2021-11-12T10:51:09-06:00 2020-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2020-01-01 131663975 UNITED HOME FOR AGED HEBREWS UNIT 9146322804 391 PELHAM ROAD NEW ROCHELLE NY 10805 CHRISTINA L VILLANUEVA CFO 9146322804 2021-11-12 1 CHRISTINA VILLANUEVA XXX-XX-XXXX GARRETT M HIGGINS P00543209 9143818900 2021-11-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z UNITED HEBREW GERIATRIC CENTER RITA C MABLI 391 PELHAM ROAD NEW ROCHELLE NY 10805 43561937 0 X WWW.UHGC.ORG X 1920 NY UNITED HOME FOR AGED HEBREWS D/B/A UNITED HEBREW GERIATRIC CENTER (THE "CENTER") OFFERS A RICH ARRAY OF SKILLED AND COMMUNITY BASED PROGRAMS AND SERVICES THAT ENCOURAGE AND SUPPORT A LIFE OF DIGNITY AND SPIRITUALITY AND PROMOTE THE HIGHEST QUALITY OF LIFE. 14 13 579 15 0 0 1012084 3236891 46282508 40124890 192692 93787 21622 10966 47508906 43466534 0 0 0 0 31875817 30842354 0 0 0 16479580 15888692 48355397 46731046 -846491 -3264512 48977653 49247193 46623433 50699024 2354220 -1451831 X UNITED HEBREW IS A VIBRANT NOT-FOR-PROFIT, NON-SECTARIAN, MULTI-SERVICE SENIOR LIVING CAMPUS NESTLED ON 7.4 ACRES IN NEW ROCHELLE, NEW YORK. KNOWN FOR ITS CARING AND NURTURING ENVIRONMENT, UNITED HEBREW HAS BEEN SERVING THE WESTCHESTER METROPOLITAN AREA SINCE 1919 WHEN IT BEGAN AS A SMALL FRAME HOUSE TO PROVIDE CARE FOR NINE ELDERLY JEWISH MEN. TODAY, HEBREW WORKS WITH OVER 600 CLIENTS DAILY THROUGH ITS RICH ARRAY OF SKILLED AND COMMUNITY-BASED PROGRAMS AND SERVICES, EMBRACING THE CHANGING NEEDS OF OUR CLIENTS EVERY STEP OF THE WAY. THROUGH OUR COMPREHENSIVE CARE OPTIONS, WE ENCOURAGE AND SUPPORT A LIFE OF DIGNITY AND SPIRITUALITY. THE CENTER ADMINISTERS, AS PART OF ITS CORPORATE PURPOSE, THE PLANNING, COORDINATION AND SUPPORT OF THE DEVELOPMENT AND ADMINISTRATION OF HEALTH SERVICE SYSTEMS FOR THE COMMUNITY, BY PROVIDING CONSULTATIVE AND SUPPORT SERVICES TO ITS AFFILIATED ENTITIES. 0 0 38900101 0 39208569 SKILLED NURSING FACILITY - THE CENTER IS A 296 BED NURSING HOME. IN 2020 THE CENTER PROVIDED 97,473 DAYS OF CARE TO 1,066 PATIENTS.HERE IN WESTCHESTER COUNTY, RESIDENTS IN OUR NURSING HOME BENEFIT FROM A PERSONALIZED CARE PLAN DESIGNED BY OUR EXPERT, INTERDISCIPLINARY TEAM. OUR SKILLED NURSING STAFF FOSTERS THE HIGHEST QUALITY OF LIFE POSSIBLE BY PROVIDING MODERN CARE AROUND-THE-CLOCK, ASSISTANCE WITH DAILY LIVING, ENRICHMENT THROUGH STIMULATING ACTIVITIES, AND ENHANCED NUTRITION THROUGH DAILY MEALS AND SNACKS - ALL IN OUR CLEAN FACILITY. 916321 0 916321 THE CENTER ADMINISTERS, AS PART OF ITS CORPORATE PURPOSE, THE PLANNING, COORDINATION AND SUPPORT OF THE DEVELOPMENT AND ADMINISTRATION OF HEALTH SERVICE SYSTEMS FOR THE COMMUNITY, BY PROVIDING CONSULTATIVE AND SUPPORT SERVICES TO ITS AFFILIATED ENTITIES. 