TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) JEFFREY FREIMARK...................................................................... PRESIDENT/CEO	27.0 ................. 17.0	X	X		1,507,278	14,000
(2) JOHN RICHARD...................................................................... CHAIR	1.0 ................. 0	X	X		0	0
(3) RONALD FIELDSTONE...................................................................... VICE CHAIR	1.0 ................. 5.0	X	X		0	0
(4) ARTHUR UNGER...................................................................... DIRECTOR	1.0 ................. 0	X			0	0
(5) CAROL LANG...................................................................... DIRECTOR	1.0 ................. 0	X			0	0
(6) ELLEN BROWN EDD...................................................................... DIRECTOR	1.0 ................. 0	X			0	0
(7) JAY SOLOWSKY...................................................................... DIRECTOR	1.0 ................. 1.0	X			0	0
(8) JEFFREY RITTENBERG...................................................................... DIRECTOR	1.0 ................. 0	X			0	0
(9) PATRICK F MARTIN...................................................................... DIRECTOR	1.0 ................. 0	X			0	0
(10) RICARDO GARBATI...................................................................... DIRECTOR	1.0 ................. 0	X			0	0
(11) SUSAN R BAKER MD...................................................................... DIRECTOR	1.0 ................. 0	X			0	0
(12) WAYNE A CYPEN...................................................................... DIRECTOR	1.0 ................. 0	X			0	0
(13) LESLIE TORRES...................................................................... SECRETARY	30.0 ................. 7.0		X		100,057	4,640
(14) MICHAEL DURR...................................................................... TREASURER	40.0 ................. 0		X		244,895	0
(15) ALAN GOLDSMITH...................................................................... EVP CFO COO	30.0 ................. 19.0			X	575,632	77,523
(16) BERNARDO LARRALDE...................................................................... CHIEF TECHNOLOGY OFFICER	40.0 ................. 0			X	273,716	24,305
(17) DANA KULVIN...................................................................... CHIEF BUSINESS STRATEGIST	40.0 ................. 0			X	417,506	74,000

(A) Name and business address	(B) Description of services	(C) Compensation
SODEXO AMERICA LLC PO BOX 360170 PITTSBURG,PA152516170	FOOD SERVICES	3,330,261
ALLIED UNIVERSAL SECURITY SERVICES PO BOX 277469 ATLANTA,GA303847469	SECURITY SERVICES	959,715
POLARIS PHARMACY SERVICES 2900 NW 60 STREET FT LAUDERDALE,FL33309	PHARMACEUTICAL SERVICES	769,249
AGEPOP LLC 5905 GOLDEN BEAR DRIVE OVERLAND PARK,KS66223	ADVERTISING	140,371
KLEVER PAINTING INC 2974 NW 28 STREET MIAMI,FL33142	PAINTING SERVICES	106,560
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 6

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

MIAMI JEWISH HEALTH SYSTEMS INC

Employer identification number

59-0624414

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	7,267,406	2,215,460	1,506,727	3,896,935	5,253,357	20,139,885
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose	76,500,703	71,820,072	81,656,100	83,340,577	82,319,055	395,636,507
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....						0
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...						0
5	The value of services or facilities furnished by a governmental unit to the organization without charge						0
6	Total. Add lines 1 through 5	83,768,109	74,035,532	83,162,827	87,237,512	87,572,412	415,776,392
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons	0	0	0	0	0	0
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.	0	0	0	0	26,201,312	26,201,312
c	Add lines 7a and 7b..	0	0	0	0	26,201,312	26,201,312
8	Public support. (Subtract line 7c from line 6.)						389,575,080

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...	83,768,109	74,035,532	83,162,827	87,237,512	87,572,412	415,776,392
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	185,827	201,349	188,379	280,531	362,906	1,218,992
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.						0
c	Add lines 10a and 10b.	185,827	201,349	188,379	280,531	362,906	1,218,992
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.				496,621	728,185	1,224,806
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..	24,810,412	0	0	0	0	24,810,412
13	Total support. (Add lines 9, 10c, 11, and 12.)..	108,764,348	74,236,881	83,351,206	88,014,664	88,663,503	443,030,602

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

87.934 %

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

94.090 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

0 %

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

0.27 %

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
Schedule A, Part III, Line 12 Other Income	DESCRIPTION - , COLUMN A - 24810412.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 24810412.0;

Schedule A (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

MIAMI JEWISH HEALTH SYSTEMS INC

Employer identification number

59-0624414

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization MIAMI JEWISH HEALTH SYSTEMS INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization MIAMI JEWISH HEALTH SYSTEMS INC		Employer identification number 59-0624414

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization MIAMI JEWISH HEALTH SYSTEMS INC			Employer identification number 59-0624414
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MIAMI JEWISH HEALTH SYSTEMS INC

Employer identification number

59-0624414

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

9,101

Total. Add lines 1c through 1i ....................................................................................................

9,101

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	THE ORGANIZATION IS A MEMEBER OF FLORIDA HEALTH CARE ASSOCIATION (FHCA) AND LEADINGAGE SOUTHEAST (LAS). A PORTION OF THE DUES PAID IS USED FOR LOBBYING.

Schedule C (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

MIAMI JEWISH HEALTH SYSTEMS INC

Employer identification number

59-0624414

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c	216,245
d	Additions during the year ............................	1d	28,857
e	Distributions during the year ..........................	1e	0
f	Ending balance ................................	1f	245,102

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	348,000	348,000	348,000	348,000	1,123,875
b	Contributions ...
c	Net investment earnings, gains, and losses					30,300
d	Grants or scholarships ...					775,875
e	Other expenditures for facilities and programs ...					30,300
f	Administrative expenses ....
g	End of year balance ......	348,000	348,000	348,000	348,000	348,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

100 %

Term endowment right arrow

0 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	9,830,770		9,830,770
b	Buildings ....	98,946,677	75,791,646	23,155,031
c	Leasehold improvements	3,659,265	3,315,811	343,454
d	Equipment ....	50,356,337	44,211,442	6,144,895
e	Other .....	12,930,241		12,930,241
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				52,404,391

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) Closely-held equity interests
(B) Financial derivatives
(C) EQUITY SECURITIES
(D) FIXED INCOME SECURITIES
(E) INVESTMENT IN SEASONS HOSPICE & PALLIATIVE CARE	5,104,986	F
(F) INVESTMENT IN PALISADES DIALYSIS, LLC	483,002	F
(G) PRIVATE EQUITY FUND	521,886	F
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	6,109,874

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Federal Income Taxes
INSURANCE CLAIMS	5,609,531
ANNUITY PAYMENT	561,961
DUE TO AFFILIATES	106,212,080
DEPOSITS	22,300




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	112,405,872
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1..................			3	0
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	0

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	0
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	0

