2022-11-09T15:34:53-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 4 BATTERYMARCH PARK SUITE 100 QUINCY MA 02169 990 2021-01-01 043377057 FALL RIVER JEWISH HOME INC FALL 5086789253 CO KENNETH LITTMAN - 251 CHERRY ST FALL RIVER MA 02720 KENNETH LITTMAN PRESIDENT 5086789253 2022-11-08 1 KENNETH LITTMAN 999009999 DANIELLE NIHILL P01350943 7819821001 2022-11-08 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z KENNETH LITTMAN C/O KENNETH LITTMAN - 251 CHERRY ST FALL RIVER MA 02720 6143806 0 X WWW.FALLRIVERJEWISHHOME.ORG X 1997 MA TO PROVIDE SKILLED NURSING AND REHABILITATION SERVICES TO RESIDENTS AND CLIENTS OF ALL FAITHS. 12 12 72 14 0 0 591587 1297978 5216856 4820840 109 20 0 24968 5808552 6143806 0 0 0 0 2946451 2561094 0 0 0 3206774 3403543 6153225 5964637 -344673 179169 2893153 2028316 1870544 826538 1022609 1201778 TO PROVIDE SKILLED NURSING AND REHABILITATION SERVICES TO RESIDENTS AND CLIENTS OF ALL FAITHS IN A SAFE, COMPASSIONATE ATMOSPHERE THAT REFLECTS JEWISH SOCIAL, CULTURAL AND SPIRITUAL VALUES. 0 0 4869531 0 4845808 FALL RIVER JEWISH HOME'S NURSING CARE (OR LONG-TERM CARE) PROGRAM CREATES A PERSONAL CARE PLAN FOR EACH RESIDENT THAT GUIDES THE ATTENTIVE CARE PROVIDED BY OUR NURSES AND OTHER CARE PROFESSIONALS. THE ORGANIZATION IS KNOWN FOR ITS DEDICATION TO EXCELLENT HIGH STAFF-TO-PATIENT RATIO AND 24/7 NURSING COVERAGE. NURSING CARE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: REHAB AND THERAPY CARE; IV THERAPY; WOUND CARE; MOBILE X-RAY, EKG, AND LABORATORY SERVICES; PAIN MANAGEMENT AND PALLIATIVE CARE; REGISTERED DIETITIAN TO OVERSEE DIETARY NEEDS; PATIENT, FAMILY SUPPORT, AND COUNSELING BY LICENSED SOCIAL WORKERS; AND PHARMACY SERVICES. 4869531 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 72 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X CHRISTINE VITALE 5086789253 251 CHERRY STREET FALL RIVER MA 02720 CHRISTINE M VITALE ADMINISTRATOR 40.00 0.00 X 159162 0 21175 LEEANNE SNIEGOSKI DIRECTOR OF NURSES 40.00 0.00 X 118504 0 7780 RICHARD WOLFSON 2ND VICE PRESIDENT 1.00 1.00 X X 0 3750 0 KENNETH LITTMAN PRESIDENT 1.00 1.00 X X 0 0 0 STEWART HORVITZ VICE PRESIDENT 1.00 1.00 X X 0 0 0 IVAN ROZOWSKY TREASURER 1.00 1.00 X X 0 0 0 TILDEN BOGUS ASSIST. TREASURER 1.00 1.00 X X 0 0 0 SHARON STEINBERG SECRETARY 1.00 1.00 X X 0 0 0 ANITA BOLSKI TRUSTEE 1.00 1.00 X 0 0 0 NORMAN BOLSKI TRUSTEE 1.00 1.00 X 0 0 0 WILLIAM CHEBOT TRUSTEE 1.00 1.00 X 0 0 0 HOWARD FREEDMAN TRUSTEE 1.00 1.00 X 0 0 0 LESLIE KATZ TRUSTEE 1.00 1.00 X 0 0 0 DR STACI RESNICK TRUSTEE 1.00 1.00 X 0 0 0 277666 3750 28955 2 0 1 0 INTELYCARE 1515 HANCOCK ST SUITE 203 QUINCY MA 02169 TEMP STAFFING AGENCY-NURSES AND CNAS 625243 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 DINING SERVICE 436914 SELECT REHABILITIATION 30 ALEXANDER AVENUE EAST PROVIDENCE RI 02914 REHAB THERAPY SERVICES 317813 4M BUILDING SOLUTIONS 2827 CLARK AVENUE ST LOUIS MO 63103 HOUSEKEEPING AND LAUNDRY SERVICE 259625 PROEMS SOLUTIONS 31 SMITH PLACE CAMBRIDGE MA 02138 COVID PCR TESTING 178080 5 1125075 172903 1297978 PATIENT SERVICE REVENUE 623000 4820840 4820840 4820840 20 20 MISCELLANEOUS REVENUE 623000 24968 24968 24968 6143806 4845808 0 20 X 159502 159502 2033285 1533464 499821 17797 12446 5351 171976 120267 51709 178534 124853 53681 1605 1605 36216 36216 961588 896326 65262 19063 19063 42098 42098 49030 49030 147145 118987 28158 2461 2461 1029 1029 87332 70620 16712 101231 81859 19372 DIETARY EXPENSE 493527 493527 ANCILLARIES 482218 