2019-11-14T14:17:25-06:00 2018-12-31 BDO USA LLP 100 PARK AVENUE NEW YORK NY 100175001 990 2018-01-01 133623808 ISABELLA GERIATRIC CENTER INC % JEFFREY DAVIS ISAB 2123429200 515 AUDUBON AVENUE NEW YORK NY 10040 JEFFREY DAVIS CFO 2123429200 2019-11-09 true Angelo Pirozzi P00446022 2128858000 100.2.34.218 26308920193185000052 2019-11-14 P 9C79E9A9669F6ACE2C319A1C04A34C88558E1FDA 0250A0117BBBF50B142145F0ADF59CAFA50564D7 2018 2020-03-31 21:24:44Z JEFFREY DAVIS 515 AUDUBON AVENUE NEW YORK NY 10040 116786784 false X ISABELLA.ORG X 1991 NY to provide quality care through diverse programs designed to promote health and independence within and beyond our walls. 14 13 1266 298 0 191014 4136738 2399426 93006240 103821069 425875 777030 1003520 7437121 98572373 114434646 26000 0 0 0 75675001 73115589 99000 64800 64800 46261750 46498591 122061751 119678980 -23489378 -5244334 61620145 157957330 64788409 57583209 -3168264 100374121 X THIS CORPORATION IS A SUCCESSOR TO A NOT FOR PROFIT NURSING HOME THAT WAS ESTABLISHED IN 1970 TO PROVIDE SKILLED NURSING HOME SERVICES TO ELDERLY AND DISABLED ADULTS REGARDLESS OF THEIR FINANCIAL STATUS AND ABILITY TO PAY. ISABELLA GERIATRIC CENTER CENTER'S MISSION IS TO PROVIDE QUALITY CARE THROUGH DIVERSE PROGRAMS DESIGNED TO PROMOTE HEALTH AND INDEPENDENCE WITHIN AND BEYOND OUR WALLS. false false 93453945 100751849 ISABELLA IS A 705 BED SKILLED NURSING FACILITY OFFERING 24 HOUR SKILLED CARE SERVICES AND SPECIALIZED CARE IN AN ENVIRONMENT DESIGNED TO PROMOTE HEALTH AND INDEPENDENCE AND PERSONAIZED, RESIDENT-CENTERED CARE. ISABELLA OFFERS PERSONALIZED REHABILITATION SERVICES FOR THOSE REQUIRING SHORT-STAY SUB-ACUTE CARE. ISABELLAS REHABILITATION PROGRAM ENCOURAGES INDEPENDENCE AND A RAPID AND SAFE RETURN HOME. ISABELLAS PALLIATIVE CARE PROGRAM OFFERS COMFORT AND SUPORT TO RESIDENTS WHO MAY BE LIVING WITH A SERIOUS OR CHRONIC ILLNESS. OUR PALLIATIVE CARE TEAM WORKS WITH THE RESIDENT AND THEIR FAMILY TO PROVIDE AN INDIVIDUALIZED PROGRAM THAT WILL OFFER RELIEF FROM PAIN AND OTHER DEBILITATING SYMPTOMS. ISABELLA ALSO OFFERS A SAFE, CARING ENVIRONMENT FOR ADULTS AT ALL STAGES OF DEMENTIAL OR ALZHEIMERS DISEASE. IN 2018, ISABELLA PROVIDED 252,046 DAYS OF SKILLED NURSING CARE PROVIDED WITH COMPASSION, DIGNITY AND RESPECT. 1269789 1070183 ISABELLA OPERATES A MEDICAL MODEL ADULT DAY HEALTH CARE PROGRAM THAT OFFERS PERSONALIZED HEALTH CARE, RECREATION AND SOCIAL ACTIVITIES FOR ADULTS WITH ON-GOING MEDICAL NEEDS WHO LIVE AT HOME. ADULT RESIDENTS OF MANHATTAN AND THE BRONX, WHO ARE OVER 18, UNDER A DOCTORS CARE AND FUNCTIONALLY LIMITED ARE ELIGIBLE TO JOIN THE PROGRAM. PARTICIPANTS HAVE RANGED IN AGE FROM THEIR MID-THIRTIES TO OVER 100 YEARS OF AGE. THE PROGRAM WELCOMES ADULTS WITH ALZHEIMERS DISEASE, DEMENTIA, PARKINSONS DISEASE, DIABETES, CARDIAC CONDITIONS, RESPIRATORY AILMENTS, VISION AND HEARING IMPAIRMENT, MENTAL HEALTH AND OTHER CHRONIC CONDITIONS. IN 2018, ISABELLA PROVIDED 5,764 DAYS OF ADULT DAY SERVICES 244458 1999037 ISABELLA ALSO OPERATES ISABELLA HOUSE, WHICH INCLUDES 78 STUDIO AND ONE-BEDROOM APARTMENTS FOR INDEPENDENT ADULTS AGE 62 AND OLDER. RESIDENCES OFFER A SAFE, SPACIOUS, ENJOYABLE PLACE TO LIVE WITH A WIDE RANGE OF MEDICAL AND SOCIAL SUPPORT SERVICES NEARBY WHEN AND IF THEY ARE NEEDED. RENT INCLUDES TWO MEALS PER DAY, UTILITIES, BASIC CABLE TV, RECREATIONAL ACTIVITIES AND 24-HOUR SECURITY. TRANSPORTATION AND SUPPORTIVE SERVICES ARE ALSO AVAILABLE. IN 2018, THIS PROGRAM SERVICED 83 RESIDENTS. 