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Schedule D, Part V, Line 1a COLUMN (E) PRIOR YEAR	THE CHANGE IN BEGINNING OF YEAR BALANCE OF ENDOWMENT FUNDS REFLECTS A PRESENTATION CHANGE AS A RESULT OF THE IMPLEMENTATION OF FASB ASU 2016-14, PRESENTATION OF FINANCIAL STATEMENTS NOT-FOR-PROFIT ENTITIES (TOPIC 958).
Schedule D, Part IV, Line 1b Agent, trustee, custodian, or other intermediary arrangement	MJHS OFFERS A CASH MANAGEMENT SERVICE TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF EACH RESIDENT, TO BE DISBURSED ONLY AS REQUESTED AND, ACCORDINGLY, THESE FUNDS ARE EXCLUDED FROM THESE COMBINED FINANCIAL STATEMENTS. MJHS HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS AND ACTS ONLY AS A CUSTODIAN. AT JUNE 30, 2025 AND 2024, THE AGGREGATE BALANCE IN THESE RESIDENT TRUST FUNDS WAS APPROXIMATELY $245,000 AND $216,000, RESPECTIVELY.
Schedule D, Part V, Line 4 Intended uses of endowment funds	ENDOWMENTS ARE SPENT IN ACCORDANCE WITH THE RESTRICTIONS PLACED UPON THEM. RESTRICTIONS MAY INCLUDE TIME-BASED RESTRICTIONS AND USE-BASED RESTRICTIONS, AMONG OTHER RESTRICTIONS.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	MIAMI JEWISH HEALTH SYSTEMS, INC. IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS WITH MIAMI JEWISH HEALTH SYSTEMS, INC. AND ITS AFFILIATES. THE CONSOLIDATED FINANCIAL STATEMENTS CONTAIN THE FOLLOWING FOOTNOTE: MJHS, ITS SUBSIDIARIES AND ITS CONSOLIDATED AFFILIATES, ARE NOT-FOR-PROFIT ORGANIZATIONS EXEMPT FROM INCOME TAXES, AS DESCRIBED UNDER SECTIONS 501(C)(3) AND 501(C)(2) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THESE COMBINED FINANCIAL STATEMENTS FOR MJHS, ITS SUBSIDIARIES OR ITS CONSOLIDATED AFFILIATES. MJHS PAYS ITS PROPORTIONATE SHARE OF INCOME TAXES ON THE TAXABLE INCOME OF ITS UNCONSOLIDATED AFFILIATES.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

MIAMI JEWISH HEALTH SYSTEMS INC

Employer identification number

59-0624414

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .					0	0 %
b	Medicaid (from Worksheet 3, column a) . . . . .			13,793,409	9,979,208	3,814,201	3.674 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	13,793,409	9,979,208	3,814,201	3.674 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).					0	0 %
f	Health professions education (from Worksheet 5) . . .					0	0 %
g	Subsidized health services (from Worksheet 6) . . . .					0	0 %
h	Research (from Worksheet 7) .					0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .					0	0 %
j	Total. Other Benefits . .	0	0	0	0	0	0 %
k	Total. Add lines 7d and 7j .	0	0	13,793,409	9,979,208	3,814,201	3.674 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing					0	0 %
2	Economic development					0	0 %
3	Community support					0	0 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building					0	0 %
7	Community health improvement advocacy					0	0 %
8	Workforce development					0	0 %
9	Other					0	0 %
10	Total	0	0	0	0	0	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

756,132

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

2,208,154

Enter Medicare allowable costs of care relating to payments on line 5.....

3,238,289

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-1,030,135

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	DOUGLAS GARDENS HOSPITAL 5200 NE 2ND AVENUE MIAMI,FL33137 WWW.MIAMIJEWISHHEALTH.ORG 3988	X

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	DOUGLAS GARDENS HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 25

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.MIAMIJEWISHHEALTH.ORG/RESOURCES/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.MIAMIJEWISHHEALTH.ORG/RESOURCES/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	DOUGLAS GARDENS HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0%
and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

https://www.miamijewishhealth.org/price-transparency/

The FAP application form was widely available on a website (list url):