39816422 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 47 0 579 1 0 0 0 0 0 0 0 0 0 0 1 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X RITA C MABLI 9146322804 391 PELHAM RD NEW ROCHELLE NY 10805 RITA C MABLI PRESIDENT & CEO 37.50 9.00 X X 1073975 0 92859 MALCOLM H LAZARUS SENIOR CHAIR 2.00 8.00 X X 0 0 0 ROSEMARY MCLAUGHLIN CHAIR ELECT 2.00 8.00 X X 0 0 0 PEARL QUARLES VICE CHAIR 2.00 5.00 X X 0 0 0 PETER A TOMBACK VICE CHAIR 2.00 1.00 X X 0 0 0 BRUCE GORDON TREASURER 2.00 1.00 X X 0 0 0 MARK A HARTMAN SECRETARY 2.00 9.00 X X 0 0 0 MICHAEL R ROZEN SENIOR CHAIR THRU 7/2020 2.00 10.00 X X 0 0 0 JAMES STAUDT DIRECTOR 2.00 8.00 X 0 0 0 DAVID A ALPERT DIRECTOR 2.00 0.00 X 0 0 0 HARRIN PLATZNER DIRECTOR 2.00 3.00 X 0 0 0 DONALD DUBERSTEIN DIRECTOR 2.00 6.00 X 0 0 0 DORETTE GERSPACH DIRECTOR 2.00 0.00 X 0 0 0 LIZ HEALY DIRECTOR 2.00 0.00 X 0 0 0 RABIA DE LANDE LONG DIRECTOR 2.00 0.00 X 0 0 0 STEVE SCHURKMAN DIRECTOR THRU 2/2020 2.00 0.00 X 0 0 0 CHRISTINA L VILLANUEVA CFO 37.50 9.00 X 323100 0 39112 CHRISTINE SANDERS VP OF ADMINISTRATION 37.50 0.00 X 206731 0 18363 JENNIFER SEVILLEJA-TAN CHIEF NURSING OFFICER 37.50 0.00 X 171308 0 37901 JEROME BAGAPORO ADMINISTRATOR OF CLINICAL SERVICES 37.50 0.00 X 183338 0 17636 ELAINE HEALY VP OF MEDICAL AFFAIRS & MEDICAL DIR. 32.00 0.00 X 174841 0 17652 JOANNE JACOB APILLANES RN/RN SUPERVISOR 37.50 0.00 X 171182 0 64365 RANI GEORGE RN/NURSE SUPERVISOR 37.50 0.00 X 188888 0 40706 CHUN YIP HUI IT DIRECTOR 37.50 0.00 X 167661 0 42453 LISSY JOSEPH DIRECTOR OF NURSING 37.50 0.00 X 147163 0 41897 BOB BORJA REGISTERED NURSE 37.50 0.00 X 136376 0 51277 2944563 0 464221 32 0 1 0 BURKE REHABILITATION 785 MAMARONECK AVENUE WHITE PLAINS NY 10605 RESTORATIVE THERAPY SERVICES 1702171 BIOREFERENCE LABORATORIES 481 EDWARD H ROSS DRIVE ELMWOOD PARK NJ 074073118 DIAGNOSTIC TESTING SERVICES 825240 MONTEFIORE DEPARTMENT OF PATHOLOGY 111 EAST 210TH STREET CENTRAL 303 BRONX NY 08873 DIAGNOSTIC TESTING SERVICES 363840 UNITEX APPARELMED APPAREL 401 S MACQUESTIN PARKWAY MT VERNON NY 10550 LAUNDRY SERVICES 318696 4 114647 2310614 811630 3236891 MEDICAID REVENUE 623000 21605097 21605097 MEDICARE REVENUE 623000 10696244 10696244 PRIVATE PATIENT REVENUE 623000 4326294 4326294 MANAGED CARE 623000 2580934 2580934 MGMT. SERVICES TO RELATED ENTITIE 541200 916321 916321 40124890 93787 93787 81200 95403 -14203 -14203 -14203 MISC. INCOME 900099 12507 12507 TV INCOME 900099 11986 11986 VENDING MACHINE INCOME 900099 676 676 25169 43466534 40124890 0 104753 2356816 1905232 451584 309663 255063 54600 19250745 15323860 3926885 2024484 1875747 148737 4189269 3881487 307782 2711377 2512175 199202 138388 138388 90500 90500 13662 13662 3272625 3011223 261402 35131 35131 613837 355158 258679 70931 44 70887 2185341 2145069 40272 45310 2397 42913 41709 41709 2751468 2681484 69984 381309 381309 MEDICAL SUPPLIES & DRUG 2648354 2647047 1307 NY CASH RECEIPTS ASSMNT 1579590 1579590 DIETARY EXPENSES 876818 876818 REPAIRS AND