94968192 true true false true false false false false true false true false false true true false true true false false false false false true false false false false false true false false false false false false false false false false false false false true false false false true X 100 0 true 1266 true true true false false false false false false false false false false false X 14 13 false false false false true true true true true false false true true true true true true false true false NY X JEFFREY DAVIS 2123429200 515 AUDUBON AVENUE NEW YORK NY 10040 X ALEXANDER BALKO PRESIDENT/CEO 3.0 32.0 X X 0 1277748 123942 Ann Wyatt Chair 0.5 1.8 X X 0 0 0 HILA RICHARDSON PHD CHAIR thru 5/14/18, member 0.5 1.3 X X 0 0 0 JOHN T GREEN MA VICE CHAIR 0.5 0.8 X X 0 0 0 JAY TALBOT MBA TREASURER 0.5 1.3 X X 0 0 0 CAROLINE JACOBS SECRETARY 0.5 0.8 X X 0 0 0 STEVEN NEWMAN Director, thru 10/1/18 0.5 0.8 X 0 0 0 MARK LIPTON PHD Director 0.5 0.8 X 0 0 0 TARA CORTES Director 0.5 0.8 X 0 0 0 RICHARD B HARDING JR Director 0.5 0.8 X 0 0 0 MOST REV GERALD T WALSH Director 0.5 0.8 X 0 0 0 PATRICIA POWELL MD Director 0.5 0.8 X 0 0 0 Rafael Lantigua Director, thru 10/1/18 0.5 0.8 X 0 0 0 ARTHUR GOSHIN MD Director 0.1 6.0 X 0 0 0 RONALD MILCH Director 0.1 5.0 X 0 0 0 WILLIAM GORMLEY Director 0.1 6.0 X 0 0 0 Jeffrey Davis CFO 3.0 32.0 X 0 628737 91812 Robert Leamer Assistant Secretary 3.0 32.0 X 0 616117 108983 Loyola Princivil-Barnett SVP of Operations/admin of rec 35.0 0.0 X 25961 349461 57055 ROCCO MELIAMBRO THRU 83118 CFO/VP OF FINANCE 35.0 0.0 X 579710 0 21830 ELLEN R HARNETT VP QUALITY 35.0 0.0 X 304558 0 1871 David Emanuel MD VP MEDICAL DIRECTOR 35.0 0.0 X 236977 0 32367 EILEEN CASEY THRU 2118 VP HUMAN RESOURCES 35.0 0.0 X 243681 0 3457 CAROLE STOLL THRU 51518 SR DIRECTOR PATIENT ACCOUNTS 35.0 0.0 X 210744 0 0 1601631 2872063 441317 65 false true false THERADYNAMICS REHAB MANAGEMENT LLC 225 CROSSWAYS PARK DR SUITE 1 WOODBURY NY 11797 Rehab Fees 5249892 UNITEX TEXTILE RENTAL SERVICES 401 SOUTH MACQUESTEN PARKWAY MT VERNON NY 105501700 Linen 1150035 RN EXPRESS 71 WEST 23RD ST SUITE 1622 NEW YORK NY 10010 RN Fees 796560 CROTHALL HEALTHCARE INC 1500 Liberty Ridge Dr 210 WAYNE PA 19087 Consulting 608629 ULTRACARE OF MANHATTAN 800 SECOND AVENUE SUITE 905 NEW YORK NY 10017 Temp Servies 451429 19 100000 425 2128092 170909 2399426 NURSING HOME 623000 100751849 100751849 INDEPENDENT LIVING 623000 1999037 1999037 ADULT DAY CARE 623000 1070183 1070183 103821069 240281 240281 0 0 57988 57988 0 57988 57988 2888887 2352138 536749 536749 536749 0 0 0 0 0 0 0 0 0 RECOVERY OF BAD DEBT 900099 6806517 6806517 CAFETERIA INCOME 900099 271023 271023 PARKING INCOME 900099 196526 196526 105067 2887 102180 7379133 114434646 103823956 8211264 0 0 0 0 25961 25961 0 