2020-11-12T11:04:55-06:00 2019-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2019-01-01 221500537 GREEN HILL INC GREE 9737312300 103 PLEASANT VALLEY WAY WEST ORANGE NJ 07052 DANIELLE GANTER EXECUTIVE DIRECTOR 9737312300 2020-11-11 1 KERRI N BOGDA CPA P00760402 7177404863 73.101.37.214 2020-11-11 14:44:21 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F58787FA80410BAE38B710EAF9FCC5760AD3BCDF 2019 2021-01-29 14:40:06Z DANIELLE GANTER 103 PLEASANT VALLEY WAY WEST ORANGE NJ 07052 28016154 0 X WWW.GREEN-HILL.COM X 1866 NJ TO CARE FOR AND ASSIST THE AGED AND SHELTER THOSE WHOSE AFFLICTIONS ARE CHRONIC. 3 3 281 5 0 0 8682 6785 13305155 12341595 94221 -1539363 112326 245668 13520384 11054685 0 0 0 0 9641649 9325908 0 0 0 7335738 5731208 16977387 15057116 -3457003 -4002431 20326553 4591989 16192151 3779071 4134402 812918 X CONTINUING THE TRADITION OF THOSE BEFORE US, WE STRIVE TO MAINTAIN A WARM, HOME-LIKE ENVIRONMENT OFFERING SUPPORT AND ASSISTANCE TO SENIORS AND THEIR FAMILIES. OUR STAFF IS INTEGRAL TO OUR MISSION BY PROVIDING EXCELLENT SERVICE AND OFFERING QUALITY CARE, REHABILITATION, RECREATIONAL, EDUCATION, AND SOCIAL ACTIVITIES. UNDER THE DIRECTION OF OUR BOARD OF TRUSTEES, WE CONTINUE OUR NOT-FOR-PROFIT MISSION BY ENHANCING THE QUALITY OF LIFE FOR SENIORS IN A HOME-LIKE ENVIRONMENT, ENCOURAGING RESPECT AND DIGNITY FROM A CARING STAFF WHO TAKE PRIDE IN THEIR LIFE'S WORK. 0 0 12974611 0 12341595 GREEN HILL, INC. OPERATES A RETIREMENT COMMUNITY PROVIDING HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO ELDERLY RESIDENTS. GREEN HILL IS LICENSED FOR 77 SKILLED NURSING BEDS, WHICH INCLUDES FOUR 10-BED SKILLED NURSING HOMES, KNOWN AS GREEN HILL VILLAS. A GREEN HILL VILLA IS A SMALL INTENTIONAL COMMUNITY FOR A GROUP OF ELDERS AND STAFF. IT SERVES AS A PLACE WHERE ELDERS CAN RECEIVE SKILLED NURSING ASSISTANCE AND SUPPORT IN A HOME-LIKE SETTING. GREEN HILL IS ALSO LICENSED FOR 88 COMPREHENSIVE PERSONAL CARE UNITS AND 48 RESIDENTIAL HEALTHCARE UNITS. CENSUS DAYS FOR 2019 ARE AS FOLLOWS: 7,336 FOR CATERED LIVING, 17,102 FOR ASSISTED LIVING, 12,747 FOR NURSING, AND 5,938 FOR THE GREEN HILL VILLAS. 12974611 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 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 1 0 0 0 1 48 0 281 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 1 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X DANIELLE GANTER 9737312300 103 PLEASANT VALLEY WAY WEST ORANGE NJ 07052 DONNA LAZARTIC PRESIDENT/CEO (RETIRED MAY '19) 35.50 2.00 X X 235000 0 3692 JUDITH WITTLER EXECUTIVE DIRECTOR (MAY - DEC. '19) 35.50 2.00 X 120000 0 11407 DANIELLE GANTER EXECUTIVE DIRECTOR (AS OF DEC. '19) 35.50 2.00 X 0 0 0 LORI BRAENDER CHAIRMAN (TERM EXP. APRIL '19) 1.00 0.50 X X 0 0 0 JAIME RASKULINECZ VICE CHAIRMAN (TERM EXP. APRIL '19) 1.00 0.50 X X 0 0 0 LORIE GARDNER SECRETARY (TERM EXP. APRIL '19) 1.00 0.50 X X 0 0 0 VALERIE DEPIRO TREASURER (TERM EXP. APRIL '19) 1.00 0.50 X X 0 0 0 CHRISTIAN BASTARDI TRUSTEE (TERM EXP. APRIL '19) 