2018-11-26T12:28:48-06:00 2017-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2017-01-01 131740053 UNITED ODD FELLOW AND REBEKAH HOME UNIT 7188636200 1070 HAVEMEYER AVENUE BRONX NY 10462 KENNETH GELB CHIEF EXECUTIVE OFFICER 7188636200 2018-11-15 1 AARON SHAPIRO P01333816 2128674000 64.22.227.161 2018-11-26 13:26:49 ES P 4275C7E7C8129915C35F764424C97B97C01C68F2 82FF71277CCFCE0526AA11C39E3CDADE20CEB2CB 2017 2019-02-21 02:37:17Z REBEKAH REHAB & EXTENDED CARE CENTER KENNETH GELB 1070 HAVEMEYER AVENUE BRONX NY 10462 31364157 0 X WWW.REBEKAHREHAB.ORG X 1968 NY RESIDENTIAL HEALTH CARE FACILITY SERVICES 13 10 237 13 0 0 628032 127869 29643953 31019695 139153 181506 136131 35087 30547269 31364157 0 0 0 0 15049756 16393057 0 0 0 14099071 13383981 29148827 29777038 1398442 1587119 53613336 53594477 38638786 37032808 14974550 16561669 TO PROVIDE OUTSTANDING SHORT-TERM SUBACUTE CARE SERVICES AND LONG TERM SERVICES TO ADULTS. 0 0 25644334 31019695 THE NURSING HOME CARES FOR CLINICALLY ILL PATIENTS NEEDING INPATIENT SHORT AND LONG TERM CARE. DURING 2017, THE NURSING HOME TOTALED 75,138 PATIENT DAYS. THE BREAKDOWN IS AS FOLLOWS: MEDICAID 66,979; MEDICARE 7,214; SELF PAY 484; OTHER 461. THE HOME CARE PROGRAM MANAGES PATIENTS AT THEIR HOME THROUGH VISITS AS WELL AS PROVISION OF CARE MANAGEMENT. 25644334 1 1 0 1 0 0 0 1 1 0 1 0 0 0 1 1 1 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 0 0 0 1 109 0 237 1 0 0 0 0 0 0 0 0 0 0 X 13 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MICHAEL FELBERG 7188636200 1070 HAVEMEYER AVENUE BRONX NY 10462 MARTIN ELSON PRESIDENT 19.00 2.00 X X 36000 0 0 JOSEPH D BRADLEY JR VP 1.00 1.00 X X 0 0 0 ANITA STERN SECRETARY 1.00 1.00 X X 0 0 0 ANNE FISHER TREASURER 1.00 X X 0 0 0 CONNIE CAPALDO BOARD MEMBER 32.00 3.00 X X 86295 7264 21934 ANTONIO DOMINGUEZ BOARD MEMBER 1.00 1.00 X 0 0 0 REED ELSON BOARD MEMBER 1.00 1.00 X 12000 0 0 SARAH KUPERSMITH BOARD MEMBER 1.00 X 0 0 0 WILLIAM MORGAN BOARD MEMBER 1.00 X 0 0 0 DONALD RUTIGLIANO BOARD MEMBER 1.00 X 0 0 0 BERNARD SIPELSTEIN BOARD MEMBER 1.00 X 0 0 0 WALTER STERN BOARD MEMBER 1.00 X 0 0 0 JEFFREY YOUNG BOARD MEMBER 1.00 X 0 0 0 KENNETH GELB CHIEF EXECUTIVE OFFICER 35.00 X 260940 0 70308 MICHAEL FELBERG DIRECTOR OF FINANCE 32.00 3.00 X 186906 15237 68889 WILLIAM HENRY IRISH-O'BRIEN DIRECTOR OF NURSING 35.00 X 145657 0 18879 ROMAN SOTELO REHAB/PHYSICAL THERAPIST 35.00 X 119851 0 14848 JOSE HERNANDEZ DIR OF FACILITIES MGMT 33.00 2.00 X 137355 0 29967 VERA FORBES DIRECTOR OF CARE MANAGEMEN 35.00 X 195319 0 38466 ROLAND MCDERMOTT CARE MANAGEMENT NURSE 35.00 X 116437 0 21012 LILLAWATTI SOMAI LICENSED PRACTICAL NURSE 37.50 X 113623 0 44386 1410383 22501 328689 8 0 1 0 MERIDAN NURSE RECRUITERS 471 NORTH BROADWAY JERICHO NY 11753 NURSING AGENCY 758181 SPRINT HEALTH SOLUTIONS LLC 64 MACDOUGAL STREET SUITE 19 NEW YORK NY 10012 MEDICAL CONSULTANT 512663 TOWNE NURSING STAFF 1413 38TH ST BROOKLYN NY 11218 NURSING AGENCY 485914 TIRCON LLC 3080 ARTHUR KILL ROAD STATEN ISLAND NY 10309 GENERAL CONTRACTOR 416315 GEDDIS PARTNERSHIP 71 OLD POST ROAD SUITE 101 SOUTHPORT CT 06490 ARCHITECTURE FIRM 395082 7 127531 338 127869 NURSING AND RESIDENTIAL CARE 623000 28129027 28129027 CERTIFIED HOME HEALTH CARE 621610 2890668 2890668 31019695 181506 181506 MISCELLANEOUS 900099 35087 35087 35087 31364157 31019695 0 216593 X 900815 768622 132193 10936359 9364201 