49111672 41029402 8082270 4166789 3283095 883694 13997710 11029069 2968641 5813457 4580537 1232920 0 568774 380415 188359 56000 56000 8143 8143 64800 64800 37632 37632 7990076 7902661 87415 59381 49583 9798 826416 781923 44493 507943 424127 83816 0 3300568 2759057 541511 315801 303767 12034 0 26367 25362 1005 1293654 1080187 213467 0 7090687 5920649 1170038 1633578 1364020 269558 BAD DEBT EXPENSES 8296316 8296316 MEDICAID ASSESSMENT EXPENSES 5146232 5146232 MEDICAL SUPPLIES 3590782 3590782 REPAIR AND MAINTENANCE 2375390 1983425 391965 3374851 3333899 40952 119678980 94968192 24645988 64800 7496007 2790427 1752929 2085722 1057480 993353 12459215 13308612 0 0 0 0 0 0 229699 210076 2271150 659335 130831048 7689605 20780930 123141443 6883787 6221079 136513 0 0 0 0 0 8552435 8547283 61620145 157957330 25820833 18350149 0 0 0 0 0 0 999773 679903 0 0 35293784 28290798 0 0 2674019 10262359 64788409 57583209 X -3194658 100247727 26394 126394 0 0 -3168264 100374121 61620145 157957330 X -5244334 -1084040 124870759 -15000000 X X false true X true true true X 2846985 6288005 5926805 4136738 2399426 21597959 99939014 97345006 100796755 93006240 103821069 494908084 0 0 0 102785999 103633011 106723560 97142978 106220495 516506043 0 0 0 516506043 242033 257603 231318 229554 297369 1257877 0 242033 257603 231318 229554 297369 1257877 0 567938 652861 607577 1025007 7379133 10232516 103595970 104543475 107562455 98397539 113896997 527996436 0.97824 0.99114 0.00238 0.00232 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8143 8143 false PART II-B, LINE 1i - LOBBYING ACTIVITIES; Isabella Geriatric Center Inc. pays dues to Homecare Association of New York State (HCA-NYS) and Leading Age (LA). In accordance with section 6033(E) of the Internal Revenue Code, and as reported by CCLC and LA, a portion of these dues are attributable to lobbying activities. The lobbying activities applicable for 2018 CCLC and LA annual dues were $1,862 and $6,281 respectively. false true X 82300001 82300001 42259299 6079226 36180073 50314 22320 27994 6120584 1588059 4532525 100850 100850 123141443 RESIDENT TRUST FUNDS 679903 INVESTMENT IN ISABELLA FDN 26394 DUE FROM AFFILIATES 244570 SECURITY DEPOSITS 118234 DUE FROM THIRD PARTIES 3355108 INVESTMENT - ALLIANCE 50000 WORKER COMP TRUST ASSETS 2033074 PROFESSIONAL CLAIM ASSETS 2040000 8547283 0 DUE TO THIRD PARTIES 4232002 ACCUED W/C IBNR CLAIMS 2033074 PEREZ SETTLEMENT LONG TERM 1024615 PROFESSIONAL CLAIMS LIABILITY 2555000 OTHER LIABILITIES 417668 10262359 113312974 -1084040 -1084040 114397014 37632 37632 114434646 119641348 119641348 37632 37632 119678980 PART IV, LINE 2B: RESIDENTS' FUNDS ARE USED TO ACCOUNT FOR FUNDS HELD BY THE GERIATRIC CENTER ON BEHALF OF RESIDENTS. SUCH FUNDS REPRESENT LIVING ALLOWANCES RECEIVED BY RESIDENTS FROM THE STATE OF NEW YORK, AS WELL AS OTHER RESIDENT FUNDS DEPOSITED WITH THE GERIATRIC CENTER FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE GERIATRIC CENTER AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. Part XI, Line 2d Rent Expenses reported on Part VIII, line 6B $xx,xxx Part XII, line 2D Rent Expenses reported