2019-07-02T10:48:14-05:00 2018-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2017-10-01 060846991 JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INC DBA JEWISH SENIOR SERVICES JEWI 2033656400 4800 PARK AVENUE BRIDGEPORT CT 06604 ANDREW H BANOFF PRESIDENT & CEO 2033749461 2019-06-24 1 MARY KAY CURTISS P01551484 8605614000 2019-06-24 64.251.63.131 2019-06-24 16:45:37 ED P 3C3F3A9A6A2C4A7FAF67B2138946307825C80BAE 212D4AA7D86991E97AAA9C7923B382683810470F 2017 2019-02-21 02:37:17Z ANDREW H BANOFF 4200 PARK AVENUE BRIDEGPORT CT 06604 62190435 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. 34 33 1073 250 0 33844 1200017 2069424 52768599 54025218 483604 745507 1732522 1845515 56184742 58685664 0 0 0 0 38009542 37854316 0 0 135403 19713868 20238090 57723410 58092406 -1538668 593258 117439428 114434456 72308591 68694798 45130837 45739658 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 36731075 42670811 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. 3312658 3611746 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. 2853500 2419654 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. 7820713 5323007 INCLUDES THE INSTITUTE ON AGING GERIATRIC ASSESSMENT SERVICE, THE CENTER FOR ELDER ABUSE PREVENTION, ADULT DAY CARE, HOSPICE, WORK ACTIVITY CENTER, THERAPY. 7820713 5323007 50717946 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 1073 1 1 1 0 0 0 0 0 0 0 1 0 X 34 33 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 RUSSELL BEITMAN VICE CHAIRPERSON 0.50 X X 0 0 0 ALAN PHILLIPS TREASURER 0.50 X X 0 0 0 JON AUGUST SECRETARY 0.50 X 0 0 0 CARL BENNETT HONORARY DIRECTOR FOR LIFE 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 ROY FRIEDMAN DIRECTOR 0.50 X 0 0 0 ROSLYN GOLDSTEIN HONORARY DIRECTOR FOR LIFE 0.50 X 0 0 0 MICHAEL GUTHMAN DIRECTOR 0.50 X 0 0 0 ERIC HENDLIN DIRECTOR 0.50 X 0 0 0 DEBBY HILLER DIRECTOR 0.50 X 0 0 0 MITCHELL KORNBILT DIRECTOR 0.50 X 0 0 0 MARK A LAPINE HONORARY DIRECTOR FOR LIFE 0.50 X 0 0 0 RENEE MANGER DIRECTOR 0.50 X 0 0 0 MICHAEL MARCUS DIRECTOR 0.50 X 0 0 0 JERRY MINSKY DIRECTOR 0.50 X 0 0 0 EMIL MESHBERG 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 WOLFSON DIRECTOR 0.50 X 0 0 0 ANDREW H BANOFF PRESIDENT & CEO 40.00 X X 600872 0 15402 LAWRENCE CONDON SENIOR VP & ADMINISTRATOR 40.00 X 220003 0 1570 ROGER SLIBY VP & CHIEF FINANCIAL OFFIC 40.00 X 217842 0 644 EVANGELYN PETERSON CONTROLLER 40.00 X 104774 0 26194 LINDA CISZKOWSKI VP OF EMPLOYEE RELATIONS 40.00 X 187773 0 2709 KELLY LAFRANCE PROGRAM DIRECTOR, HOSPICE 40.00 X 106176 0 24044 DOREEN BROWN-WADE DIRECTOR OF HOME CARE AND 40.00 X 146872 0 32584 CATHERINE SYMES COORDINATOR, HOMECARE 40.00 X 113208 0 24874 FILOMENA FERRANO CASE MANAGER, HOMECARE 40.00 X 106149 0 26538 KENHINDE ANDU REGISTERED NURSE 40.00 X 108974 0 27244 JENNIFER PETERSON DIRECTOR, REHAB SERVICES 40.00 X 101823 0 25456 LIZA MITCHEL CLINICAL SUPERVISOR, MEDICAL HOMECARE 40.00 X 102162 0 24290 ERENA FITZGERALD DIRECTOR OF NURSING 40.00 X 104504 0 26126 LORRAINE WILLIAMS REGISTERED NURSE 40.00 X 110322 0 27580 KIMBERLY MISIASZEK PT 40.00 X 100082 0 25020 2431536 0 310275 15 0 1 0 KBE BUILDING CORPORATION 30 BATTERSON PARK FARMINGTON CT 06032 CONSTRUCTION 831956 NEW ENGLAND MECHANCIAL 55 GERBER ROAD EAST SOUTH WINDSOR CT 06074 CONTRUCTION & MAINTENANCE 293455 ELITE CONSTRUCTION RENATLS LLC 5 ALEXANDER DRIVE WALLINGFORD CT 06492 CONSTRUCTION 233045 FLAGSHIP NETWORKS 100 BEARD SAWMILL ROAD SHELTON CT 06484 PROFESSIONAL SERVICES 211583 BKD LLP 910 E ST LOUIS STREET SUITE 200 SPRINGFIELD MO 65801 MEDICAL BILLING 149650 8 329500 1739924 2069424 RESIDENT CARE SERVICES 623000 42670811 42670811 COMPASSIONATE CARE 621610 3611746 3611746 MEDICAL HOME CARE 623000 2419654 2419654 SENIOR CHOICE AT HOME 623000 1744527 1744527 ADULT DAY CARE 623000 596402 596402 2982078 2982078 54025218 459108 459108 3791170 3504771 286399 286399 286399 MISCELLANEOUS 900099 811248 811248 CHILD CARE CENTER 900099 523827 523827 FITNESS CENTER 900099 510440 510440 1845515 58685664 54025218 0 2591022 1194817 836372 358445 29162603 25595892 3490349 76362 782368 688484 93884 4693652 4130414 563238 2020876 1761675 240228 18973 71560 35780 35780 164835 164835 12000 12000 71283 71283 2379058 2093571 285487 86367 76003 10364 604014 531532 72482 438498 385878 52620 4523796 3980940 542856 142484 125386 17098 69737 61369 8368 3886972 3420535 466437 296158 260619 35539 FOOD 2465594 2169723 295871 PATIENT SERVICES 2428946 2137472 291474 NURSING HOME TAX 1527738 1527738 BAD DEBTS 514600 514600 554450 371963 142419 40068 58092406 50717946 7239057 135403 583278 