2019-11-14T15:01:42-06:00 2018-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2018-01-01 311345871 JEWISH HOME OF CINCINNATI INC JEWI 5137543100 8487 RIDGE ROAD CINCINNATI OH 45236 OSCAR JARNICKI PRESIDENT/BOARD MEMBER 5137543100 2019-11-13 1 BERNIE OSTROWSKI P00366367 6148493000 2019-11-13 67.59.56.31 2019-11-13 15:46:16 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 5FCF717F5751041EDBE682B6F9E5BC94B7CB642E 2018 2020-04-17 16:48:07Z X CEDAR VILLAGE OSCAR JARNICKI 8487 RIDGE ROAD CINCINNATI OH 45236 36199108 0 X WWW.CEDARVILLAGE.ORG X 1997 OH JEWISH HOME OF CINCINNATI, INC. WAS OPERATING UNDER THE DBA OF CEDAR VILLAGE UNTIL 5/31/18, AT WHICH POINT THE PURCHASER OF THE ASSETS OBTAINED THE RIGHTS TO USE THE DBA CEDAR VILLAGE. CEDAR VILLAGE PROVIDES RESIDENTS OF THE GREATER CINCINNATI COMMUNITY WITH THE HIGHEST QUALITY HEALTHCARE, SENIOR RESIDENTIAL AND COMMUNITY SERVICES, IN KEEPING WITH JEWISH VALUES. THE MISSION OF CEDAR VILLAGE IS THAT AGING WILL BE AN ENRICHING AND A FULFILLING EXPERIENCE. X 19 19 1 19 0 0 0 42375 22008669 9656733 -15246 2548554 336 0 21993759 12247662 0 0 0 0 13470986 5693108 0 0 0 11982996 5924018 25453982 11617126 -3460223 630536 28163066 11413326 16045781 0 12117285 11413326 X CEDAR VILLAGE PROVIDES RESIDENTS OF THE GREATER CINCINNATI COMMUNITY WITH THE HIGHEST QUALITY HEALTHCARE, SENIOR RESIDENTIAL AND COMMUNITY SERVICES, IN KEEPING WITH JEWISH VALUES. THE MISSION OF CEDAR VILLAGE IS THAT AGING WILL BE AN ENRICHING AND A FULFILLING EXPERIENCE. 0 1 6784918 0 6810658 OPERATION OF A 162 BED MEDICARE/MEDICAID LICENSED NURSING FACILITY AND A 172 BED LICENSED RESIDENTIAL FACILITY 583182 0 836957 OPERATION OF CEDAR VILLAGE HOME CARE, A NON-MEDICAL PRIVATE DUTY AIDE SERVICE 1308425 0 2009118 OPERATION OF APARTMENTS/STUDIOS 8676525 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 1 1 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X OSCAR JARNICKI 5135439990 5467 CEDAR VILLAGE DRIVE MASON OH 45040 OSCAR JARNICKI PRESIDENT/BOARD MEMBER 1.00 0.00 X X 48000 0 0 BARB REED IMMEDIATE PAST CHAIR 5.00 0.00 X X 0 0 0 JIM ELLIS TREASURER 2.00 0.00 X X 0 0 0 MARK KANTER ASST TREASURER 2.00 0.00 X X 0 0 0 ERNESTO LEVY SECRETARY 1.50 0.00 X X 0 0 0 GARY BLACHMAN CHAIR 1.00 0.00 X X 0 0 0 PATTI HELDMAN VICE CHAIR 1.50 0.00 X X 0 0 0 BOB APPLEBAUM ASST SECRETARY 1.00 0.00 X X 0 0 0 JOSH SHAPIRO BOARD MEMBER 1.00 0.00 X 0 0 0 BOB ROSEN BOARD MEMBER 1.00 0.00 X 0 0 0 MARK MOSKOWITZ BOARD MEMBER 1.00 0.00 X 0 0 0 PHYLLIS JACKSON BOARD MEMBER 1.00 0.00 X 0 0 0 MERRIE STILLPASS BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD GOLDFARB MD BOARD MEMBER 1.00 0.00 X 0 0 0 STEVE GUTTER BOARD MEMBER 1.00 0.00 X 0 0 0 ANDREW SHOTT BOARD MEMBER 3.00 2.00 X 0 0 0 BETSY RABKIN MD BOARD MEMBER 1.00 0.00 X 0 0 0 ORLY RUMBERG BOARD MEMBER 1.00 0.00 X 0 0 0 DIANA STEWART BOARD MEMBER 1.00 0.00 X 0 0 0 DAN FAGIN CEO 40.00 10.00 X 339814 0 19270 387814 0 19270 1 0 1 0 HEALTHPRO HERITAGE 536 OLD HOWELL RD GREENVILLE SC 29615 THERAPY SERVICES 928279 1 42375 42375 RESIDENT REVENUE 623000 9586606 9586606 JOINT VENTURE REVENUE 623000 39467 39467 BARBER & BEAUTY SHOP 623000 30660 30660 9656733 26500000 23951446 2548554 2548554 2548554 12247662 9656733 0 2548554 359084 359084 3920076 3202990 717086 618205 551330 66875 469861 379450 90411 325882 260706 65176 590490 316697 273793 464022 403440 60582 296637 255108 41529 194219 167029 27190 782184 672678 109506 65302 58772 6530 DIETARY CONTRACT 1516400 1510931 5469 TRANSACTION COSTS 1117370 1117370 BED TAX 314128 314128 BAD DEBTS 124841 124841 