on Part VIII, Line 6B $xx,xxx X X X X X true KEELYN MULVEY ASSOCIATES 51 forest avenuesuite 140 old greenwich CT 06870 GRANT WRITINg false 150485 64800 85685 150485 64800 85685 true false false false false false false true false ALEXANDER BALKO PRESIDENT/CEO 0 1010627 0 200244 0 66877 0 47438 0 76504 0 1401690 0 0 Jeffrey Davis CFO 0 537267 0 53550 0 37920 0 38500 0 53312 0 720549 0 0 Robert Leamer Assistant Secretary 0 510363 0 51000 0 54754 0 47438 0 61545 0 725100 0 0 Loyola Princivil-Barnett SVP of Operations/admin of rec 25961 300417 0 35000 0 14044 0 19937 0 37118 25961 406516 0 0 ROCCO MELIAMBRO THRU 83118 CFO/VP OF FINANCE 277445 0 19650 0 282615 0 13750 0 8080 0 601540 0 0 0 ELLEN R HARNETT VP QUALITY 279058 0 14500 0 11000 0 0 0 1871 0 306429 0 0 0 David Emanuel MD VP MEDICAL DIRECTOR 228093 0 0 0 8884 0 12049 0 20318 0 269344 0 0 0 EILEEN CASEY THRU 2118 VP HUMAN RESOURCES 101568 0 0 0 142113 0 1437 0 2020 0 247138 0 0 0 CAROLE STOLL THRU 51518 SR DIRECTOR PATIENT ACCOUNTS 82370 0 0 0 128374 0 0 0 0 0 210744 0 0 0 Part I, line 3: THE SALARIES FOR THE EXECUTIVES ARE DETERMINED BY METROPOLITAN JEWISH HEALTH SYSTEM, INC., A RELATED ORGANIZATION. THE METHODS UTILIZED INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANTS, REVIEW OF THE FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEYS OR STUDIES AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD. PART I, LINE 7: BONUS ELIGIBILITY IS BASED ON THE EXTENT THAT EACH EXECUTIVE AND EMPLOYEE HAS ACHIEVED HIS/HER GOAL AND IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. Part I, LINE 4A: In 2018, Rocco Meliambro, Eileen Casey and Carole Stoll received severance payments of $275,000, $215,459.49 and $128,374.25, respectively. Those amounts are included on schedule J, Part II, Column B(III). FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: TRANSFORMATION IN LONG TERM CARE FOR THE ELDERLY, LED BY ISABELLA'S PHILOSOPHY OF PROVIDING A CONTINUUM OF CARE FOR FRAIL AND ELDERLY IN OUR COMMUNITY. THE CENTER EVOLVED FROM A 125-BED INFIRMARY FOR THE AGED TO A MULTI-LEVEL CARE FACILITY SERVING OVER 700 RESIDENTS TODAY. THE CENTER HAS GROWN INTO A LARGE COMPLEX OF DIVERSE PROGRAMS AND SERVICES DESIGNED TO PROMOTE HEALTH AND INDEPENDENCE, OFFERED ON ITS OWN CAMPUS AND IN THE COMMUNITY AT LARGE. IN ADDITION TO A 705-BED NURSING HOME, THE CENTER OFFERS SENIOR HOUSING, ADULT DAY HEALTH CARE, SHORT AND LONG TERM REHABILITATION, AND A VARIETY OF COMMUNITY PROGRAMS DESIGNED TO HELP OLDER ADULTS REMAIN HEALTHY WHILE LIVING AT HOME. FORM 990, PART I, LINE 7B AND PART V, LINE 3A: FORM 990-T WAS FILED EXCLUSIVELY TO REPORT QUALIFIED TRANSPORTATION AND PARKING FRINGE BENEFITS UNDER SECTION 512(A)(7) FOR THE PERIOD BEGINNING JANUARY 1, 2018 THRU DECEMBER 31, 2018. FORM 990, PART VI, SECTION A, LINE 6: MJHS IS THE ORGANIZATION'S SOLE CORPORATE MEMBER AND SPONSOR. FORM 990, PART VI, SECTION A, LINE 7A: THE BOARD OF DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE MEMBER AT EACH ANNUAL MEETING OF THE CORPORATION. VACANCIES OCCURRING IN THE BOARD OF DIRECTORS FOR ANY REASON SHALL BE TEMPORARILY FILLED BY THE BOARD