1.00 0.50 X 0 0 0 ELIZABETH DAVIS TRUSTEE (TERM EXP. APRIL '19) 1.00 0.50 X 0 0 0 WALTER FARLEY TRUSTEE (TERM EXP. APRIL '19) 1.00 0.50 X 0 0 0 MARC SCUDILLO TRUSTEE (TERM EXP. APRIL '19) 1.00 0.50 X 0 0 0 VALERIE HUFNAGEL TRUSTEE (TERM EXP. APRIL '19) 1.00 0.50 X 0 0 0 PAUL LOVERME TRUSTEE (TERM EXP. APRIL '19) 1.00 0.50 X 0 0 0 CHRISTOPHER STRACCO TRUSTEE (TERM EXP. APRIL '19) 1.00 0.50 X 0 0 0 ARI DOBKIN BOARD MEMBER 2.00 2.00 X 0 0 0 GERRY ADEST BOARD MEMBER 2.00 2.00 X 0 0 0 MARC ZIMMET BOARD MEMBER 2.00 2.00 X 0 0 0 355000 0 15099 2 0 1 0 ENCORE REHABILITATION SERVICES 33533 W 12 MILE ROAD FARMINGTON HILLS MI 48311 PHYSICIAL THERAPY SVC. 645067 UNIDINE 1000 WASHINGTON STREET SUITE 510 BOSTON MA 02118 MAINT. & FOOD SVC 643744 DAY PITNEY LLP PO BOX 416234 BOSTON MA 02241 LEGAL/PROF. SERVICES 204316 3 6785 6785 NET RESIDENT SERVICE REVENUE 623000 12308995 12308995 ADMISSION FEES 623000 32600 32600 12341595 121898 121898 15294983 16956244 -1661261 -1661261 -1661261 6331 5225 1106 1106 PENSION CURTAILMENT 900099 141390 141390 BEAUTY SHOP REVENUE 623000 75565 75565 BAD DEBT RECOVERY 900099 12642 12642 14965 14965 244562 11054685 12341595 0 -1293695 370099 370099 6922318 6388089 534229 170206 149408 20798 1235376 1225687 9689 627909 617788 10121 66808 66808 98329 98329 111434 111434 1314180 1159766 154414 69789 68161 1628 282123 182768 99355 101911 10304 91607 1443836 1443836 33574 31878 1696 14948 2730 12218 138681 138681 517943 433059 84884 460475 218339 242136 FOOD 425339 425339 PROVIDER ASSESSMENT 217272 217272 MEDICAL SUPPLIES 114298 114298 PHARMACY & DRUG COSTS 81474 81474 238794 216198 22596 15057116 12974611 2082505 0 193248 -12619 1286518 25644 960535 1586644 253204 139215 291336 12222 17157620 279114 475428 49128 0 2524863 20326553 4591989 1452067 2227162 72000 67000 12492465 2175619 1484909 16192151 3779071 X 2726234 -587300 1408168 1400218 4134402 812918 20326553 4591989 X -4002431 -132504 813451 X 0 0 0 X 20968 89688 33214 8682 6785 159337 15326306 14674328 14429160 13305155 12341595 70076544 15347274 14764016 14462374 13313837 12348380 70235881 0 0 0 70235881 70746 296913 258027 94221 121898 841805 70746 296913 258027 94221 121898 841805 106783 106130 104979 112326 250893 681111 15524803 15167059 14825380 13520384 12721171 71758797 0.97880 0.97540 0.01170 0.01670 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BEAUTY SHOP REVENUE - 2015 AMOUNT: $ 90,642. 2016 AMOUNT: $ 94,261. 2017 AMOUNT: $ 90,530. 2018 AMOUNT: $ 88,133. 2019 AMOUNT: $ 75,565. MISCELLANEOUS INCOME - 2015 AMOUNT: $ 13,775. 2016 AMOUNT: $ 5,889. 2017 AMOUNT: $ 11,833. 2018 AMOUNT: $ 9,840. 2019 AMOUNT: $ 11,065. CORNER STORE RECEIPTS - 2015 AMOUNT: $ 2,366. 2016 AMOUNT: $ 5,980. 2017 AMOUNT: $ 2,616. 2018 AMOUNT: $ 2,478. 2019 AMOUNT: $ 6,331. APPLICATION FEES - 2018 AMOUNT: $ 11,875. 2019 AMOUNT: $ 3,900. PENSION CURTAILMENT - 2019 AMOUNT: $ 141,390. BAD DEBT RECOVERY - 2019 AMOUNT: $ 12,642. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 210658 12222 198436 80678 80678 279114 RESERVE FOR LONG TERM ASSETS -27695 DUE FROM VALLEY HILL 2500000 SECURITY DEPOSITS 48990 CEMETARY PLOTS 3568 2524863 ACCRUED PENSION COST 1381226 CAPITAL LEASE OBLIGATIONS 47940 DUE TO VALLEY HILL 55743 1484909 X X X 1 0 0 0 0 0 0 0 0 DONNA LAZARTIC PRESIDENT/CEO (RETIRED MAY '19) 130000 0 50000 0 55000 0 0 0 3692 0 238692 0 0 0 PART I, LINE 4A DONNA LAZARTIC RECEIVED A SEVERANCE PAYMENT UPON HER RETIREMENT IN THE AMOUNT OF $55,000. FORM 990, PART VI, SECTION A, LINE 3 GREEN HILL, INC. ENGAGED IN A MANAGEMENT AGREEMENT WITH CITADEL CARE CENTERS ON APRIL 9, 2019. CITADEL IS TO PROVIDE OPERATIONAL OVERSIGHT FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 4 THE BY-LAWS WERE AMENDED AS A RESULT OF THE SALE TO CITADEL CARE CENTERS AND TO ASSIGN RESPONSIBILTY TO THE NEWLY FORMED BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE PRESIDENT AND THE TREASURER WILL REVIEW THE FORM 990 PRIOR TO FILING. THEN,THE 990 WILL BE PROVIDED TO THE NEWLY FORMED BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER COMPLETES AN ANNUAL QUESTIONNAIRE WHICH IS REVIEWED BY THE EXECUTIVE COMMITTEE. ANY RESTRICTIONS ARE DISCUSSED DURING REVIEW. THE EXECUTIVE COMMITTEE MONITORS AND ENFORCES THE POLICY BY ENSURING THAT THE QUESTIONNAIRE IS REQUIRED TO BE COMPLETED EACH YEAR. IF THERE ARE CONFLICTS, THEY ARE ADDRESSED AT THAT TIME WITH RESOLUTION ACCEPTABLE TO THE CONSENSUS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD MEETS AND REVIEWS THE PRESIDENT'S SALARY ANNUALLY IN EXECUTIVE SESSION. THE BOARD DETERMINES THE PRESIDENT'S SALARY AND UTILIZES OUTSIDE SURVEYS SUCH AS NJHA AND HCANJ TO ENSURE THAT SALARY IS AT AN ACCEPTABLE RANGE. THE EXECUTIVE COMMITTEE MEETS AND DISCUSSES ANY INCREASES AND MAKES RECOMMENDATIONS TO THE BOARD TO APPROVE. A FORM IS COMPLETED BY THE CHAIRMAN AND PUT IN THE PRESIDENT'S FILE STATING THE INCREASE, BONUS, ETC. THERE IS AN ANNUAL PROCESS FOR ADMINISTRATIVE AND MANAGEMENT POSITIONS. REGARDING OTHER SALARIES, THE BOARD UTILIZES OUTSIDE SERVICES AS WELL, AND THE PRESIDENT, ALONG WITH THE BOARD, DETERMINES THEM. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT 298,836. TRANSFER FROM AFFILIATE 514,615. GREEN HILL AT HOME INC 103 PLEASANT VALLEY WAY WEST ORANGE NJ 07052 270425491 PROVIDES SUPPORT AND ASSISTS THE AGED WHOSE AFFLICTIONS ARE CHRONIC NJ 501(C)(3) PF GREEN HILL INC 1 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 1 0 1 GREEN HILL HOME CARE INC S 514615 COST THIS FORM 990 IS BEING FILED LATE DUE TO AN INADVERTENT OMISSION ON THE PART OF THE INDEPENDENT ACCOUNTING FIRM. TECHNICAL FAILURES RELATED TO SOFTWARE WHICH KEEPS TRACK OF FILINGS LED TO THE INADVERTENT INACTION IN FILING THE REQUISITE EXTENSIONS. BOTH THE ORGANIZATION AND ITS ACCOUNTING FIRM RECOGNIZE THE IMPORTANCE OF FILING ALL RETURN REQUIREMENTS TIMELY AND THIS OMISSION IS A RARE OMISSON THAT HAS BEEN NOTED. CHANGES TO THE PROCESS HAVE BEEN ESTABLISHED TO ENSURE THAT FUTURE FILINGS ARE ALL CAPTURED INTERNALLY SO THAT TIMELY FILINGS CAN BE MADE.