https://www.miamijewishhealth.org/price-transparency/

A plain language summary of the FAP was widely available on a website (list url):
https://www.miamijewishhealth.org/price-transparency/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	DOUGLAS GARDENS HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	DOUGLAS GARDENS HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - DOUGLAS GARDENS HOSPITAL:. DOUGLAS GARDENS HOSPITAL (DGH OR THE HOSPITAL) PROVIDES SERVICES TO MORE THAN 10,000 INDIVIDUALS ANNUALLY FROM MIAMI-DADE AND BROWARD COUNTY. FOR PURPOSES OF ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL DEFINED ITS COMMUNITY AS THE COUNTY IN WHICH THE HOSPITAL FACILITY IS LOCATED. IN PARTNERSHIP WITH HOLLERAN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM, DOUGLAS GARDENS HOSPITAL COLLECTED AND INTERPRETED DATA FROM SECONDARY DATA SOURCES AND KEY INFORMANT INTERVIEWS FOR THE PURPOSE OF PRIORITIZING ITS IDENTIFIED COMMUNITY HEALTH NEEDS. AS PART OF ITS EFFORTS TO ENSURE BROAD COMMUNITY-BASED INPUT INTO THE CHNA PROCESS, KEY INFORMANT ONLINE SURVEYS WERE CONDUCTED WITH KEY INFORMANTS IN THE COMMUNITY BY A TOTAL OF 23 KEY INFORMANTS. KEY INFORMANTS WERE DEFINED AS PEOPLE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THESE KEY INFORMANTS PARTICIPATED IN A SURVEY FOCUSED KEY HEALTH ISSUES, BARRIERS TO ACCESS, RESOURCES AND SERVICES, THE AVAILABILITY OR LACK THEREOF OF SUPPORT AND HEALTHCARE SERVICES, TRANSITION DECISIONS BY OLDER ADULTS AND THE STATUS OF THE AGE-FRIENDLY COMMUNITY IN MIAMI-DADE COUNTY. THE SECONDARY DATA PROFILE USED EXISTING LOCAL-LEVEL DATA WITH STATE AND NATIONAL COMPARISONS OF DEMOGRAPHIC AND HEALTH DATA FOCUSING SPECIFICALLY ON THE OLDER ADULT POPULATION IN MIAMI-DADE COUNTY. THE DATA SOURCES DEPICTED POPULATION AND HOUSEHOLD STATISTICS, EDUCATION AND ECONOMIC MEASURES, MORBIDITY AND MORTALITY RATES, INCIDENCE RATES, AND OTHER HEALTH STATISTICS FOR OLDER ADULTS IN MIAMI-DADE COUNTY. TOGETHER, THE RESULTS OF THIS DATA FACILITATE THE HOSPITAL'S IMPLEMENTATION PLAN AND HELP ALIGN THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH THE NEEDS THAT ARE EXPRESSED BY THE COMMUNITY.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - DOUGLAS GARDENS HOSPITAL:. THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN FISCAL YEAR 2025 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT AND ANY SUCH NEEDS THAT WERE NOT ADDRESSED AND THE REASONS WHY SUCH NEEDS WERE NOT ADDRESSED. AS PART OF ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, DOUGLAS GARDENS HOSPITAL (DGH OR THE HOSPITAL) DEVELOPED A STRATEGY TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH PRIORITIES FROM THE COLLECTION OF DATA FROM SECONDARY DATA SOURCES AND KEY INFORMANT INTERVIEWS. BASED ON FEEDBACK FROM COMMUNITY PARTNERS, INCLUDING HEALTH CARE PROVIDERS, PUBLIC HEALTH EXPERTS, HEALTH AND OTHER COMMUNITY REPRESENTATIVES, THE HOSPITAL PLANS TOFOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS ON THE FOLLOWING FOUR (4) HEALTH ISSUES: - AGING IN PLACE AND ASSOCIATED SUPPORT SERVICES - NAVIGATION OF AND ACCESSIBILITY TO AFFORDABLE HEALTHCARE - CHRONIC DISEASE MANAGEMENT - ALZHEIMER'S DISEASE AND DEMENTIA OBJECTIVES AND OUTCOMES RELATED TO THE FOUR (4) PRIORITIZED NEEDS ARE SUMMARIZED BELOW. THE OVERARCHING GOAL FOR AGING IN PLACE AND ASSOCIATED SUPPORT SERVICES IS TO IMPROVE ACCESS TO QUALITY HEALTHCARE TO QUALITY HEALTHCARE FOR THE ELDERLY AND UNDERSERVED POPULATIONS LIVING IN THE MIAMI JEWISH HEALTH SYSTEMS SERVICE AREA BY EDUCATING AND PROVIDING ACESS TO AFFORDABLE HEALTHCARE AND HOUSING OPTIONS FOR INDIVIDUALS WITHIN THE POPULATION. MEASURED RELATED OUTCOMES INCLUDE: - NUMBER OF PATIENTS/CUSTOMTERS RECEIVING DIALYSIS INCREASED 5% - NUMBER OF RESIDENTS REFERRED FROM LOCAL INCREASED 55% - NUMBER OF REFERRALS MADE TO ALFS THROUGH MIAMI JEWISH HEALTH OR PACE INCREASED 300% - NUMBER OF ONE-WAY TRIPS PER DAY AND ANNUALLY INCREASED 300% THE OVERARHCHING GOAL FOR NAVIGATION OF AND ACCESSIBILITY TO AFFORDABLE HEALTHCARE IS TO IMPROVE MARKETING, EDUCATION AND OUTREACH EFFORTS TO ASSIST IN NAVIGATION OF THE HEALTHCARE SYSTEM AND INCREASE PROGRAM AWARENESS AND PARTICIPATION IN THE MIAMI-DADE AREA. MEASURED RELATED OUTCOMES INCLUDE: - NUMBER OF OUTREACH EVENTS BY MIAMI JEWISH HEALTH CLINICIANS AND TEAM MEMBERS INCREASED OVER 300% - PROMOTED LOCAL MARKETING EFFORTS THROUGH PAID DIGITAL MEDIA CAMPAIGNS THROUGH FACEBOOK, LINKEDIN, GOOGLE, BING, STACKADAPT, OUTREACH/NETWORKING EVENTS, BROADCAST, PRINT MEDIA, DIRECT MAIL, SOCIAL MEDIA, AND BILLBOARD ADVERTISING. THE OVERARHCHING GOAL FOR CHRONIC DISEASE MANAGEMENT IS TO PROVIDE ACCESS, EDUCATION AND HEALTH SERVICES OR REFERRALS TO SUCH IN THE AREAS OF CHRONIC DISEASE MANAGEMENT (SUCH AS CANCER AND RESPIRATORY DISEASES) TO THE SENIOR POPULAITON. MEASURED RELATED OUTCOMES INCLUDE: - NUMBER OF REFERRALS MADE TO ALFS THROUGH MIAMI JEWISH HEALTH OR PACE INCREASED 300% - NUMBER OF CANCER PATIENTS INCREASED OVER 170% - NUMBER OF CANCER PATIENTS INCREASED OVER 80% - NEW SERVICES FOR PATIENTS WITH CHRONIC HEART FAILURE (819 PATIENTS THROUGH 2022 - 2024), DIABETES (1,302 PATIENTS THROUGH 2022 - 2024), AND CHRONIC KIDNEY DISEASE (1,119 PATIENTS THROUGH 2022 - 2024) WERE OFFERED. THE OVERARHCHING GOAL FOR MENTAL/BEHAVIORAL HEALTH (FOCUS ON ALZHEIMER'S DISEASE AND DEMENTIA) IS TO IMPROVE OUTREACH AND AWARENESS OF RESEARCH AND EDUCATION PROGRAMS AVAILABLE BY PARTICIPATION WITHIN CLINICAL TRIALS, EDUCATION, AND PROVIDE INCREASED CARE IN THIS AREA. MEASURED RELATED OUTCOMES INCLUDE: - NUMBER OF RESEARCH PROGRAMS - CLINICAL TRIAL PARTICIPANTS INCREASED OVER 150% - NUMBER OF EDUCATIONAL PRESENTATIONS AND SPEAKING ENGAGEMENT EVENTS INCREASED 540% - TOTAL NUMBER OF PATIENTS IN THE NURSING HOME WERE 1,072 THORUGH 2022 - 2024 - TOTAL NUMBER OF PATIENTS IN THE PACE PROGRAM WERE 741 THORUGH 2022 - 2024 - TOTAL NUMBER OF PATIENTS IN THE ASSITED LIVING FACILITY AND INDEPENDENT LIVING FACILITY PROGRAMS WERE 99 THORUGH 2022 - 2024 - TOTAL NUMBER OF PATIENTS IN OTHER OUTPATIENT SERVICE PROGRAMS WERE 926 THORUGH 2022 - 2024 THE FOLLOWING COMMUNITY HEALTH ISSUES WERE IDENTIFIED, BUT THE HOSPITAL DID NOT CHOOSE THEM AS A PRIORITY DUE TO LIMITED RESOURCES AND WILL CONTINUE TO MONITOR THE TREATMENT AND ADJUST ITS PROGRAMMING AND SERVICES ACCORDINGLY: - AFFORDABLE HOUSING