UNTIL THE NEXT ANNUAL MEETING OF THE CORPORATION AT WHICH TIME THE VACANCY SHALL BE FILLED BY THE MEMBER AND THE DIRECTORS SO ELECTED SHALL SERVE FOR THE UNEXPIRED TERM OF SAID VACANCY. FORM 990, PART VI, SECTION A, LINE 7B: ANY DIRECTOR MAY BE REMOVED FROM OFFICE, WITH OR WITHOUR CAUSE, BY THE MEMBER AT AN ANNUAL MEETING OR A SPECIAL MEETING OF THE CORPORATION. NO OFFICER OR EMPLOYEE OF AN AGENCY CONTRACTING WITH THIS CORPORATION OR ANY OF ITS SUBSIDIARIES MAY SERVE AS A DIRECTOR WHILE HE/SHE IS AFFILIATED WITH THE CONTRACTING AGENCY, WITHOUT THE APPROVAL OF THREE-FOURTHS OF THE BOARD OF DIRECTORS OF THE MEMBER. THE FOLLOWING AREAS OF THE ORGANIZATION'S BY-LAWS CONNOT BE AMENDED WITHOUT THE APPROVAL OF THE MEMBER: - CHANGING THE MEMBER OF THE ORGANIZATION - CHANGING THE RULES AND REQUIREMENTS OF THE BOARD OF DIRECTORS - CHANGING THE OFFICERS OF THE ORGANIZATION - CHANGING WHICH AREAS OF THE BY-LAWS CAN BE AMENDED FORM 990, PART VI, SECTION B, LINE 11B: DRAFT OF THE COMPLETED RETURN IS REVIEWED BY THE PRESIDENT, CFO, AND SENIOR VP,GENERAL COUNSEL AND THEIR STAFF. ANY COMMENTS ARISING FROM THEIR REVIEW ARE DISCUSSED AND, IF REQUIRED, CHANGES ARE MADE TO THE DRAFT. THAT DRAFT WILL BE SUBMITTED TO THE MJHS FINANCE COMMITTEE FOR ITS REVIEW AND APPROVAL. ONCE THE COMMITTEE HAS COMPLETED ITS REVIEW A COPY OF THE RETURN IS PROVIDED TO ALL BOARD MEMBERS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: THE CONFLICT OF INTEREST POLICY IS APPLICABLE TO ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE; THE POLICY IS ANNUALLY UPDATED BY THE APPLICABLE PERSONS. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, A PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER CONFLICT AND MUST BE GIVEN THE OPPORTUNITY DISCLOSE ALL MATERIAL FACTS TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF THE CORPORATION. AFTER DISCLOSURE OF THE CONFLICT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE PERSON, THEY SHALL LEAVE THE EXECUTIVE COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE EXECUTIVE COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE EXECUTIVE COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVE TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE EXECUTIVE COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE EXECUTIVE COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTIONS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS RECOMMENDATION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENTIN CONFORMITY WITH SUCH DETERMINATION TO THE BOARD OF DIRECTORS OF THE CORPORATION WHO SHALL APPROVE OR DISAPPROVE THE TRANSACTION BASED ON A MAJORITY VOTE OF DISINTERESTED DIRECTORS. ANY INTERESTED DIRECTOR SHALL NOT BE PRESENT AT THE BOARD MEETING DURING WHICH THE DECISION ON THE TRANSACTION IS MADE. IF THE BOARD OF EXECUTIVE COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEDGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR EXECUTIVE COMMITTEE THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, CONSISTENT WITH STATE LAW. THE MINUTES OF THE EXECUTIVE COMMITTEE SHALL CONTAIN THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTERESTIN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, ANY ALTERNATIVES DISCUSSED WITH RESPECT TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND THE COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED AND THE COMMITTEE'S RECOMMENDATION TO THE BOARD OF DIRECTORS. THE MINUTES OF THE BOARD OF DIRECTORS SHALL CONTAIN THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH. FORM 990, PART VI, SECTION B, LINE 15A: ISABELLA GERIATRIC CENTER INC does not compensate its CEO & President reported on part VII of the Form 990. The CEO & President is paid by a related 501(c)(3) organization, Metropolitan Jewish Health System ("MJHS"). The processes used to determine the CEO & Presidents compensation is disclosed on MJHS Annual Form 990. MJHS RETAINS THE SERVICES OF A MAJOR EXECUTIVE COMPENSATION FIRM TO REVIEW MARKET PAY PRACTICES AND AVERAGE SALARY MOVEMENT AMONG SIMILARLY SITUATED EXECUTIVES. THE EXECUTIVE COMPENSATION FIRM IS ASKED TO DEVELOP A COMPARATIVE BASE THAT IS AS CLOSE AS POSSIBLE TO OUR ORGANIZATION. THIS MARKET ANALYSIS IS THEN REVIEWED BY THE COMPENSATION COMMITTEE IN DETERMINING SALARY ADJUSTMENTS FROM THE PERSPECTIVE OF MARKET COMPETITIVENESS AND PRIOR YEAR PERFORMANCE. PERFORMANCE IS BASED ON THE EXTENT THAT EACH EXECUTIVE HAS ACHIEVED HIS/HER GOALS. BONUS ELIGIBILITY IS DONE IN A SIMILAR MANNER. THE BASIS FOR ITS DETERMINATION AND ALL DECISIONS MADE ARE CONTEMPORANEOUSLY DOCUMENTED IN MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15b: THE ISABELLA BOARD OF DIRECTORS ESTABLISHED AN EXECUTIVE COMPENSATION REVIEW COMMITTEE SEVERAL YEARS AGO. THE COMMITTEE MEMBERS OF THE BOARD OF DIRECTORS ARE COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS AND ARE ASSIGNED TO THIS COMMITTEE BY THE BOARD CHAIR. THE COMMITTEE MEMBERSHIP IS NOT LIMITED IN NUMBERS AND MAY BE SUBJECT TO CHANGE AS DIRECTED BY THE BOARD CHAIR. THE COMMITTEE AS WELL AS THE BOARD IS COMPRISED OF INDIVIDUALS THAT ARE INDEPENDENT AND NOT EMPLOYED OR COMPENSATED BY THE ISABELLA ORGANIZATION IN ANY WAY. THE COMMITTEE OVERSIGHT IS INTENDED FOR THE VICE PRESIDENT POSITIONS. THE COMPENSATION OVERSIGHT PROCESSES INCLUDE OBTAINING A COMPREHENSIVE SALARY SURVEY FROM A HIGH QUALITY COMPENSATION CONSULTANT. THE CONSULTANT OBTAINS THE PARTICIPATION OF A REPRESENTATIVE SAMPLE OF ORGANIZATIONS COMPARABLE TO ISABELLA. THE SALARY SURVEY INCLUDES THE SALARY INFORMATION FOR THE POSITIONS THAT THE COMMITTEE PROVIDES OVERSIGHT FOR. IN ADDITION, OTHER KEY DEPARTMENT OR PROGRAM DIRECTOR POSITIONS ARE INCLUDED IN THE SURVEY IN ORDER TO PROVIDE GUIDANCE TO ISABELLA MANAGEMENT THAT COMPENSATION LEVELS ARE COMPETITIVE AND FAIR. THE SALARY SURVEY RESULTS ARE STRATIFIED TO OBTAIN SALARY LEVELS BY PERCENTILE BENCHMARKS. THE STRATIFICATION INCLUDES BOTH SALARY AND EMPLOYEE BENEFIT INFORMATION IN ORDER TO OBTAIN CLEAR COMPENSATION LEVELS. THE STRATIFIED COMPENSATION SURVEY ALLOWS FOR A RELATIVELY EASY COMPARISON PROCESS THAT IS TRANSPARENT TO COMMITTEE MEMBERS. THE LAST SURVEY WAS COMPLETED AND OBTAINED IN 2018 AND IS THEREFORE CURRENT IN ITS RELEVANCE. BASED UPON THE SURVEY, THE ISABELLA