2021-08-12T07:21:56-05:00 2020-09-30 410746749 CLIFTONLARSONALLEN 29 SOUTH MAIN STREET 4TH FLOOR WEST HARTFORD CT 06107 990 2019-10-01 060846991 JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INC JEWI 2033656400 4200 PARK AVE BRIDGEPORT CT 06604 ANDREW H BANOFF PRESIDENT & CEO 2033749461 2021-08-10 1 MARY KAY CURTISS P01551484 8605614000 2021-08-10 2019 2022-09-23 18:48:47Z ANDREW H BANOFF 4200 PARK AVENUE BRIDEGPORT CT 06604 61369069 0 X WWW.JSENIORS.ORG X 1967 CT NON-PROFIT HEALTH CARE FACILITY PROVIDING REST HOME AND SKILLED NURSING CARE TO THE AGED AND INFIRM. 36 36 983 36 0 0 1028712 1171899 55548099 56138697 784325 205041 1693260 1211629 59054396 58727266 0 0 0 0 38165429 38954015 0 0 424223 20439559 21790276 58604988 60744291 449408 -2017025 111111555 109419046 66467673 65787940 44643882 43631106 X CONSISTENT WITH JEWISH VALUES AND TRADITIONS, THE MISSION OF THE JEWISH HOME IS TO ASSURE JEWISH SENIORS THE HEALTH CARE, HOUSING AND GERIATRIC SERVICES REQUIRED TO ACHIEVE THE HIGHEST POSSIBLE QUALITY OF LIFE REASONABLY ATTAINABLE FOR THEM. ADMISSION TO THESE SERVICES WILL BE AVAILABLE TO JEWISH SENIORS ON A PRIORITY BASIS. 0 0 42741917 45639036 SKILLED NURSING FACILITY: A MODERN 294 BED SKILLED NURSING FACILITY PROVIDING SHORT TERM POST ACUTE CARE, LONG TERM CARE, SPECIAL CARE FOR MEMORY, AND COGNITIVE DISORDERS. 2070166 2766982 NON-MEDICAL HOME CARE SERVICES, ALSO KNOWN AS COMPASSIONATE CARE COMPANIONS, PROVIDES CAREGIVERS OFFERING SERVICES TAILORED TO INDIVIDUAL NEEDS IN CLIENT'S HOME. SERVICES INCLUDE: COMPANIONSHIP AND SOCIALIZATION; MEAL PREPARATION; LIGHT HOUSEKEEPING; TRANSPORTATION; ERRAND AND GROCERY SHOPPING; ASSISTANCE WITH PERSONAL CARE; SUPERVISION OF DRESSING AND GROOMING; AND RECREATIONAL ACTIVITIES. 24 HOUR LIVE-IN CARE SERVICES ARE AVAILABLE. 2457787 1996342 MEDICAL HOME CARE PROVIDES CLIENTS WITH COMPREHENSIVE HOME CARE SERVICES. IN COORDINATION WITH THE CLIENT'S PHYSICIAN, THE TEAM WILL DEVELOP A PLAN OF CARE THAT PROMOTES RESTORATION OF HEALTH AND INDEPENDENCE DURING AN ILLNESS, OR FOLLOWING AN INJURY OR SURGICAL PROCEDURE IN HIS OR HER HOME SETTING. THE TEAM ALSO WORKS WITH INDIVIDUALS WHO ARE FACING CHALLENGES MEETING THE PHYSICAL DEMANDS OF DAILY LIVING AND CAN BENEFIT FROM SKILLED CARE IN THEIR HOMES. 6447728 5736337 INCLUDES THE INSTITUTE ON AGING GERIATRIC ASSESSMENT SERVICE, THE CENTER FOR ELDER ABUSE PREVENTION, ADULT DAY CARE, HOSPICE, WORK ACTIVITY CENTER, THERAPY. 