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?2
Name and address		Type of Facility (describe)
1	MIAMI JEWISH HEALTH CARE INC 5200 NE 2ND AVENUE MIAMI,FL33137	462-BED SKILLED NURSING FACILITY
2	HAZEL CYPEN TOWER 5200 NE 2ND AVENUE MIAMI,FL33137	132-BED ASSISTED LIVING FACILITY
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	AMOUNTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE ORGANIZATION RECOGNIZES REVENUE AS PERFORMANCE OBLIGATIONS ARE SATISFIED. MJHS DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH MJHS'S POLICY, OR IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. MJHS DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. MJHS DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. AGREEMENTS WITH THIRD-PARTY PAYORS PROVIDE FOR PAYMENTS AT AMOUNTS LESS THAN ESTABLISHED CHARGES. SUBSEQUENT MATERIAL EVENTS THAT ALTER THE PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE BAD DEBT EXPENSE IS REPORTED AT TOTAL BAD DEBT EXPENSE PER THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	IN THE CURRENT YEAR, THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 14 AND 15.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE ORGANIZATION USED THE MEDICARE COST REPORT TO DETERMINE THE TOTAL REVENUE RECEIVED FROM MEDICARE AND ALLOWABLES COSTS. MIAMI JEWISH HEALTH SYSTEMS (MJHS) ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. MJHS BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	ACCOUNTS RECEIVABLE MAY, FOR A VARIETY OF REASONS, NOT BE PAID ON A TIMELY BASIS. IT IS THE POLICY OF MIAMI JEWISH HEALTH SYSTEMS, INC. NOT TO ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) UNTIL ALL REASONABLE EFFORTS ARE MADE TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IF A PERSON IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, THE ORGANIZATION IMMEDIATELY STOPS ALL COLLECTION EFFORTS. ADDITIONALLY, CERTAIN PROCEDURES MUST BE FOLLOWED IN COLLECTION EFFORTS TO ENSURE THAT ALL PATIENTS ARE TREATED IN A PROFESSIONAL MANNER AND THE SAME PROCESS IS BEING FOLLOWED FOR ALL PAYORS.
Schedule H, Part V, Section B, Line 16a FAP website	- DOUGLAS GARDENS HOSPITAL: Line 16a URL: https://www.miamijewishhealth.org/price-transparency/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- DOUGLAS GARDENS HOSPITAL: Line 16b URL: https://www.miamijewishhealth.org/price-transparency/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- DOUGLAS GARDENS HOSPITAL: Line 16c URL: https://www.miamijewishhealth.org/price-transparency/;
Schedule H, Part VI, Line 2 Needs assessment	IN ADDITION TO THE COMMUNITY NEEDS HEALTH ASSESSMENT DISCUSSED IN PART V OF SCHEDULE H, MIAMI JEWISH HEALTH SYSTEMS EMPLOYS MULTIPLE PATHS TO IDENTIFY THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES: 1. FREQUENT, OPEN, DIRECT COMMUNICATION WITH OUR REFERRAL PARTNERS, PARTICULARLY WITH THE HOSPITALS WHO PROVIDE OUR CORE REFERRAL BASE. 2. PARTICIPATION IN COMMUNITY-WIDE HEALTH CARE ORGANIZATIONS SUCH AS THE LEADING AGE, ALLIANCE FOR AGING, SOUTH FLORIDA HOSPITAL & HEALTHCARE ASSOCIATION, THE CHAMBER OF COMMERCE, AND ALZHEIMER'S ASSOCIATION TO IDENTIFY BROAD COMMUNITY HEALTH NEEDS. 3. ANALYSIS OF ADMISSIONS AND DISCHARGES TO MIAMI JEWISH HEALTH SYSTEMS PROGRAMS. IDENTIFY TRENDS IN THE DIAGNOSES, LENGTH OF STAY, AND OUTCOME PERFORMANCE. FOR EXAMPLE, ONE SUCH ANALYSIS LED TO THE DEVELOPMENT OF A SPECIALIZED WOUND CARE PROGRAM. TODAY, MIAMI JEWISH HEALTH SYSTEMS CURES MORE WOUNDS THAN ANY OTHER NURSING HOME IN MIAMI-DADE COUNTY. 4. ANALYSIS OF FALLS STATISTICS TO IDENTIFY TRENDS IN THE INCIDENCE AND CONTRIBUTING FACTORS. SUCH ANALYSIS LED TO THE DEVELOPMENT OF A SPECIALIZED FALL-PREVENTION PROGRAM. TODAY, MIAMI JEWISH HEALTH SYSTEMS HAS A FALL INCIDENT RATE BETTER THAN LOCAL AND NATIONAL AVERAGES. 5. MIAMI JEWISH HEALTH SYSTEMS CONDUCTS, THROUGH INDEPENDENT THIRD PARTIES, CUSTOMER SATISFACTION TRACKING. THESE SURVEYS ARE CONDUCTED SEVERAL TIMES PER YEAR. RESULTS FROM THE CUSTOMER SATISFACTION TRACKING ARE SHARED THROUGHOUT THE ORGANIZATION FROM THE FRONT LINE OPERATORS TO THE BOARD OF DIRECTORS. RESULTS FROM THE CUSTOMER SATISFACTION PROGRAM HAVE CHANGED ELEMENTS OF THE SERVICE PROTOCOL IN A NUMBER OF PROGRAMS THAT WE OFFER TO IMPROVE SERVICE DELIVERY. 6. IN CONJUNCTION WITH NATIONAL AND INTERNATIONAL PHARMACEUTICAL COMPANIES AND RESEARCH FACILITIES, MIAMI JEWISH HEALTH SYSTEMS PARTICIPATES IN MULTIPLE CLINICAL TRIALS TO TEST THE EFFICACY OF NEW DRUGS FOR THE TREATMENT OF ALZHEIMER'S, DEMENTIA, AND OTHER AILMENTS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	MIAMI JEWISH HEALTH SYSTEMS, INC. COMPLIES WITH SECTION 501(R) OF THE INTERNAL REVENUE CODE WHICH REQUIRES HOSPITAL ORGANIZATIONS TO ESTABLISH A WRITTEN FINANCIAL ASSISTANCE POLICY (FAP). UPON ADMISSION, ALL PATIENTS RECEIVE A FINANCIAL SCREENING AND ARE NOTIFIED OF PROGRAMS UNDER WHICH THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE. IN ADDITION, FINANCIAL ASSISTANCE OPTIONS ARE PUBLICIZED WITHIN THE HOSPITAL AND ON THE ORGANIZATION'S WEBSITE. THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE UPON REQUEST AND THE PLAIN LANGUAGE SUMMARY IS MADE AVAILABLE ONLINE AND IN-PERSON AND IS DISTRIBUTED TO ALL PATIENTS OF THE HOSPITAL.
Schedule H, Part VI, Line 4 Community information	THE PRIMARY SERVICE AREA OF THE HOSPITAL FACILITY INCLUDES MIAMI-DADE, FLORIDA. IN 2022, MIAMI-DADE COUNTY HAD A POPULATION OF 2,688,237 RENDERING IT THE MOST POPULATED COUNTY IN FLORIDA. THE COUNTY EXPERIENCED A POPULATION DECREASE OF ALMOST 1% SINCE THE 2020 CENSUS. THE OVERALL POPULATION OF FLORIDA HAS DECLINED FASTER BETWEEN 2020 AND 2022 (-2.7%) THAN THE OVERALL POPULATION IN THE ENTIRE NATION (-0.66%). IN ADDITION, THE POPULATION IN MIAMI-DADE COUNTY IS NOTABLY OLDER WHEN COMPARED TO THE STATE AND THE NATION. ACCORDING TO THE U.S. CENSUS BUREAU, THE MEDIAN AGE OF RESIDENTS AGED 65 YEARS AND OVER IN MIAMI-DADE COUNTY WAS 74.1; WHEREAS STATE RESIDENTS HAD A MEDIAN AGE OF 73.9 AND 73.1 ACROSS THE NATION. THE OLDER POPULATION TENDS TO HAVE A HIGHER SHARE OF FEMALES IN THE POPULATION IN MIAMI-DADE COUNTY (58.3%) WHEN COMPARED TO FLORIDA (54.9%) AND THE NATION (55.3%). IN ADDITION, A HIGH MAJORITY OF INDIVIDUALS ARE WHITE IN MIAMI-DADE COUNTY (46.8%), NEARLY HALF OF THE OVERALL POPULATION IN MIAMI-DADE COUNTY. (68.8%) IS HISPANIC OR LATINO. THIS PERCENTAGE IS MUCH HIGHER THAN BOTH FLORIDA (26.5%) AND THE NATION (18.7%). THE RACIAL BREAKDOWN PROVIDES A FOUNDATION FOR PRIMARY LANGUAGE STATISTICS. THREE QUARTERS OF MIAMI-DADE COUNTY RESIDENTS AGED 65 YEARS AND OVER (75.1%) SPEAK A LANGUAGE OTHER THAN ENGLISH AS THEIR PRIMARY LANGUAGE AT HOME COMPARED TO 29.9% IN FLORIDA AND 21.7% IN THE UNITED STATES. OF THOSE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME IN MIAMI-DADE COUNTY, 46.9% SPEAK ENGLISH LESS THAN VERY WELL, WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE (41.8%) AND THE NATION (39.0%). AS MIAMI-DADE COUNTY CONTINUES TO GROW IN DIVERSITY, IT WILL BE INCREASING IMPORTANT TO ADDRESS THE LANGUAGE NEEDS AND HEALTH BARRIER THAT EXISTS FOR INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY AND FOR WHOM ENGLISH IS NOT THEIR PRIMARY LANGUAGE.
Schedule H, Part VI, Line 5 Promotion of community health	MIAMI JEWISH HEALTH SYSTEMS, INC. IS DEDICATED TO PROMOTING THE HEALTH AND WELFARE OF THE SOUTH FLORIDA COMMUNITY OF WHICH THEY HAVE BEEN A PART OF FOR MORE THAN 75 YEARS. SOME OF THE WAYS IN WHICH THE HEALTH OF THE COMMUNITY IS PROMOTED IS AS FOLLOWS: - COMMUNITY BOARDS: MJHS HAS AN INDEPENDENT COMMUNITY BOARD STAFFED BY HEALTH CARE PROFESSIONALS AND COMMUNITY ACTIVISTS AND MEMBERS. - MEDICAL STAFF: QUALIFIED PHYSICIANS AND PRACTITIONERS FROM ACROSS THE COMMUNITY CAN BE CREDENTIALED TO PRACTICE AT MIAMI JEWISH HEALTH SYSTEMS. - EMPLOYEE WELLNESS, HEALTH, AND SAFETY: MJHS IS THE LARGEST EMPLOYER IN THE HAITIAN COMMUNITY.
Schedule H, Part VI, Line 6 Affiliated health care system	MIAMI JEWISH HEALTH SYSTEMS, INC. HAS MANY AFFILIATED ENTITIES THAT PROVIDE AN ARRAY OF PROGRAMS SUCH AS ASSISTED LIVING, OUTPATIENT PROGRAMS, AND COMMUNITY-BASED PROGRAMS. THE ORGANIZATION AND ITS AFFILIATES INCLUDE: A 462-BED SKILLED NURSING FACILITY, A MEDICARE CERTIFIED HOSPITAL UNIT WITH 32 ACUTE CARE BEDS, SEVERAL INDEPENDENT AND ASSISTED LIVING FACILITIES, AN AMBULATORY HEALTH CENTER, A REHABILITATION CENTER, A PROGRAM FOR THE ALL-INCLUSIVE CARE OF THE ELDERLY (PACE), AND IN ADDITION, THE ORGANIZATION OPERATES A NURSE REGISTRY PROGRAM, A PROGRAM TO PROVIDE MANAGEMENT SERVICES TO SENIOR HOUSING PROVIDERS, AND TWO FOUNDATIONS.