458425 458425 11617126 8676525 2940601 0 1400 796148 1908475 0 0 1831741 239080 126069 0 202862 0 0 0 23951446 0 10098380 0 141073 279718 28163066 11413326 2933888 0 11835000 0 1107245 0 169648 0 16045781 0 X 12117285 11413326 12117285 11413326 28163066 11413326 X 630536 -211881 1363897 -2486511 X X 0 0 0 X 42375 42375 24235086 24998518 23834615 22008669 9656733 104733621 24235086 24998518 23834615 22008669 9699108 104775996 0 0 0 104775996 522 -112 38 58 506 522 -112 38 58 506 2120 2120 483213 3907 4214 336 491670 24720941 25002313 23838867 22009063 9699108 105270292 0.99530 0.99650 0.00000 0.00250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X X X 0 0 0 0 0 0 0 0 0 DAN FAGIN CEO 339814 0 0 0 0 0 10850 0 8420 0 359084 0 0 0 BUILDINGS, IMPROVEMENTS, FURNITURE AND FIXTURES, AND EQUIPMENT 2018-04-25 26500000 FMV/PURCHASE AGREEMENT 463385153 INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES INC 226 S COLLEGE AVENUE BLOOMINGTON IN 47404 501(C)(3) 0 0 0 0 FORM 990, PART III, LINE 3 JEWISH HOME OF CINCINNATI, INC. SOLD ITS ACTIVITY TO AN UNRELATED EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE PRESIDENT REVIEWS THE FORM 990 AND DISTRIBUTES AN ELECTRONIC COPY OF THE FORM TO ALL BOARD MEMBERS VIA E-MAIL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL MEMBERS OF THE GOVERNING BODY. BOARD MEMBERS ARE REQUIRED TO SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY. NEW BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT WHEN THEY FIRST JOIN. BOARD MEMBERS ARE FULLY AWARE TO DISCLOSE CONFLICTS WHEN THEY INITIALLY ARISE. THE CEO ROUTINELY REVIEWS RELATIONSHIPS FOR CONFLICTS OF INTEREST AND RESEARCHES AND ADDRESSES ANY POTENTIAL CONFLICTS. POTENTIAL CONFLICTS MUST BE DISCLOSED TO THE CEO. PROTECTIVE STEPS TAKEN IN THE CASE OF A CONFLICT OF INTEREST INCLUDE REQUIRING THE INDIVIDUAL TO REFRAIN FROM BEING INVOLVED IN ANY RELATED DECISIONS MADE BY CEDAR VILLAGE OR TO ELIMINATE THE CONFLICT OF INTEREST BY DISPOSING OF THEIR INTEREST IN THE OTHER PARTY. FORM 990, PART VI, SECTION B, LINE 15 CEO COMPENSATION IS SET BY THE COMPENSATION COMMITTEE OF THE BOARD USING THE AJAS AND OTHER SALARY SURVEYS. THE PROCESS IS COMPLETED AND DOCUMENTED ANNUALLY IN THE COMPENSATION COMMITTEE MEETING MINUTES. OTHER KEY EMPLOYEES' SALARIES ARE SET BY THE CEO, WHO WAS DELEGATED THIS AUTHORITY BY THE BOARD AND WHO IS INDEPENDENT RELATED TO THESE COMPENSATION ARRANGEMENTS. LEADING AGE SALARY SURVEYS AND OTHERS ARE USED BY THE HUMAN RESOURCES DEPARTMENT IN ORDER TO DETERMINE INDUSTRY COMPENSATION. THE LAST CEO COMPENSATION PROCESS WAS COMPLETED IN 2015, WITH THE ASSISTANCE OF A RECRUITING FIRM, WHEN THE CEO WAS HIRED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: ADJUSTMENT FOR GAIN DUE TO SALE -2,486,511. FORM 990, PART XII, LINE 2C: AS IN PRIOR YEARS, THE FINANCE COMMITTEE PERFORMED THE FUNCTIONS OF AN AUDIT COMMITTEE. PART V LINE 1 AND 2 THE JEWISH HOME OF CINCINNATI SOLD ALL OPERATIONS DURING THE YEAR. AS SUCH NO EMPLOYEES WERE PAID FROM THE ORGANIZATION POST THE TRANSACTION DATE. THE ORGANIZATION CEASED ACTIVITIES WITH THEIR PAYROLL PROVIDER SHORTLY AFTER THE TRANSACTION. THE ORGANIZATION WAS UNABLE TO OBTAIN INFORMATION REGARDING THE NUMBER OF W-2S AND 1099S. ALL OF THE FORMS WOULD HAVE BEEN FILED BY THE PAYROLL PROVIDER DURING THE YEAR. CEDAR VILLAGE FOUNDATION 5467 CEDAR VILLAGE DR MASON OH 45040 272598846 RELATED PARTY SUPPORT THROUGH INVESTMENT MANAGEMENT AND FUNDRAISING OH 501(C)(3) LINE 12B, II JEWISH HOME OF CINCINNATI INC 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 1