6447728 5736337 53717598 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 87 0 1 983 1 0 0 0 0 0 0 0 0 1 0 0 0 X 36 36 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X ROGER SLIBY 2033656400 4200 PARK AVENUE BRIDGEPORT CT 06604 ANDREW H BANOFF PRESIDENT & CEO 40.00 1.00 X X 696176 0 13881 LAWRENCE CONDON SENIOR VP & ADMINISTRATOR 40.00 X 231064 0 23055 ROGER SLIBY VP & CHIEF FINANCIAL OFFICER 40.00 X 229170 0 15553 LINDA C CISZKOWSKI VP OF EMPLOYEE RELATIONS 40.00 X 195334 0 16705 DOREEN BROWN-WADE DIRECTOR, HOMECARE & HOSPI 40.00 X 121372 0 0 CATHERINE VIOLETTE CLINICAL DIRECTOR 40.00 X 118778 0 0 ERENA FITZGERALD DIRECTOR OF NURSING 40.00 X 117834 0 0 LORRAINE WILLIAMS RN 40.00 X 117807 0 0 ELIZABETH ZICARI VP & COMMUNITY SERVICES AND BUSINESS DEVELPMENT 40.00 X 113618 0 591 ANNIE MPANDA RN 40.00 X 112510 0 0 ALAN PHILLIPS CHAIRPERSON 0.50 X X 0 0 0 JON AUGUST VICE CHAIRPERSON 0.50 X X 0 0 0 ERIC HENDLIN TREASURER 0.50 X X 0 0 0 RUSSELL BEITMAN SECRETARY 0.50 X X 0 0 0 CARL BENNETT HONORARY DIRECTOR FOR LIFE 0.50 X 0 0 0 JIM BENNETT DIRECTOR 0.50 X 0 0 0 ROBERT BERKOWITZ DIRECTOR 0.50 X 0 0 0 JANET FREEDMAN DIRECTOR 0.50 X 0 0 0 ROY FREEDMAN HONORARY DIRECTOR FOR LIFE 0.50 X 0 0 0 ED FRIEDLAND DIRECTOR 0.50 X 0 0 0 ROSLYN GOLDSTEIN HONORARY DIRECTOR FOR LIFE 0.50 X 0 0 0 ERIC KATZ DIRECTOR 0.50 X 0 0 0 MITCHELL KORNBLIT DIRECTOR 0.50 X 0 0 0 MARK A LAPINE HONORARY DIRECTOR FOR LIFE 0.50 X 0 0 0 MARC LEVEY DIRECTOR 0.50 X 0 0 0 NANCY MAGIDA DIRECTOR 0.50 X 0 0 0 MICHAEL MARCUS DIRECTOR 0.50 X 0 0 0 EMIL MESHBERG DIRECTOR 0.50 X 0 0 0 BRIAN MILES DIRECTOR 0.50 1.00 X 0 0 0 JERRY MINSKY DIRECTOR 0.50 1.00 X 0 0 0 FRANK MORSE DIRECTOR 0.50 X 0 0 0 NATE NEVAS DIRECTOR 0.50 X 0 0 0 ELLEN HYDE PHILLIPS DIRECTOR 0.50 X 0 0 0 JEFF RADLER DIRECTOR 0.50 X 0 0 0 HAL ROSNICK DIRECTOR 0.50 X 0 0 0 PHILIP SCHAEFER DIRECTOR 0.50 X 0 0 0 DR SCOTT SERELS DIRECTOR 0.50 X 0 0 0 AMANDA SHAPIRO DIRECTOR 0.50 X 0 0 0 JEFFREY J SIEGEL DIRECTOR 0.50 1.00 X 0 0 0 WILLIAM SIMS DIRECTOR 0.50 X 0 0 0 ART SPINNER DIRECTOR 0.50 X 0 0 0 CAROL SPINNER DIRECTOR 0.50 X 0 0 0 MILTON SUTIN HONORARY DIRECTOR FOR LIFE 0.50 X 0 0 0 KENNETH I WIRFEL DIRECTOR 0.50 X 0 0 0 MARTIN F WOLF HONORARY DIRECTOR FOR LIFE 0.50 X 0 0 0 MIKE WOLFSON DIRECTOR 0.50 X 0 0 0 2053663 0 69785 10 0 1 0 HOMECARE BY RVNA 27 GOVERNOR STREET RIDGEFIELD CT 06127 HOMECARE COMPAMION SERVICES 343828 FLAGSHIP NETWORKS 100 BEARD SAWMILL ROAD SHELTON CT 06484 PROFESSIONAL SERVICES 304196 BLUMSHAPIRO 29 SOUTH MAIN STREET WEST HARTFORD CT 06127 PROFESSIONAL SERVICES 156436 BKD LLP 910 E ST LOUIS STREET SUITE 200 SPRINGFIELD MO 658011190 MEDICAL BILLING 155813 MATRIXCARE PO BOX 144 MINNEAPOLIS MN 55480 MEDICAL BILLING SOFTWARE 118883 6 1171899 1171899 RESIDENT CARE SERVICES 623000 45639036 45639036 COMPASSIONATE CARE 621610 2766982 2766982 HOME TOGETHER 623000 2059400 2059400 MEDICAL HOME CARE 623000 1996342 1996342 SENIOR CHOICE AT HOME 623000 1353212 1353212 2323725 2323725 56138697 607967 607967 2238877 2641803 -402926 -402926 -402926 FITNESS CENTER 900099 487941 487941 MISCELLANEOUS 900099 478738 478738 CHILD CARE CENTER 900099 244950 244950 1211629 58727266 56138697 0 1416670 1545331 1545331 