COMPENSATION LEVELS WERE DEEMED TO BE WELL WITHIN THE MIDDLE GROUND OF THE STRATIFICATION LEVELS. LEVELS. THE STRATIFIED COMPENSATION SURVEY ALLOWS FOR A RELATIVELY EASY COMPARISON PROCESS THAT IS TRANSPARENT TO COMMITTEE MEMBERS. THE LAST SURVEY WAS COMPLETED AND OBTAINED IN 2018 AND IS THEREFORE CURRENT IN ITS RELEVANCE. BASED UPON THE SURVEY, THE ISABELLA COMPENSATION LEVELS WERE DEEMED TO BE WELL WITHIN THE MIDDLE GROUND OF THE STRATIFICATION LEVELS. FORM 990, PART VI, SECTION C, LINE 19: UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. FORM 990, PART XI, LINE 8, prior period adjustments During 2018, Isabella determined there were a number of error corrections applicable to its previously issued 2017 financial statements, including items for which not all available information was utilized to properly calculate and accrue prior year transactions. Additionally, the previously reported change in net assets would have increased by $18,062,764 for 2017 as a result of these changes. Therefore, the corrected opening net assets should be $14,894,500. During 2018, Isabella adopted ASU 2014-17, Business Combinations (Topic 805): Pushdown Accounting and elected to apply pushdown accounting to its previously issued 2017 financial statements for a change-in-control event. Effective December 1, 2017, Isabellas sole member became MJHS. Isabella did not previously elect to apply pushdown accounting with the issuance of its 2017 audited financial statements. As a result of the application of pushdown accounting, Isabella established a new basis of accounting for its individual assets and liabilities as of December 1, 2017 which adjustments are reflected below as an adjustment to its opening net assets (deficit) balance. Balances as of December 1, 2017 were not separately evaluated for fair value, but rather the audited balances as of December 31 as corrected above were adjusted to fair value for the items noted below. These values did not change substantively during the month of December and should represent the underlying economics of the transaction as of the change-in-control date of December 1, 2017. As of December 31, 2017 and as previously reported, current assets approximated $32,142,000 while long-term assets approximated $29,478,000. Current liabilities approximated $40,823,000 and long-term liabilities approximated $23,965,000 with net asset (deficiency) of approximately ($3,168,000). This deficit was then adjusted for a net increase of approximately $106,808,000 reflecting the impact of the following fair value adjustments applied to the assets acquired and liabilities assumed. The excess gain has been reflected in Isabellas financial statements as an adjustment to its net assets. The primary component of the net gain recognized by MJHS relates to the substantial fair value adjustment to land, buildings and improvements which values are substantially higher than the original depreciated values given the location of the Isabella facility. The original sole member of Isabella entered into this transaction with the intent of Isabella continuing its original mission of