2020-06-15T07:29:17-05:00 2019-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2018-10-01 060846991 JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INC DBA JEWISH SENIOR SERVICES JEWI 2033656400 4200 PARK AVENUE BRIDGEPORT CT 06604 ANDREW H BANOFF PRESIDENT & CEO 2033749461 2020-06-11 1 MARY KAY CURTISS P01551484 8605614000 2020-06-11 64.251.63.131 2020-06-11 10:38:34 ED P B49528270D5C596423F272EFB472E66EFBF6AFC8 3C3F3A9A6A2C4A7FAF67B2138946307825C80BAE 2018 2020-04-17 16:48:07Z ANDREW H BANOFF 4200 PARK AVENUE BRIDEGPORT CT 06604 61708066 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 35 1067 325 0 0 2069424 1028712 54025218 55548099 745507 784325 1845515 1693260 58685664 59054396 0 0 0 0 37854316 38165429 0 0 432737 20238090 20439559 58092406 58604988 593258 449408 114434456 111111555 68694798 66467673 45739658 44643882 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 37163468 43846495 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. 3206430 3666147 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. 2923836 2661691 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. 8367080 5373766 INCLUDES THE INSTITUTE ON AGING GERIATRIC ASSESSMENT SERVICE, THE CENTER FOR ELDER ABUSE PREVENTION, ADULT DAY CARE, HOSPICE, WORK ACTIVITY CENTER, THERAPY. 8367080 5373766 51660814 1 1 0 1 0 0 0 0 0 0 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 1 0 1 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1 1067 1 0 0 0 0 0 0 0 0 1 0 0 0 X 36 35 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 KENNETH I WIRFEL CHAIRPERSON 0.50 X X 0 0 0 ALAN PHILLIPS VICE CHAIRPERSON 0.50 X X 0 0 0 ERIC HENDLIN TREASURER 0.50 X X 0 0 0 JON AUGUST SECRETARY 0.50 X X 0 0 0 RUSSELL BEITMAN DIRECTOR 0.50 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 MURIEL BROWN DIRECTOR 0.50 X 0 0 0 DOROTHY N FREEDMAN DIRECTOR 0.50 X 0 0 0 JANET FREEDMAN DIRECTOR 0.50 X 0 0 0 ROY FRIEDMAN HONORARY DIRECTOR FOR LIFE 0.50 X 0 0 0 ROSLYN GOLDSTEIN HONORARY DIRECTOR FOR LIFE 0.50 X 0 0 0 DEBBY HILLER DIRECTOR 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 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 X 0 0 0 JERRY MINSKY DIRECTOR 0.50 X 0 0 0 FRANK MORSE DIRECTOR 0.50 X 0 0 0 NATE NEVAS 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 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 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 JOHN VACCARO DIRECTOR 0.50 X 0 0 0 MARTIN F WOLF HONORARY DIRECTOR FOR LIFE 0.50 X 0 0 0 MIKE WOLKSON DIRECTOR 0.50 X 0 0 0 ANDREW H BANOFF PRESIDENT & CEO 40.00 X X 596707 0 13605 LAWRENCE CONDON SENIOR VP & ADMINISTRATOR 40.00 X 225643 0 5602 ROGER SLIBY VP & CHIEF FINANCIAL OFFICER 40.00 X 223494 0 15472 LINDA C CISZKOWSKI VP OF EMPLOYEE RELATIONS 40.00 X 176830 0 4181 DOREEN BROWN-WADE DIRECTOR, HOMECARE & HOSPICE 40.00 X 141196 0 32600 ERENA FITZGERALD DIRECTOR OF NURSING 40.00 X 115797 0 28950 CATHERINE VIOLETTE CLINICAL DIRECTOR 40.00 X 113303 0 28326 KIMBERLY MISIASZEK PT 40.00 X 111818 0 27954 LIZA MITCHEL CLINICAL SUPERVISOR, MEDIC 40.00 X 107898 0 26974 KEHINDE ANDU RN 40.00 X 107141 0 26786 EVANGELYN PETERSON CONTROLLER 40.00 X 106677 0 26670 LORRAINE WILLIAMS RN 40.00 X 110322 0 27580 ANNIE MPANDA RN 40.00 X 106151 0 26538 JENNIFER PETERSON DIRECTOR, REHAB 40.00 X 103693 0 25924 CRISTA HERMAN THERAPY SUPERVISOR, FREIDMAN HOMECARE 40.00 X 102613 0 25028 KELLY LAFRANCE HOSPICE RN 40.00 X 100766 0 25192 2550049 0 367382 16 0 1 0 FLAGSHIP NETWORKS 100 BEARD SAWMILL ROAD SHELTON CT 06484 PROFESSIONAL SERVICES 245059 BKD LLP 910 E ST LOUIS STREET SUITE 200 SPRINGFIELD MO 658011190 MEDICAL BILLING 158732 BLUMSHAPIRO 29 SOUTH MAIN STREET WEST HARTFORD CT 06127 PROFESSIONAL SERVICES 143521 3 221027 807685 1028712 RESIDENT CARE SERVICES 623000 43846495 43846495 COMPASSIONATE CARE 621610 3666147 3666147 MEDICAL HOME CARE 623000 2661691 2661691 HOME TOGETHER 623000 2048339 2048339 SENIOR CHOICE AT HOME 623000 1178381 1178381 2147046 2147046 55548099 480271 480271 2957724 2653670 304054 304054 304054 FITNESS CENTER 900099 650192 650192 MISCELLANEOUS 900099 621728 621728 CHILD CARE