29825968 27865226 1692117 268625 1223314 1050826 166371 6117 4264544 3663243 579978 21323 2094858 1799483 284901 10474 175764 138097 37505 162 79035 31176 47859 173288 173288 81447 81447 5029629 4229623 798037 1969 85153 58902 26251 1423956 1131021 265931 27004 573044 504117 42826 26101 1826337 1695166 117617 13554 67304 61219 5111 974 10300 2938 7362 2152455 1997861 138620 15974 3920621 3639033 252491 29097 656502 609351 42279 4872 PATIENT SERVICES 1830796 1830258 528 10 FOOD 1538554 1352511 188076 -2033 NURSING HOME TAX 1455612 1409007 46605 BAD DEBTS 569471 569471 141008 79069 61939 60744291 53717598 6602470 424223 2578278 5217318 265425 256842 4345261 4469058 126272 123378 326755 28488 103625691 17437315 89717828 86188376 12126760 12887525 1624976 248061 111111555 109419046 3332411 6499412 3945347 5014051 55750000 53440448 248061 25000 364996 219711 3049919 366257 66467673 65787940 X 32453465 31180354 12190417 12450752 44643882 43631106 111111555 109419046 X -2017025 696849 307400 X 0 1 X 1 0 X 2526173 1200017 2069424 1028712 1171889 7996215 45832509 52768599 54025218 55548099 56138697 264313122 48358682 53968616 56094642 56576811 57310586 272309337 0 0 0 272309337 765630 468640 459108 480721 607967 2782066 765630 468640 459108 480721 607967 2782066 1217191 1732522 1855364 1693260 1211629 7709966 50341503 56169778 58409114 58750792 59130182 282801369 0.96290 0.96320 0.00980 0.00890 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 1 12000 12000 0 PART II-B, LINE 1: THE JEWISH HOME ENGAGES A LOBBYIST TO MAINTAIN CONTACT WITH STATE LEGISLATION ON ISSUES AFFECTING THE HOME. 0 0 11866399 329408 790952 515076 12471683 12072985 186517 386048 779151 11866399 11960405 410764 664495 962679 12072985 14422705 390364 1022932 3875596 11960405 13678453 245256 964472 -465476 14422705 0.02230 0.86690 0.11080 0 0 5000000 5000000 92422666 13821593 78601073 5436807 3286462 2150345 766218 329260 436958 86188376 DEFERRED COMPENSATION OBLIGATION 78145 INTEREST RATE SWAP AGREEMENTS 113642 OTHER LIABILITIES 174470 366257 58767393 696849 53215 750064 58017329 81447 628490 709937 58727266 60093373 0 60093373 81447 569471 650918 60744291 PART V, LINE 4: TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY, PROVIDE GROWTH THROUGH NEW GIFTS AND INVESTMENT EARNINGS AND APPROPRIATE FUNDS TO SUPPORT THE ORGANIZATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN LIABILITY UNDER SPLIT-INTEREST AGREEMENTS 53,215. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIAL STATEMENTS 569,471. CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENTS 59,019. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIAL STATEMENTS 569,471. X X 0 0 0 0 0 0 0 0 0 ANDREW H BANOFF PRESIDENT & CEO 515016 0 176000 0 5160 0 5600 0 8281 0 710057 0 0 0 LAWRENCE CONDON SENIOR VP & ADMINISTRATOR 216064 0 15000 0 0 0 4621 0 18434 0 254119 0 0 0 ROGER SLIBY VP & CHIEF FINANCIAL OFFICER 214170 0 15000 0 0 0 4583 0 10970 0 244723 0 0 0 LINDA C CISZKOWSKI VP OF EMPLOYEE RELATIONS 180334 0 15000 0 0 0 3907 0 12798 0 212039 0 0 0 A CITY OF BRIDGEPORT CT 066001865 2014-04-29 55500000 SENIOR LIVING FACILITY REVENUE BONDS, SERIES 2014A 0 0 0 B CITY OF BRIDGEPORT CT 066001865 2014-04-29 6500000 SENIOR LIVING FACILITY REVENUE BONDS, SERIES 2014B 0 0 0 A 55500000 55500000 2016 0 0 1 1 B 6500000 6500000 2016 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 1 1 PEOPLE'S UNITED BANK 10.000000000000 0 0 0 0 1 B 0 1 0 0 1 1 PEOPLE'S UNITED BANK 10.000000000000 0 0 0 0 1 A 1 B 1 ROY FRIEDMAN DIRECTOR 7020 ROY FREEDMAN IS THE PRESIDENT OF STANDARD OIL WHICH PROVIDES HEATING OIL AND MAINTENANCE TO THE JEWISH HOME. 0 MARTIN WOLF DIRECTOR 1313 MARTIN WOLF IS A RETIRED COUNSEL AT COHEN & WOLF, WHICH PROVIDED LEGAL SERVICES TO THE JEWISH HOME. 0 FORM 990, PART VI, SECTION A, LINE 2 ART SPINNER AND CAROL SPINNER ARE MARRIED. DOROTHY M. FREEDMAN AND JANET FREEDMAN ARE MOTHER AND DAUGHTER. ALL INDIVIDUALS SERVED AS DIRECTORS OF THE BOARD DURING THE FISCAL YEAR. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE AND PROVIDED TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C AFTER THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED, A DETERMINATION WOULD BE MADE BETWEEN THE ORGANIZATION AND BOARD MEMBER ON WHETHER THERE IS A SIGNIFICANT CONFLICT AFFECTING THE BOARD MEMBER'S JUDGEMENT. ANY MEMBER OF THE BOARD HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHOULD REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. FORM 990, PART VI, SECTION B, LINE 15 SENIOR MANAGEMENT COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE (WITH DATA FROM HR ADVANTAGE) AND REVIEWED BY THE EXECUTIVE COMMITTEE. AN INDEPENDENT COMPENSATION CONSULTANT IS ALSO USED. FORM 990, PART VI, SECTION C, LINE 19 THE JEWISH HOME DOES NOT MAKE ITS GOVERNING DOCUMENTS AND OTHER DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CHANGE IN SPLIT INTEREST AGREEMENTS 53,215. CHANGE IN INTEREST RATE SWAP AGREEMENTS -59,019. CHANGE IN PENSION LIABILITY 313,204. MEN'S CLUB OF JHE OF FAIRFIELD COUNTY 175 JEFFERSON STREET FAIRFIELD CT 06825 222522138 FUNDRAISING ACTIVITES TO SUPPORT JEWISH HOME FOR THE ELDERLY OF FFLD COUNTY CT 501(C)(3) 509(A)(2) 0 THE WOMAN'S AUXILIARY OF JHE OF FAIRFIELD COUNTY 175 JEFFERSON STREET FAIRFIELD CT 06825 061055236 FUNDRAISING ACTIVITES TO SUPPORT JEWISH HOME FOR THE ELDERLY OF FFLD COUNTY CT 501(C)(3) 509(A)(2) 0 TJH HOLDING LLC 175 JEFFERSON STREET FAIRFIELD CT 06825 270367120 HOLDING COMPANY FOR DEVELOPMENT PURPOSES CT 0 1 TJH SENIOR LIVING LLC 175 JEFFERSON STREET FAIRFIELD CT 06825 264497741 HOLDING COMPANY FOR DEVELOPMENT PURPOSES CT 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0