providing care to the elderly and determined MJHS to be the best partner in fulfilling this mission. The table below summarizes the fair value adjustments and additional depreciation as a result of the application of pushdown accounting. Net Assets, Beginning of Year, As Restated $ 14,894,500 Change in Accounting Principle Adjustments Application of pushdown accounting Fair value adjustment of property and equipment 107,876,072 Additional depreciation expense (202,500) Deferred financing costs write-off (611,504) Early bond redemption costs write-off (254,073) ----------------------------------------------------------------------- 106,807,995 Net Assets, Beginning of Year, As Restated and Adjusted $ 121,702,495 Less Original Net Assets, Beginning of year (3,168,264) Prior period adjustments $ 124,870,759 FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: Forgiveness of equity transfer .....-15,000,000 FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. metropolitan jewish health system inc 6323 7TH AVENUE BROOKLYN NY 11220 113538697 ADMINSTRATIV NY 501(C)(3) 7 NA false MENORAH HOME AND HOSPITAL for the aged 6323 7TH AVENUE BROOKLYN NY 11220 111672777 NURSING HOME NY 501(C)(3) 3 MJHS false SHOREFRONT JEWISH GERIATRIC CENTER INC 6323 7TH AVENUE BROOKLYN NY 11220 113072153 NURSING HOME NY 501(C)(3) 10 MJHS false METROPOLITAN JEWISH HOME CARE INC 6323 7TH AVENUE BROOKLYN NY 11220 320060822 HOME CARE NY 501(C)(3) 10 MJHS false ELDERPLAN INC 6323 7TH AVENUE BROOKLYN NY 11220 112625096 MEDICARE NY 501(C)(3) 10 MJHS false MJHS HOSPICE AND PALLIATIVE CARE INC 6323 7TH AVENUE BROOKLYN NY 11220 133438643 HOSPICE NY 501(C)(3) 3 MJHS false HOMEFIRST LHCSA INC 6323 7TH AVENUE BROOKLYN NY 11220 611501623 HOME CARE NY 501(C)(3) 12 TYPE I MJHS false MJHS FOUNDATION 6323 7TH AVENUE BROOKLYN NY 11220 111630753 FUNDRAISING NY 501(C)(3) 7 MJHS false SHOREFRONT TOWERS HOUSING DEV FUND CORP 6323 7TH AVENUE BROOKLYN NY 11220 113200785 HOUSING NY 501(C)(3) 10 MJHS false MJHS MEDICAL ASSOCIATES PC 6323 7TH AVENUE BROOKLYN NY 11220 275273404 HEALTH CARE NY 501(C)(3) 10 MJHS false FIRST TO CARE HOME CARE INC 6323 7TH AVENUE BROOKLYN NY 11220 113300822 HOME HEALTH NY 501(C)(3) 10 MJHS false INSTITUTE FOR APPLIED GERONTOLOGY 6323 7TH AVENUE BROOKLYN NY 11220 113135751 RESEARCH NY 501(C)(3) PF MJHS false ISABELLA HOME 515 AUDUBON AVENUE new york NY 10040 131656656 sponsor NY 501(c)(3) line 12b,ii NA false ISABELLA FOUNDATION INC 515 AUDUBON AVENUE new york NY 10040 133725701 SPONSOR NY 501(C)(3) LINE 7 ISABELLA HOM false ISABELLA VISITING CARE INC 5073 Broadway new york NY 10034 205898276 HOME CARE NY 501(C)(3) LINE 10 ISABELLA HOM false ISABELLA CARE AT HOME INC 515 AUDUBON AVENUE new york NY 10040 462071768 HEALTH CARE NY 501(C)(3) LINE 10 ISABELLA HOM false MJGC CORP 6323 7TH AVENUE BROOKLYN NY 11220 113356665 HOLDING COMPAny NY MJHS C CORP 0 0 0.00000 false MJHS Solutions Inc 6323 7TH AVE BROOKLYN NY 11220 832479283 holding company NY MJHS Foundation C CORPORATION 0 0 0.00000 false false false true false false false false true false false false false false false true true false false false