MAINTENANCE 776284 763910 12374 367435 118 367317 46731046 39816422 6914624 0 2106511 1866978 9403558 11569328 737084 0 3498681 3301075 113673 98286 65734710 39865800 28290814 25868910 603854 603854 4223478 5938762 48977653 49247193 4877187 5293639 1565437 1000000 303427 277182 36885575 35554136 2991807 8574067 46623433 50699024 X 2354220 -1451831 2354220 -1451831 48977653 49247193 X -3264512 -541539 X X 0 1 X 1 0 X 2325981 0 937504 1012084 3236891 7512460 41719389 44660464 45826506 46282508 40124890 218613757 44045370 44660464 46764010 47294592 43361781 226126217 0 0 0 226126217 180379 159488 169720 301132 174987 985706 180379 159488 169720 301132 174987 985706 282904 282904 30515 51478 15068 26422 25169 148652 44539168 44871430 46948798 47622146 43561937 227543479 0.99380 0.99170 0.00430 0.00420 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: TV INCOME - 2016 AMOUNT: $ 14,185. 2017 AMOUNT: $ 13,295. 2018 AMOUNT: $ 10,660. 2019 AMOUNT: $ 12,435. 2020 AMOUNT: $ 11,986. MISC INCOME - 2016 AMOUNT: $ 16,330. 2017 AMOUNT: $ 37,548. 2018 AMOUNT: $ 3,562. 2019 AMOUNT: $ 13,259. 2020 AMOUNT: $ 12,507. VENDING MACHINE - 2017 AMOUNT: $ 635. 2018 AMOUNT: $ 846. 2019 AMOUNT: $ 728. 2020 AMOUNT: $ 676. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 13662 13662 0 PART II-B, LINE 1: THE CENTER PAYS DUES TO CONTINUING CARE LEADERSHIP COALITION (CCLC), LEADING AGE, AND LOCAL 1199. A PORTION OF THESE DUES ARE CONSIDERED LOBBYING EXPENDITURES UNDER SECTION 6033(E) OF THE INTERNAL REVENUE CODE. 0 1 X 181783 270000 451783 399676 56529603 33536145 23393134 8353648 6329655 2023993 25868910 DUE FROM RELATED ORGANIZATIONS 3257396 INSURANCE RECOVERIES RECEIVABLE 1557000 DUE FROM THIRD PARTY PAYORS 847184 RESIDENT FUNDS 277182 5938762 DUE TO THIRD PARTY PAYORS 694791 DEFERRED COMPENSATION PAYABLE 467729 PROFESSIONAL AND SIMILAR LIABILITIES 1557000 PAYCHECK PROTECTION PROGRAM LOAN 5854547 8574067 X 43561937 95403 95403 43466534 0 43466534 47367988 636942 636942 46731046 0 46731046 PART IV, LINE 2B: RESIDENT FUNDS ARE MAINTAINED IN BANK AND INVESTMENT ACCOUNTS SEPARATE FROM OPERATING ACCOUNTS. INTEREST EARNED ON RESIDENT FUNDS IS CREDITED TO THE RESIDENTS' ACCOUNTS. PART X, LINE 2: THE CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE CENTER HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE CENTER IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON PART VIII, LINE 6B 95,403. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON PART VIII, LINE 6B 95,403. NET ASSET TRANSFER TO RELATED PARTY 541,539. X X X 0 0 0 0 0 0 0 1 0 RITA C MABLI PRESIDENT & CEO 964838 0 64400 0 44737 0 7738 0 85121 0 1166834 0 0 0 CHRISTINA L VILLANUEVA CFO 307208 0 6000 0 9892 0 7738 0 31374 0 362212 0 0 0 JOANNE JACOB APILLANES RN/RN SUPERVISOR 167863 0 0 0 3319 0 21569 0 42796 0 235547 0 0 0 RANI GEORGE RN/NURSE