1481934 1870577 842047 4960813 4864007 130393 119021 53746 293674 102834097 9643854 96024119 93190243 11985797 12356533 1830705 1286997 117439428 114434456 6024281 4092834 2985088 2739477 59601667 57718333 458896 1117525 810766 2580030 2874492 72308591 68694798 X 31155391 32732774 3294855 2085243 10680591 10921641 45130837 45739658 117439428 114434456 X 593258 13469 2094 X 0 1 X 1 0 X 9255571 1346279 2526173 1200017 2069424 16397464 49301410 47909617 45832509 52768599 54025218 249837353 58556981 49255896 48358682 53968616 56094642 266234817 0 0 0 266234817 193479 279278 765630 468640 459108 2166135 193479 279278 765630 468640 459108 2166135 1404440 1155656 1217191 1732522 1855364 7365173 60154900 50690830 50341503 56169778 58409114 275766125 0.96540 0.96880 0.00790 0.00710 X 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. 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 92238875 7119785 85119090 5215363 2260048 2955315 379859 264021 115838 93190243 DEFERRED COMPENSATION OBLIGATION 130242 FUNDS HELD FOR RESIDENTS 151304 ACCRUED PENSION COST 2114981 INTEREST RATE SWAP AGREEMENTS 56331 LIABILITY UNDER SPLIT INTEREST AGREEMENTS 266921 NOTES PAYABLE - WOMEN'S AUXILIARY 154713 2874492 58152089 13469 68615 82084 58070005 71283 544376 615659 58685664 57543268 36745 36745 57506523 71283 514600 585883 58092406 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 31,870. CHANGE IN PENSION LIABILITY 36,745. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIAL STATEMENTS 514,600. CHANGE IN LIABILITY UNDER SPLIT-INTEREST AGREEMENTS 29,776. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN PENSION LIABILITY 36,745. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIAL STATEMENTS 514,600. X X 0 0 0 0 0 0 0 0 0 ANDREW H BANOFF PRESIDENT & CEO 477212 0 118500 0 5160 0 0 0 15402 0 616274 0 0 0 LAWRENCE CONDON SENIOR VP & ADMINISTRATOR 200003 0 20000 0 0 0 0 0 1570 0 221573 0 0 0 ROGER SLIBY VP & CHIEF FINANCIAL OFFIC 197842 0 20000 0 0 0 0 0 644 0 218486 0 0 0 LINDA CISZKOWSKI VP OF EMPLOYEE RELATIONS 167773 0 20000 0 0 0 0 0 2709 0 190482 0 0 0 DOREEN BROWN-WADE DIRECTOR OF HOME CARE AND 130338 0 16534 0 0 0 16292 0 16292 0 179456 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 JON AUGUST DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 20000 20978 0 1 1 RUSSELL BEITMAN DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 50000 52441 0 1 1 SANFORD BUCHSBAUM FORMER DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 25000 26223 0 1 1 MIKE GUTHMAN FORMER DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 12500 13111 0 1 1 ERIC HENDLIN DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 25000 26223 0 1 1 MARK LAPINE DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 25000 26223 0 1 1 MIKE MARCUS DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 25000 26223 0 1 1 EMIL MESHBERG DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 25000 26223 0 1 1 ALAN NEVAS FORMER DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 25000 26223 0 1 1 ALAN PHILLIPS DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 10000 10489 0 1 1 JEFF RADLER DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 25000 26223 0 1 1 HAROLD ROSNICK DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 25000 26223 0 1 1 RICHARD SECLOW FORMER DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 12500 13111 0 1 1 MARTIN WOLF DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 5000 5245 0 1 1 BILL SIMS DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 25000 26223 0 1 1 MURIEL BROWN DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 5000 5245 0 1 1 ROY FRIEDMAN DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 25000 26223 0 1 1 RENEE MANGER FORMER DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 5000 5245 0 1 1 JERRY MINSKY DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 12500 13111 0 1 1 JOHN VACCARO DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 25000 26223 0 1 1 KEN WIRFEL DIRECTOR FUNDING OF ADULT DAY CARE PROJECT X 30000 31467 0 1 1 458896 ROY FRIEDMAN DIRECTOR 6370 ROY FRIEDMAN IS THE PRESIDENT OF STANDARD OIL WHICH PROVIDES HEATING OIL AND MAINTENANCE TO THE JEWISH HOME. 0 MARTIN WOLF DIRECTOR 166 MARTIN WOLF IS A RETIRED COUNSEL AT COHEN & WOLF, WHICH PROVIDED LEGAL SERVICES TO THE JEWISH HOME. 0 JAMES SUGARMAN DIRECTOR 228815 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. BOTH 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 -29,776. CHANGE IN INTEREST RATE SWAP AGREEMENTS 31,870. 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