CENTER 900099 421340 421340 1693260 59054396 55548099 0 2477585 1452949 1402949 50000 29602321 27638149 1760829 203343 523836 432903 90055 878 4524318 3886389 615307 22622 2062005 1771262 280433 10310 71298 35649 35649 134587 134587 12000 12000 74198 74198 4110782 3228716 876989 5077 93101 67350 25751 1423011 1160792 220160 42059 511991 457981 29372 24638 1944855 1806770 124471 13614 136200 119824 16376 15791 4911 10866 14 2510117 2331899 160647 17571 3907582 3630144 250085 27353 377818 350993 24180 2645 PATIENT SERVICES 1810452 1808971 1478 3 FOOD 1641280 1391960 236710 12610 NURSING HOME TAX 1438183 1438183 0 0 BAD DEBTS 27856 27856 0 0 198457 58112 140345 58604988 51660814 6511437 432737 1481934 2578278 842047 265425 4864007 4345261 119021 126272 293674 326755 103234523 13516695 93190243 89717828 12356533 12126760 1286997 1624976 114434456 111111555 4092834 3332411 2739477 3945347 57718333 55750000 458896 25000 810766 364996 2874492 3049919 68694798 66467673 X 32732774 32453465 2085243 1182823 10921641 11007594 45739658 44643882 114434456 111111555 X 449408 -314270 -1193862 -37052 X 0 1 X 1 0 X 1346279 2526173 1200017 2069424 1028712 8170605 47909617 45832509 52768599 54025218 55548099 256084042 49255896 48358682 53968616 56094642 56576811 264254647 0 0 0 264254647 279278 765630 468640 459108 480721 2453377 279278 765630 468640 459108 480721 2453377 1155656 1217191 1732522 1855364 1693260 7653993 50690830 50341503 56169778 58409114 58750792 274362017 0.96320 0.96540 0.00890 0.00790 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. 12072985 186517 386048 779151 11866399 11960405 410764 664495 962679 12072985 14422705 390364 1022932 3875596 11960405 13678453 245256 964472 -465476 14422705 134752 -489705 -14033406 13678453 0.01000 0.88000 0.11000 0 0 5000000 5000000 92359465 10464351 81895114 5335736 2758929 2576807 539322 293415 245907 89717828 DEFERRED COMPENSATION OBLIGATION 104194 FUNDS HELD FOR RESIDENTS 156139 ACCRUED PENSION COST 1946013 INTEREST RATE SWAP AGREEMENTS 54623 LIABILITY UNDER SPLIT INTEREST AGREEMENTS 251192 NOTES PAYABLE - WOMEN'S AUXILIARY 162464 UNEARNED ENTRANCE FEES 375294 3049919 59152346 -314270 553034 238764 58913582 74198 66616 140814 59054396 59054260 551326 551326 58502934 74198 27856 102054 58604988 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 VALUE OF INTEREST RATE SWAP AGREEMENTS 1,708. CHANGE IN PENSION LIABILITY 551,326. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIAL STATEMENTS 27,856. CHANGE IN LIABILITY UNDER SPLIT-INTEREST AGREEMENTS 38,760. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN PENSION LIABILITY 551,326. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIAL STATEMENTS 27,856. X X 0 0 0 0 0 0 0 0 0 ANDREW H BANOFF PRESIDENT & CEO 501547 0 90000 0 5160 0 5500 0 8105 0 610312 0 0 0 LAWRENCE CONDON SENIOR VP & ADMINISTRATOR 210643 0 15000 0 0 0 4434 0 1168 0 231245 0 0 0 ROGER SLIBY VP & CHIEF FINANCIAL OFFICER 208494 0 15000 0 0 0 4470 0 11002 0 238966 0 0 0 LINDA C CISZKOWSKI VP OF EMPLOYEE RELATIONS 176830 0 0 0 0 0 3537 0 644 0 181011 0 0 0 DOREEN BROWN-WADE DIRECTOR, HOMECARE & HOSPICE 130400 0 10796 0 0 0 16300 0 16300 0 173796 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 BILL SIMS DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 25000 25000 0 1 1 25000 ROY FRIEDMAN DIRECTOR 10917 ROY FRIEDMAN IS THE PRESIDENT OF STANDARD OIL WHICH PROVIDES HEATING OIL AND MAINTENANCE TO THE JEWISH HOME. 0 MARTIN WOLF DIRECTOR 1804 MARTIN WOLF IS A RETIRED COUNSEL AT COHEN & WOLF, WHICH PROVIDED LEGAL SERVICES TO THE JEWISH HOME. 0 JAMES SUGARMAN DIRECTOR 108812 JAMES SUGARMAN IS THE PRESIDENT OF EASTERN BAG AND PAPER. HOUSEKEEPING SUPPLIES WERE PURCHASED FOR USE IN THE JEWISH HOME. 0 FORM 990, PART VI, SECTION A, LINE 2 ART SPINNER AND CAROL SPINNER ARE MARRIED. DOROTHY M. FRIEDMAN 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 FORMS/CONFLICTS ARE REVIEWED BY THE CEO AND EXECUTIVE COMMITTEE. 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 -38,760. CHANGE IN INTEREST RATE SWAP AGREEMENTS 1,708. 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