SUPERVISOR 187171 0 1000 0 717 0 13641 0 27065 0 229594 0 0 0 CHRISTINE SANDERS VP OF ADMINISTRATION 196927 0 3500 0 6304 0 5613 0 12750 0 225094 0 0 0 CHUN YIP HUI IT DIRECTOR 160996 0 1750 0 4915 0 4552 0 37901 0 210114 0 0 0 JENNIFER SEVILLEJA-TAN CHIEF NURSING OFFICER 170090 0 1000 0 218 0 0 0 37901 0 209209 0 0 0 JEROME BAGAPORO ADMINISTRATOR OF CLINICAL SERVICES 183194 0 0 0 144 0 4978 0 12658 0 200974 0 0 0 ELAINE HEALY VP OF MEDICAL AFFAIRS & MEDICAL DIR. 172938 0 0 0 1903 0 4747 0 12905 0 192493 0 0 0 LISSY JOSEPH DIRECTOR OF NURSING 142855 0 0 0 4308 0 3996 0 37901 0 189060 0 0 0 BOB BORJA REGISTERED NURSE 135915 0 0 0 461 0 17183 0 34094 0 187653 0 0 0 PART I, LINE 7 THE BOARD DETERMINES EMPLOYEE BONUSES BASED ON PERFORMANCE DURING THE YEAR. THE FOLLOWING INDIVIDUALS RECEIVED BONUSES DURING THE 2020 CALENDAR YEAR, AND WAS INCLUDED AS REPORTABLE COMPENSATION ON THEIR 2020 FORMS W-2. RITA C. MABLI, PRESIDENT & CEO - $64,400 CHRISTINA VILLANUEVA, CFO - $6,000 CHRISTINE SANDERS, VP OF ADMINISTRATION - $3,500 JENNIFER SEVILLEJA-TAN, VP OF ADMINISTRATION - $1,000 RANI GEORGE, RN/NURSE SUPERVISOR - $1,000 CHUN YIP HUI, IT DIRECTOR - $1,750 NENITA MABLI SISTER-IN-LAW OF RITA MABLI, PRESIDENT & CEO 81002 EMPLOYMENT 0 KRYSTAL LEIGH VILLANUEVA SISTER OF CHRISTINA VILLANUEVA, CFO 141246 EMPLOYMENT 0 JOSEPH JAMES VILLANUEVA BROTHER OF CHRISTINA VILLANUEVA, CFO 87415 EMPLOYMENT 0 FORM 990, PART VI, SECTION B, LINE 11B THE CENTER HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED BY THE CENTER'S OUTSIDE ACCOUNTING FIRM, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD FOR APPROVAL. IF ANY COMMENTS OR QUESTIONS ARISE, THEY ARE FORWARDED TO THE OUTSIDE ACCOUNTANT AND THE BOARD REVIEWS AFTER REVISIONS AND RESOLUTIONS. ONCE THE BOARD HAS APPROVED THE RETURN IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ANY DIRECTOR, ANY PERSON WITH BOARD-DELEGATED POWERS, ANY OFFICER OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS OR ANY EMPLOYEE OF THE CORPORATION, WHO HAS A DIRECT OR INDIRECT "FINANCIAL INTEREST OR "NON-FINANCIAL INTEREST" IS AN "INTERESTED PERSON". THE INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL OR NON-FINANCIAL INTEREST IN THE PROPOSED TRANSACTION OR ARRANGEMENT, AND MUST FURTHER DISCLOSE ALL MATERIAL FACTS TO THE FINANCE COMMITTEE. ABSENT FULL DISCLOSURE, NO TRANSACTION OR ARRANGEMENT SHALL BE MADE WITH THE PERSON OR ENTITY IN WHICH THE INTERESTED PERSON HAS AN INTEREST. IN THE CASE OF AN EMPLOYEE, THE EMPLOYEE SHOULD NOTIFY THE CEO, WHO WILL CONSULT WITH SUCH OTHERS AS MAY BE APPROPRIATE BEFORE BRINGING THE ISSUE TO THE FINANCE COMMITTEE. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING. AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING IMMEDIATELY AND SHALL NOT BE PRESENT DURING THE DISCUSSION OF, OR THE VOTE ON, THE PROPRIETY OF THE TRANSITION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE SENIOR CHAIR AND THE SECRETARY OF THE BOARD SHALL CONSTITUTE AN AD-HOC COMPENSATION COMMITEE. THE SENIOR CHAIR IS EMPOWERED AND AUTHORIZED TO NEGOTIATE AN EMPLOYMENT AGREEMENT WITH THE PRESIDENT & CEO AND ANY MODIFICATIONS OR EXTENSIONS THERETO IN ACCORDANCE WITH TERMS AND CONDITIONS ESTABLISHED BY THE AD HOC COMPENSATION COMMITEE. ANY MEMBER OF THE BOARD MAY REVIEW THE TERMS OF ALL SUCH EMPLOYMENT AGREEMENTS WITH THE SENIOR CHAIR. THE REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE IS DOCUMENTED IN THE MEETING MINUTES. THE CFO'S COMPENSATION IS FIRST SET BY THE PRESIDENT & CEO. AN AD-HOC COMPENSATION COMMITTEE MEETING TAKES PLACE TO REVEW AND APPROVE THE COMPENSATION OF THE CFO. ANY MEMEBER OF THE BOARD MAY REVIEW THE TERMS OF ALL SUCH EMPLOYMENT AGREEMENTS WITH THE SENIOR CHAIR. THE REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE IS DOCUMENTED IN THE MEETING MINUTES. THE LAST COMPENSATION REVIEW WAS PERFORMED IN 2020. FORM 990, PART VI, SECTION C, LINE 19 THE CENTER MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS ALSO POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER TO RELATED PARTY -541,539. FORM 990, PART XII, LINE 2C: THE CENTER HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. UGC FOUNDATION INC 60 WILLOW DRIVE NEW ROCHELLE NY 10805 133930505 FUNDRAISING NY 501(C)(3) LINE 7 UNITED HEBREW GERIATRIC CENTER 1 SOUNDVIEW APARTMENTS HOUSING DEVELOPMENT FUND COMPANY 60 WILLOW DRIVE NEW ROCHELLE NY 10805 132955399 SENIOR HOUSING FACILITY NY 501(C)(3) PF UNITED HEBREW GERIATRIC CENTER 1 AZOR CARE AT HOME INC 391 PELHAM ROAD NEW ROCHELLE NY 10805 814867272 HOME HEALTH AGENCY NY 501(C)(3) LINE 10 UNITED HEBREW GERIATRIC CENTER 1 UNITED HEBREW OF NEW ROCHELLE CERTIFIED HOME HEALTH AGENCY INC 391 PELHAM ROAD NEW ROCHELLE NY 10805 464312396 HOME HEALTH AGENCY NY 501(C)(3) LINE 10 UNITED HEBREW GERIATRIC CENTER 1 MEADOW LANE HOUSING DEVELOPMENT FUND COMPANY INC 391 PELHAM ROAD NEW ROCHELLE NY 10805 463825709 SENIOR HOUSING FACILITY NY 501(C)(3) LINE 10 UNITED HEBREW GERIATRIC CENTER 1 WILLOW GARDENS INC 391 PELHAM ROAD NEW ROCHELLE NY 10805 451019853 ASSISTED LIVING FACILITY NY 501(C)(3) LINE 10 UNITED HEBREW GERIATRIC CENTER 1 WILLOW TOWERS INC 60 WILLOW DRIVE NEW ROCHELLE NY 10805 134097985 ASSISTED LIVING FACILITY NY 501(C)(3) LINE 10 UNITED HEBREW GERIATRIC CENTER 1 AZOR HOME CARE INC 8 EAST PROSPECT AVENUE MT VERNON NY 10550 134042739 HEALTH CARE SERVICES NY UGC FOUNDATION INC C 0.09000 0 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 UGC FOUNDATION INC C 114647 COST SOUNDVIEW APARTMENTS HDFC L 112729 COST WILLOW GARDENS INC L 224999 COST WILLOW TOWERS INC L 549793 COST WILLOW TOWERS INC P 27533 COST WILLOW GARDENS INC P 9600 COST SOUNDVIEW APARTMENTS HDFC P 2486 COST UGC FOUNDATION INC Q 20012 COST