482218 USER FEES 309173 309173 HOUSEKEEPING EXPENSE 234755 234755 435072 391036 44036 5964637 4869531 1095106 0 810008 119870 403118 229742 86770 93123 0 1235800 357457 1585581 2893153 2028316 493764 378219 299428 0 37528 44939 1039824 403380 1870544 826538 X 1022609 1201778 1022609 1201778 2893153 2028316 179169 0 X 0 1 X 1 0 X 268419 264782 239784 591587 1297978 2662550 5565366 5564882 5534138 5216856 4820840 26702082 5833785 5829664 5773922 5808443 6118818 29364632 0 0 0 29364632 18 17 218 109 20 382 18 17 218 109 20 382 5530 240 24968 30738 5839333 5829681 5774380 5808552 6143806 29395752 0.99890 0.99970 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 457B PLAN ASSETS 403380 SOFTWARE, NET 6266 ASSETS HELD FOR SALE 1175935 1585581 457B PLAN LIABILITY 403380 403380 X 6143806 0 6143806 0 6143806 5964637 0 5964637 0 5964637 PART X, LINE 2: THE FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES BECAUSE THE ORGANIZATIONS HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES IN ACCORDANCE WITH PRESCRIBED STATUTES. THE ORGANIZATION HAS NOT BEEN EXAMINED FOR ANY OPEN YEARS. X X X 0 0 0 0 0 0 0 0 0 CHRISTINE M VITALE ADMINISTRATOR 159162 0 0 0 0 0 15000 0 6175 0 180337 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS COMPRISED OF THE OFFICERS OF THE BOARDS AND THEY MAY CONDUCT BUSINESS BETWEEN MEETINGS OF THE BOARD, BUT ANY DECISIONS MADE OR ACTIONS TAKEN ARE THEN REPORT TO THE FULL BOARD AT THE NEXT MEETING. IT CAN NOT ESTABLISH COMMITTEES, ADD/REMOVE TRUSTEES OR OFFICERS, APPROVE BUDGETS OR BORROWINGS, CHANGE/REPEAL ARTICLES OR BYLAWS, OR ANY TAKE ANY OTHER ACTION PROHIBITED BY LAW, ARTICLES OR BYLAWS. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUALS HAVE A FAMILY RELATIONSHIP: - ANITA BOLSKI AND NORMAN BOLSKI ARE HUSBAND AND WIFE. IVAN ROZOWSKY IS THEIR SON-IN-LAW. FORM 990, PART VI, SECTION A, LINE 6 JEWISH OMNI SERVICES, INC. A RELATED NON-PROFIT ORGANIZATION, IS THE SOLE MEMBER OF FALL RIVER JEWISH HOME, INC. FORM 990, PART VI, SECTION A, LINE 7A JEWISH OMNI SERVICES, INC. IS THE SOLE MEMBER OF THE ORGANIZATION AND ELECTS THE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B JEWISH OMNI SERVICES, INC. APPROVES BUDGETS, BYLAW CHANGES, AND OTHER SIGNIFICANT DECISIONS OF FALL RIVER JEWISH HOME, INC. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S BOARD REVIEWS THE COMPLETE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ANNUAL DISCLOSURES OF CONFLICTS. THE BOARD REVIEWS AND MONITORS ANY CONFLICTS DISCLOSED. ALL MEMBERS OF THE BOARD, ALL DEPARTMENT HEADS, AND ANY STAFF AUTHORIZED TO MAKE PURCHASES ON THE HOME'S BEHALF MUST EXECUTE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY AND WHENEVER STATUS MAY CHANGE. CONFLICTS MAY BE SEEN BY THE ORGANIZATION INTEGRITY OFFICER OR THE BOARD. ACTUAL CONFLICTS ARE DETERMINED AND REVIEWED BY THE BOARD. CONFLICTS MUST BE DECLARED AT THE BOARD AND THEY MAY NOT VOTE. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES INCLUDES A COMMITTEE WHICH REVIEWS DUTIES, PERFORMANCE, COMPARATIVE WAGE AND BENEFIT DATA OF EACH INDIVIDUAL DURING CONTRACT YEAR WHICH WAS LAST PERFORMED IN 2017. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 896,326. MANAGEMENT AND GENERAL EXPENSES 65,262. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 961,588. JEWISH OMNI SERVICES INC C/O KENNETH LITTMAN - 251 CHERRY ST FALL RIVER MA 02720 042119390 SUPPORT SERVICES MA 501(C)(3) LINE 12A, I N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0