 190291 4794447 4670155 124292 81948 81865 83 783263 733014 50249 439395 412848 26547 220084 220084 28436 28436 89194 89194 485125 442083 43042 13871 13871 323634 46189 277445 1640744 1524578 116166 11832 11832 1733 1733 7475 7190 285 28237 28237 MEDICAL SUPPLIES 735989 735989 QUALITY ASSESSMENT 650733 650733 NUTRITION SUPPLIES 588181 588181 OTHER SUPPLIES 109619 109619 47640 140 47500 11477934 10220479 1257455 0 1669651 270600 1563400 3886263 6060 92343 32112 0 28204 5487567 3454405 8847225 7643380 781158 16943 542617 1323775 16943 X 7523450 7626437 7523450 7626437 8847225 7643380 102987 0 X X 0 1 X 1 0 X 255215 2049610 2304825 12709236 12435580 10723943 15374243 11580921 62823923 12709236 12690795 12773553 15374243 11580921 65128748 0 19901 19901 19901 19901 65108847 157305 33336 28530 219171 12866541 12724131 12802083 15374243 11580921 65347919 0.99630 0.99580 0.00000 X 1 109570 109570 0 0 DUE FROM RELATED PARTIES 3454405 3454405 X 11580921 0 11580921 0 11580921 11477934 0 11477934 0 11477934 PART IV, LINE 1B: THE COMPANY OFFERS A CASH MANAGEMENT SERVICE TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF EACH RESPECTIVE RESIDENT, TO BE DISBURSED ONLY AS REQUESTED AND, ACCORDINGLY, THESE FUNDS ARE EXCLUDED FROM THE ACCOMPANYING FINANCIAL STATEMENTS. THE COMPANY HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. AT JUNE 30, 2023 AND 2022, THESE FUND BALANCES APPROXIMATED $110,000. PART X, LINE 2: THE COMPANY IS ORGANIZED AS A NONPROFIT CORPORATION UNDER THE LAWS OF THE STATE OF FLORIDA AND HAS BEEN GRANTED RECOGNITION OF ITS TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO INCOME TAX LIABILITY OR PROVISION FOR INCOME TAXES IS REFLECTED IN THE FINANCIAL STATEMENTS. X 0 0 0 0 0 0 0 0 0 EUNICE FOMBU DIRECTOR OF NURSING 188450 0 21084 0 0 0 0 0 0 0 209534 0 0 0 MARCO CARRASCO ADMINISTRATOR 142434 0 32385 0 0 0 0 0 0 0 174819 0 0 0 MSL PUBLIC RELATIONS LLC ENTITY MORE THAN 35% OWNED BY MADELYN SIMON LOZANO, EXECUTIVE DIRECTOR 12000 INDEPENDENT CONTRACTOR COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED MANAGEMENT DUTIES TO DOS HEALTH MANAGEMENT, INC. THROUGH A BOARD-APPROVED CONTRACT. FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING DIRECTOR CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED WITH THE IRS. A COPY OF THE FORM 990 IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT-OF-INTEREST POLICY COVERS ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS. IT IS THE RESPONSIBILITY OF ALL PERSONS COVERED TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES WHEN DETERMINED. THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. THE BOARD OF DIRECTORS REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED BY THE DISCLOSURE PROCESS AND DETERMINES WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO THE ORGANIZATION. THE PERSON WITH THE CONFLICT OF INTEREST WILL BE EXCLUDED FROM DISCUSSION AND APPROVAL OF SUCH TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION IS COMPENSATED AS AN INDEPENDENT CONTRACTOR AS APPROVED BY THE BOARD OF DIRECTORS. SEE SCHEDULE L, PART IV FOR FURTHER INFORMATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 2C THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION, MONITORING AND EVALUATION OF AN INDEPENDENT AUDIT FIRM AND OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. ALDERSGATE RETIREMENT INC 5300 WEST 16TH AVENUE HIALEAH FL 33012 161676095 OPERATES ASSISTED AND INDEPENDENT LIVING FACILITY FL 501(C)(3) LINE 10 N/A 0 EPWORTH VILLAGE INC 5300 WEST 16TH AVENUE HIALEAH FL 33012 590589990 FUND RAISING FOR RELATED TAX-EXEMPT ORGANIZATIONS FL 501(C)(3) LINE 12B, II N/A 0 SUSANNA WESLEY HEALTH CENTER INC 5345 WEST 18TH AVENUE HIALEAH FL 33012 591837338 LEASE OF SKILLED NURSING FACILITY TO RELATED ORGANIZATION FL 501(C)(3) LINE 12C, III-FI N/A 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0