Schedule H (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

MIAMI JEWISH HEALTH SYSTEMS INC

Employer identification number

59-0624414

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JEFFREY FREIMARK PRESIDENT/CEO	(i) (ii)	985,000 ------------- 0	500,000 ------------- 0	22,278 ------------- 0	14,000 ------------- 0	0 ------------- 0	1,521,278 ------------- 0	0 ------------- 0
2MICHAEL DURR TREASURER	(i) (ii)	62,481 ------------- 0	0 ------------- 0	182,414 ------------- 0	0 ------------- 0	0 ------------- 0	244,895 ------------- 0	0 ------------- 0
3ALAN GOLDSMITH EVP CFO COO	(i) (ii)	422,807 ------------- 0	143,600 ------------- 0	9,225 ------------- 0	71,750 ------------- 0	5,773 ------------- 0	653,155 ------------- 0	0 ------------- 0
4JASON PINCUS VP NURSING HOME ADMINISTRA	(i) (ii)	253,449 ------------- 0	28,279 ------------- 0	9,814 ------------- 0	10,773 ------------- 0	15,981 ------------- 0	318,296 ------------- 0	0 ------------- 0
5MARC AGRONIN MD CHIEF MEDICAL OFFICER	(i) (ii)	393,242 ------------- 0	39,400 ------------- 0	11,603 ------------- 0	66,717 ------------- 0	13,995 ------------- 0	524,957 ------------- 0	0 ------------- 0
6LEAH BRODERICK CHIEF SALES & MARKETING OF	(i) (ii)	250,000 ------------- 0	25,000 ------------- 0	10,722 ------------- 0	70,769 ------------- 0	12,909 ------------- 0	369,400 ------------- 0	0 ------------- 0
7SHAUN CORBETT CHIEF MEDICAL OFFICER	(i) (ii)	424,142 ------------- 0	4,955 ------------- 0	8,771 ------------- 0	11,750 ------------- 0	1,886 ------------- 0	451,504 ------------- 0	0 ------------- 0
8DANA KULVIN CHIEF BUSINESS STRATEGIST	(i) (ii)	363,754 ------------- 0	41,720 ------------- 0	12,032 ------------- 0	74,000 ------------- 0	0 ------------- 0	491,506 ------------- 0	0 ------------- 0
9BERNARDO LARRALDE CHIEF TECHNOLOGY OFFICER	(i) (ii)	262,370 ------------- 0	1,080 ------------- 0	10,266 ------------- 0	10,775 ------------- 0	13,530 ------------- 0	298,021 ------------- 0	0 ------------- 0
10ALISON GREWE CDO PRESIDENT & CEO MJHSF	(i) (ii)	274,999 ------------- 0	27,500 ------------- 0	7,980 ------------- 0	71,962 ------------- 0	0 ------------- 0	382,441 ------------- 0	0 ------------- 0
11ROBERT PURCELL EXECUTIVE DIRECTOR	(i) (ii)	177,540 ------------- 0	14,813 ------------- 0	395 ------------- 0	8,239 ------------- 0	2,311 ------------- 0	203,298 ------------- 0	0 ------------- 0
12JENNIFER RAY EXECUTIVE DIRECTOR	(i) (ii)	119,973 ------------- 0	46,960 ------------- 0	212 ------------- 0	3,478 ------------- 0	1,384 ------------- 0	172,007 ------------- 0	0 ------------- 0
13JOSEPH SHINI AVP CLINICAL SERVICES	(i) (ii)	213,923 ------------- 0	0 ------------- 0	9,232 ------------- 0	9,142 ------------- 0	12,914 ------------- 0	245,211 ------------- 0	0 ------------- 0
14LAURA GUITIERREZ VP OF HUMAN RESOURCES	(i) (ii)	165,732 ------------- 0	0 ------------- 0	9,567 ------------- 0	7,540 ------------- 0	3,061 ------------- 0	185,900 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

Schedule J, Part I, Line 4a Severance or change-of-control payment

DURING THE YEAR, THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS PURSUANT TO MIAMI JEWISH HEALTH SYSTEMS, INC.'S POLICIES AND PROCEDURES FOLLOWING AN INVOLUNTARY SEPARATION FROM EMPLOYMENT: - MICHAEL DURR - $180,500

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

MIAMI JEWISH HEALTH SYSTEMS, INC. MAINTAINS A NON-QUALIFIED EMPLOYEE DEFERRED COMPENSATION PLAN OPEN TO CERTAIN KEY EMPLOYEES UNDER INTERNAL REVENUE CODE 457(F) (THE 457 PLAN). THE 457 PLAN PROVIDES, AMONG OTHER THINGS, FOR VOLUNTARY CONTRIBUTIONS TO BE MADE BY ELIGIBLE PARTICIPANTS. THESE FUNDS REMAIN THE PROPERTY OF MIAMI JEWISH HEALTH SYSTEMS, INC. AND ITS SUBSIDIARIES. MIAMI JEWISH HEALTH SYSTEMS, INC. AND ITS SUBSIDIARIES HAVE A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. THE FOLLOWING LISTED EMPLOYEE(S) THAT PARTICIPATED IN THE DEFERRED COMPENSATION PLAN UNDER IRC. SEC. 457(F) ARE LISTED BELOW. NO AMOUNTS HAVE BEEN PAID FOR THE 2024 CALENDAR YEAR: - MARC AGRONIN - LEAH BRODERICK - ALAN GOLDSMITH - ALISON GREWE - DANA KULVIN JEFFREY FREIMARK PARTICIPATES IN A SUPPLEMENTAL NON-QUALFIED SPLIT-DOLLAR LIFE INSURANCE PLAN THAT IS TREATED AS A LOAN AND REPORTED ON SCHEDULE L.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
MIAMI JEWISH HEALTH SYSTEMS INC

Employer identification number
59-0624414

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF MIAMI FLORIDA HEALTH FACILITIES AUTHORITY	59-6000375	593416CM0	01-01-2017	44,035,000	SEE SUPPLMENTAL INFORMATION		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	8,545,000
2 Amount of bonds legally defeased ..............	0
3 Total proceeds of issue ..................	46,331,227
4 Gross proceeds in reserve funds .............	3,062,988
5 Capitalized interest from proceeds .............	0
6 Proceeds in refunding escrows ...............	23,630,946
7 Issuance costs from proceeds ...............	0
8 Credit enhancement from proceeds .............	0
9 Working capital expenditures from proceeds .............	0
10 Capital expenditures from proceeds .............	17,439,573
11 Other spent proceeds .............	2,197,720
12 Other unspent proceeds .............	0
13 Year of substantial completion .............	2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %
6 Total of lines 4 and 5 .............	0 %
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X
b Exception to rebate? ........		X
c No rebate due? .........		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........	0 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........	0 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........		X
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference

Explanation

Schedule K, Part I, Column (f) LINE 1A - DESCRIPTION OF PURPOSE

ON JANUARY 1, 2017, MJHS COMPLETED THE REFUNDING OF THE SERIES 2005, CITY OF MIAMI, FLORIDA HEALTH FACILITIES AUTHORITY REVENUE BONDS (THE "2005 BONDS") WITH THE ISSUANCE OF THE SERIES 2017, CITY OF MIAMI, FLORIDA HEALTH FACILITIES AUTHORITY REVENUE BONDS (THE "2017 BONDS") IN THE AMOUNT OF $44,035,000, WITH AN ORIGINAL ISSUE PREMIUM OF $2,296,227 ALSO BEING RECEIVED. THE PROCEEDS OF THE 2017 BONDS WERE USED TO PAY OFF THE 2005 BONDS, OTHER PREVIOUSLY HELD DEBT OBLIGATIONS, AND TO FINANCE CERTAIN CAPITAL IMPROVEMENTS OF MJHS'S OPERATING FACILITIES.

Schedule K, Part II, Line 3 COLUMN A

TOTAL PROCEEDS OF ISSUE INCLUDES AN ORIGINAL ISSUE PREMIUM OF $2,296,227.

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule L
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

MIAMI JEWISH HEALTH SYSTEMS INC

Employer identification number

59-0624414

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No
(1) JEFFEREY FREIMARK	OFFICER	SPLIT-DOLLAR LIFE INSURANCE		X	5,400,000	7,006,501		No	Yes		Yes



Total ............... $						7,006,501

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) (Rev. 1-2025)

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	Yes	No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

MIAMI JEWISH HEALTH SYSTEMS INC

Employer identification number

59-0624414

Return Reference	Explanation
Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS:	HEALTHCARE - MIAMI JEWISH HEATH SYSTEMS, INC. IS A 494-BED FACILITY PROVIDING A FULL RANGE OF HEALTHCARE SERVICES TO THE ELDERLY. THESE INCLUDE ITS 462-BED NURSING HOME, WHICH PROVIDES LONG-TERM RESIDENTIAL CARE AND SKILLED NURSING CARE FOR OLDER ADULTS WITH CHRONIC ILLNESSES. THE FACILITY ALSO PROVIDES SHORT-TERM REHABILITATION SERVIES FOR MEDICARE BENEFICIARIES RECOVERING FROM SURGERY, STROKE, ETC. AND A 32-BED GERIATRIC MEDICAL SPECIALTY HOSPITAL, WHICH PROVIDES ACUTE CARE FOR THE ELDERLY. IN ADDITION, THE FACILITY'S AMBULATORY HEALTH CENTERS PROVIDE OUTPATIENT HEALTH SERVICES AND SUB-SPECIALTY SERVICES DELIVERED BY PHYSICIANS AND HEALTH PRACTITIONERS SPECIALIZING IN GERIATRIC HEALTHCARE, MENTAL HEALTH, PAIN MANAGEMENT, AND PSYCHIATRY. RESIDENTIAL CARE - MIAMI JEWISH HEALTH SYSTEMS, INC. PROVIDES TWO LEVELS OF ADULT LIVING FACILITIES THE FIRST IS A LICENSED 98-APARTMENT ADULT CONGREGATE LIVING FACILITY, WHICH PROVIDES MODERATE HOUSING DESIGNED FOR THE FRAIL, BUT INDEPENDENT ELDERLY. ITS TENANTS ARE OFFERED TRANSPORTATION AND CULTURAL/SOCIAL AMENITIES. THE OTHER FACILITY IS A LICENSED 92-APARTMENT ASSISTED LIVING FACILITY, WHICH PROVIDES PHYSICAL, MENTAL, AND SOCIAL ACTIVITIES, AS WELL AS DIRECT CARE ASSISTANCE AND NURSING SUPERVISION. CASE MANAGEMENT/DAY CARE - MIAMI JEWISH HEALTH SYSTEMS, INC. OPERATES A STATE SPONSORED PROGRAM IN WHICH CASE MANAGERS COORDINATE IN-HOME ASSISTANCE SUCH AS PERSONAL CARE, MEALS, ADULT DAY CARE, AND MEDICAL SUPPLIES. THE PROGRAM SERVES PEOPLE LIVING IN MIAMI-DADE OR BROWARD COUNTIES, AGE 60 OR OLDER, WHO ARE ELIGIBLE FOR CARE IN A NURSING HOME AS REQUIRED BY MEDICAID. MIAMI JEWISH HEALTH SYSTEMS OPERATES THE PROJECT ON BEHALF OF THE STATE OF FLORIDA'S AGENCY FOR HEALTHCARE ADMINISTRATION AND THE DEPARTMENT OF ELDER AFFAIRS.
Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION	THE CEO REPORTS DIRECTLY TO THE BOARD OF DIRECTORS AND A COMPENSATION COMMITTEE OF THE BOARD IS RESPONSIBLE FOR APPROVING COMPENSATION ADJUSTMENTS TO THE CEO. THE COMPENSATION COMMITTEE REVIEWS AND APPROVIES ANY CHANGES IN BASE COMPENSATION AS WELL AS BONUSES AND OTHER COMPONENTS ON AN ANNUAL BASIS. FORMAL COMPENSATION STUDIES ARE REQUESTED AND CONDUCTED AS NEEDED. THE MINUTES OF THE COMPENSATION COMMITTEE DOCUMENT THE DECISIONS AND DELIBERATIONS OF THE COMMITTEE. COMPENSATION OF ALL OTHER OFFICERS AND KEY EMPLOYEES IS ESTABLISHED BY THE CEO AND IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. FORMAL COMPENSATION STUDIES ARE REQUESTED AND CONDUCTED AS NEEDED. THE MINUTES OF THE COMPENSATION COMMITTEE DOCUMENT THE DECISIONS AND DELIBERATIONS OF THE COMMITTEE.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE CHIEF FINANCIAL OFFICER AND CONTROLLER OF MIAMI JEWISH HEALTH SYSTEMS, INC. CONDUCT A COMPREHENSIVE REVIEW OF THE FORM 990 PRIOR TO FILING A COPY OF THE RETURN. THE DRAFT RETURN IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS, PHYSICIANS ON STAFF, AND KEY EMPLOYEES, EACH OF WHOM IS REQUIRED TO COMPLETE AND SUBMIT A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE CHIEF COMPLIANCE OFFICER MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY AND REVIEWS ACTUAL CONFLICTS IDENTIFIED BY THE ANNUAL DISCLOSURE PROCESS. OFFICERS AND DIRECTORS ARE PROHIBITED FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS OF INTEREST EXIST.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
Form 990, Part IX, Line 11g Other Fees	CONTRACT SERVICES - Total Expense: 6883695, Program Service Expense: 5613267, Management and General Expenses: 1168281, Fundraising Expenses: 102147; PROFESSIONAL FEES - Total Expense: 1211692, Program Service Expense: 1211692, Management and General Expenses: , Fundraising Expenses: ; PAYROLL PROCESSING FEES - Total Expense: 186630, Program Service Expense: , Management and General Expenses: 186630, Fundraising Expenses: ; PURCHASED MEDICAL SERVICES - Total Expense: 6228855, Program Service Expense: 6228855, Management and General Expenses: , Fundraising Expenses: ; STATE ASSESSMENT FEES - Total Expense: 454268, Program Service Expense: 454268, Management and General Expenses: , Fundraising Expenses: ; CENTRALIZED SERVICES - Total Expense: 13859417, Program Service Expense: 7308597, Management and General Expenses: 5896040, Fundraising Expenses: 654780;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	OTHER CHANGE IN NET ASSETS - -234958; REVENUE FROM PARTNERSHIPS - -772392; Total - -1007350;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

MIAMI JEWISH HEALTH SYSTEMS INC

Employer identification number

59-0624414

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)DGN INC 5200 NE 2ND AVENUE MIAMI,FL33137 11-3672256	LOW INCOME HOUSING FOR THE ELDERLY	FL	501(c)(3)	7	MIAMI JEWISH HEALTH SYSTEMS INC	Yes
(2)DGN II INC 5200 NE 2ND AVENUE MIAMI,FL33137 65-1270932	LOW INCOME HOUSING FOR THE ELDERLY	FL	501(c)(3)	7	MIAMI JEWISH HEALTH SYSTEMS INC	Yes
(3)DGN III INC 5200 NE 2ND AVENUE MIAMI,FL33137 27-3293469	LOW INCOME HOUSING FOR THE ELDERLY	FL	501(c)(3)	7	MIAMI JEWISH HEALTH SYSTEMS INC	Yes
(4)STEIN GERONTOLOGICAL INSTITUTE INC 5200 NE 2ND AVENUE MIAMI,FL33137 65-0289632	GERONTOLOGICAL RESEARCH	FL	501(c)(3)	10	MIAMI JEWISH HEALTH SYSTEMS INC	Yes
(5)DOUGLAS GARDENS HOLDING CORP INC 5200 NE 2ND AVENUE MIAMI,FL33137 23-7302931	SUPPORT MIAMI JEWISH HEALTH SYSTEMS, INC.	FL	501(c)(2)		MIAMI JEWISH HEALTH SYSTEMS INC	Yes
(6)FLORIDA PATHWAYS INC 5200 NE 2ND AVENUE MIAMI,FL33137 65-0198276	HOLD PROPERTY AND LEASE TO RELATED ORGANIZATIONS	FL	501(c)(3)	Type I	MIAMI JEWISH HEALTH SYSTEMS INC	Yes
(7)DOUGLAS GARDENS HOME CARE INC 5200 NE 2ND AVENUE MIAMI,FL33137 65-1151478	NURSE REGISTRY PROGRAM/HEALTHCARE	FL	501(c)(3)	10	MIAMI JEWISH HEALTH SYSTEMS INC	Yes
(8)DOUGLAS GARDENS SENIOR HOUSING INC 5200 NE 2ND AVENUE MIAMI,FL33137 65-0838183	MANAGEMENT SERVICES TO RELATED ORGANIZATIONS	FL	501(c)(3)	Type I	MIAMI JEWISH HEALTH SYSTEMS INC	Yes
(9)MIAMI JEWISH HEALTH SYSTEMS FOUNDATION INC 5200 NE 2ND AVENUE MIAMI,FL33137 20-0267158	SOLICIT AND INVEST CONTRIBUTIONS ON BEHALF OF MIAMI JEWISH HEALTH	FL	501(c)(3)	7	MIAMI JEWISH HEALTH SYSTEMS INC	Yes
(10)FLORIDA PACE CENTERS INC 5200 NE 2ND AVENUE MIAMI,FL33137 65-1051439	HEALTHCARE	FL	501(c)(3)	10	MIAMI JEWISH HEALTH SYSTEMS INC	Yes
(11)DOUGLAS GARDENS PROPERTIES INC 5200 NE 2ND AVENUE MIAMI,FL33137 93-3711626	INACTIVE	FL	501(c)(3)	10	MIAMI JEWISH HEALTH SYSTEMS INC	Yes
(12)MJH REAL PROPERTY INC 5200 NE 2ND AVENUE MIAMI,FL33137 93-3969543	INACTIVE	FL	501(c)(3)	10	MIAMI JEWISH HEALTH SYSTEMS INC	Yes
(13)MJH GROUND ASSETS INC 5200 NE 2ND AVENUE MIAMI,FL33137 93-3996282	INACTIVE	FL	501(c)(3)	10	MIAMI JEWISH HEALTH SYSTEMS INC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) MIAMI JEWISH HOME HEALTH AGENCY LLC 5200 NE 2ND AVENUE MIAMI,FL33137 30-0757717	HEALTHCARE	FL	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

Yes

g Sale of assets to related organization(s) ............................

Yes

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

Yes

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MIAMI JEWISH HEALTH SYSTEMS FOUNDATION INC	C	4,526,281	ACTUAL AMOUNT RECEIVED
(2) DGN INC	O	225,606	COST
(3) DGN ii INC	O	117,785	COST
(4) DGN III INC	O	171,791	COST
(5) STEIN GERONTOLOGICAL INSTITUTE INC	O	559,040	COST
(6) DOUGLAS GARDENS HOME CARE INC	O	406,411	COST
(7) MIAMI JEWISH HEALTH SYSTEMS FOUNDATION INC	O	672,324	COST
(8) FLORIDA PACE CENTERS INC	Q	25,673,409	ACTUAL AMOUNT RECEIVED
(9) DOUGLAS GARDENS HOME CARE INC	Q	2,301,173	ACTUAL AMOUNT RECEIVED
(10) STEIN GERONTOLOGICAL INSTITUTE INC	Q	223,210	ACTUAL AMOUNT RECEIVED

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,896,935	5,253,357
9	Program service revenue (Part VIII, line 2g) .........	83,340,577	82,319,055
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	230,222	949,450
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	525,613	772,392
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	87,993,347	89,294,254
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	51,720,229	52,799,795
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 1,540,418
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	52,692,940	51,009,549
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	104,413,169	103,809,344
19	Revenue less expenses. Subtract line 18 from line 12.......	-16,419,822	-14,515,090
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	94,438,328	96,151,337
21	Total liabilities (Part X, line 26).............	155,419,318	172,175,350
22	Net assets or fund balances. Subtract line 21 from line 20.....	-60,980,990	-76,024,013

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 84,650,705 including grants of $ 0 ) (Revenue $ 82,319,055 )
	MIAMI JEWISH HEALTH SYSTEMS, INC. (MJHS) PROVIDES SKILLED NURSING, LONG-TERM CARE, RESIDENTIAL AND COMMUNITY-BASED SERVICES TO THE ELDERLY AND OTHERS WHO WOULD BENEFIT. SINCE ITS INCEPTION, THE ORGANIZATION HAS EXPANDED TO INCLUDE A NUMBER OF AFFILIATED ENTITIES, ORGANIZED TO PROVIDE AN ARRAY OF ADDITIONAL PROGRAMS, SUCH AS ASSISTIVE HOUSING, OUTPATIENT SERVICES, AND COMMUNITY-BASED PROGRAMS. THESE PROGRAMS OFFER ALTERNATIVES TO INSTITUTIONALIZATION, AS WELL AS RESEARCH, EDUCATION, AND TRAINING IN AREAS PRIMARILY FOCUSED ON CARE FOR THE ELDERLY. ACROSS ALL PROGRAMS, THERE WERE 108,902 PATIENT DAYS IN THE CURRENT YEAR. SEE SCHEDULE O FOR ADDITIONAL INFORMATION HEALTHCARE - MIAMI JEWISH HEALTH SYSTEMS, INC. IS A 494-BED FACILITY PROVIDING A FULL RANGE OF HEALTHCARE SERVICES TO THE ELDERLY. THESE INCLUDE ITS 462-BED NURSING HOME, WHICH PROVIDES LONG-TERM RESIDENTIAL CARE AND SKILLED NURSING CARE FOR OLDER ADULTS WITH CHRONIC ILLNESSES. THE FACILITY ALSO PROVIDES SHORT-TERM REHABILITATION SERVICES FOR MEDICARE BENEFICIARIES RECOVERING FROM SURGERY, STROKE, ETC. AND A 32-BED GERIATRIC MEDICAL SPECIALTY HOSPITAL, WHICH PROVIDES ACUTE CARE FOR THE ELDERLY. IN ADDITION, THE FACILITY'S AMBULATORY HEALTH CENTERS PROVIDE OUTPATIENT HEALTH SERVICES AND SUB-SPECIALTY SERVICES DELIVERED BY PHYSICIANS AND HEALTH PRACTITIONERS SPECIALIZING IN GERIATRIC HEALTHCARE, MENTAL HEALTH, PAIN MANAGEMENT, AND PSYCHIATRY. RESIDENTIAL CARE - MIAMI JEWISH HEALTH SYSTEMS, INC. PROVIDES TWO LEVELS OF ADULT LIVING FACILITIES. THE FIRST IS A LICENSED 98-APARTMENT ADULT CONGREGATE LIVING FACILITY, WHICH PROVIDES MODERATE HOUSING DESIGNED FOR THE FRAIL, BUT INDEPENDENT ELDERLY. ITS TENANTS ARE OFFERED TRANSPORTATION AND CULTURAL/SOCIAL AMENITIES. THE OTHER FACILITY IS A LICENSED 92-APARTMENT ASSISTED LIVING FACILITY, WHICH PROVIDES PHYSICAL, MENTAL, AND SOCIAL ACTIVITIES, AS WELL AS DIRECT CARE ASSISTANCE AND NURSING SUPERVISION. CASE MANAGEMENT/DAY CARE - MIAMI JEWISH HEALTH SYSTEMS, INC. OPERATES A STATE-SPONSORED PROGRAM IN WHICH CASE MANAGERS COORDINATE IN-HOME ASSISTANCE SUCH AS PERSONAL CARE, MEALS, ADULT DAY CARE, AND MEDICAL SUPPLIES. THE PROGRAM SERVES PEOPLE LIVING IN MIAMI-DADE OR BROWARD COUNTIES, AGE 60 OR OLDER, WHO ARE ELIGIBLE FOR CARE IN A NURSING HOME AS REQUIRED BY MEDICAID. MIAMI JEWISH HEALTH SYSTEMS OPERATES THE PROJECT ON BEHALF OF THE STATE OF FLORIDA'S AGENCY FOR HEALTHCARE ADMINISTRATION AND THE DEPARTMENT OF ELDER AFFAIRS.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses84,650,705

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) JASON PINCUS........................................................................ VP NURSING HOME ADMINISTRA	40.0 .......................2.0	X		291,542	0	26,754
(19) LEAH BRODERICK........................................................................ CHIEF SALES & MARKETING OF	40.0 .......................0	X		285,722	0	83,678
(20) MARC AGRONIN MD........................................................................ CHIEF MEDICAL OFFICER	40.0 .......................1.0	X		444,245	0	80,712
(21) SHAUN CORBETT........................................................................ CHIEF MEDICAL OFFICER	40.0 .......................0	X		437,868	0	13,636
(22) ALISON GREWE........................................................................ CDO PRESIDENT & CEO MJHSF	1.0 .......................40.0		X	310,479	0	71,962
(23) JENNIFER RAY........................................................................ EXECUTIVE DIRECTOR	40.0 .......................0		X	167,145	0	4,862
(24) JOSEPH SHINI........................................................................ AVP CLINICAL SERVICES	40.0 .......................0		X	223,155	0	22,056
(25) LAURA GUITIERREZ........................................................................ VP OF HUMAN RESOURCES	40.0 .......................0		X	175,299	0	10,601
(26) ROBERT PURCELL........................................................................ EXECUTIVE DIRECTOR	40.0 .......................0		X	192,748	0	10,550

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	5,647,287	0	519,279

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE COMPASSIONATE HEALTHCARE THROUGH A FULL RANGE OF QUALITY SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	872
6	Total number of volunteers (estimate if necessary) .............	6	10
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	772,392
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	728,185

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	4,526,281
e	Government grants (contributions)		1e	726,968

f	All other contributions, gifts, grants, and similar amounts not included above		1f	108

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		5,253,357

		Business Code
2a	PATIENT CARE	623000	49,946,951	49,946,951
b	REIMBURSEMENT OF CENTRALIZED COST	623000	30,427,847	30,427,847
c	MANAGEMENT FEES	541610	1,470,000	1,470,000
d	OTHER PATIENT SERVICE REVENUE	623000	474,257	474,257
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		82,319,055

3 Investment income (including dividends, interest, and othersimilar amounts) ......			362,906			362,906
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	0	0
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	586,544
b	Less: cost or other basis and sales expenses	7b	0
c	Gain or (loss)	7c	586,544	0
d	Net gain or (loss).........			586,544			586,544
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	INCOME FROM PARTNERSHIPS		900099	772,392		772,392
b
c
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			772,392
12	Total revenue. See instructions.....			89,294,254	82,319,055	772,392	949,450

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	4,622,275	1,489,831	3,132,444
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	39,597,347	34,568,794	4,372,382	656,171
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	778,713	634,997	132,161	11,555
9	Other employee benefits .......	4,823,583	3,933,361	818,645	71,577
10	Payroll taxes ...........	2,977,877	2,428,292	505,397	44,188
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	151,123		151,123
c	Accounting ...........	264,120		264,120
d	Lobbying ...........	9,101		9,101
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	33,268		33,268
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	28,824,557	20,816,679	7,250,951	756,927
12	Advertising and promotion ....	1,258,510	1,258,510
13	Office expenses .......	1,199,007	1,199,007
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	4,688,434	4,688,434
17	Travel ............	791	791
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	89,077	89,077
20	Interest ...........	1,825,584	1,825,584
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	4,911,629	4,911,629
23	Insurance ...	2,428,911	2,428,911
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	1,979,444	1,979,444
b	DRUGS AND MEDICATION	857,394	857,394
c	FOOD AND DIETARY EXPENSES	783,838	783,838
d	BAD DEBT EXPENSES	756,132	756,132
e	All other expenses	948,629	0	948,629	0
25	Total functional expenses. Add lines 1 through 24e	103,809,344	84,650,705	17,618,221	1,540,418
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			16,691,216	1	14,321,967
2	Savings and temporary cash investments .........			665,137	2	652,346
3	Pledges and grants receivable, net ......			180,699	3	180,700
4	Accounts receivable, net .............			2,833,343	4	2,929,137
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				5,545,729	5	7,006,501
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			433,979	8	450,115
9	Prepaid expenses and deferred charges ......			2,135,861	9	2,014,248
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	175,723,290
b	Less: accumulated depreciation	10b	123,318,899	52,763,391	10c	52,404,391
11	Investments—publicly traded securities .				11	9,632,514
12	Investments—other securities. See Part IV, line 11 .....			12,504,092	12	6,109,874
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			684,881	15	449,544
16	Total assets. Add lines 1 through 15 (must equal line 33)...			94,438,328	16	96,151,337

17	Accounts payable and accrued expenses .....	19,413,098	17	21,804,456
18	Grants payable ...		18
19	Deferred revenue .........	805,923	19	481,963
20	Tax-exempt bond liabilities .........	38,667,351	20	37,483,059
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	96,532,946	25	112,405,872
26	Total liabilities. Add lines 17 through 25..	155,419,318	26	172,175,350

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	-61,971,540	27	-77,014,563
28	Net assets with donor restrictions ...........	990,550	28	990,550
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	-60,980,990	32	-76,024,013
33	Total liabilities and net assets/fund balances ........	94,438,328	33	96,151,337