1572158 533199 456428 76771 3115431 2698672 416759 907253 776624 130629 86527 86527 141303 141303 58227 58227 3775623 3566988 208635 19500 19500 3368551 3010775 357776 1383000 1383000 16450 16450 23875 23875 2275505 1937308 338197 642259 183443 458816 NEW YORK STATE ASSESSME 1454481 1454481 MISCELLANEOUS 134633 3467 131166 4047 4047 29777038 25644334 4132704 0 3817395 4018022 17635494 20007479 4339050 3550404 59301 59301 396757 488423 49777946 25734929 26187600 24043017 403492 592244 774247 835587 53613336 53594477 3295237 3591443 265510 264269 32368876 31320454 300841 232280 2408322 1624362 38638786 37032808 X 14838122 16424903 136428 136766 14974550 16561669 53613336 53594477 1587119 0 X X 0 1 X 1 1 1 X 2797 132593 402827 628032 127869 1294118 28081115 26047807 28598083 29643953 31019695 143390653 28083912 26180400 29000910 30271985 31147564 144684771 0 0 0 144684771 70316 71996 73538 139153 181506 536509 70316 71996 73538 139153 181506 536509 25112 12190 18438 136131 35087 226958 28179340 26264586 29092886 30547269 31364157 145448238 0.99480 0.99570 0.00370 0.00290 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME 0 0 0 0 0 0 0 0 1 58227 58227 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF LEADINGAGE NEW YORK (FORMERLY NYAHSA), CONTINUING CARE LEADERSHIP COALITION AND LEAGUE OF VOLUNTARY HOSPITALS & HOMES OF NEW YORK WHICH LOBBY THE GOVERNMENT FOR THE HEALTHCARE INDUSTRY. X 0 0 1 X 133690 133690 44787201 22399403 22387798 4780680 3303941 1476739 76375 31585 44790 24043017 DUE TO THIRD-PARTY PAYORS 1624362 1624362 X 31364157 0 31364157 0 31364157 29777038 0 29777038 0 29777038 PART III, LINE 4: REBEKAH REHAB'S COLLECTION OF TORAHS AND OTHER RELIGIOUS ARTIFACTS ENHANCES THE ENVIRONMENT AND IS BOTH THERAPEUTIC AND EDUCATIONAL, FURTHERING THE HOME'S MISSION TO PROVIDE OLDER PEOPLE WITH CARE IN AN ENRICHED ENVIRONMENT WHERE THEY CAN LIVE, LEARN AND FLOURISH. PART IV, LINE 2B: RESIDENT FUNDS ARE HELD IN TRUST FOR RESIDENTS' USE. PART X, LINE 2: REBEKAH REHAB HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2014 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. X X X X X 0 0 0 0 0 0 0 0 0 KENNETH GELB CHIEF EXECUTIVE OFFICER 260940 0 0 0 0 0 12995 0 57313 0 331248 0 0 0 MICHAEL FELBERG DIRECTOR OF FINANCE 186906 15237 0 0 0 0 9293 762 54252 4582 250451 20581 0 0 WILLIAM HENRY IRISH-O'BRIEN DIRECTOR OF NURSING 145657 0 0 0 0 0 7439 0 11440 0 164536 0 0 0 JOSE HERNANDEZ DIR OF FACILITIES MGMT 137355 0 0 0 0 0 6712 0 23255 0 167322 0 0 0 VERA FORBES DIRECTOR OF CARE MANAGEMEN 195319 0 0 0 0 0 13538 0 24928 0 233785 0 0 0 LILLAWATTI SOMAI LICENSED PRACTICAL NURSE 113623 0 0 0 0 0 11362 0 33024 0 158009 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 MARTIN ELSON AND REED ELSON - FAMILY RELATIONSHIP WALTER STERN AND ANITA STERN - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11B A FINAL COPY OF THE FORM 990 IS REVIEWED BY THE CEO, DIRECTOR OF FINANCE AND ASSISTANT CONTROLLER PRIOR TO BEING FILED. QUESTIONS AND COMMENTS WILL BE DISCUSSED WITH THE PREPARER FOR ANY CHANGES THAT MAY NEED TO BE ADDRESSED. THE 990 IS MADE AVAILABLE TO THE FULL BOARD PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C UNITED ODD FELLOW AND REBEKAH HOME HAS A CONFLICT OF INTEREST POLICY WHICH APPLIES TO DIRECTORS AND OFFICERS AS WELL AS ALL EMPLOYEES. ON AN ANNUAL BASIS EVERY DIRECTOR, OFFICER IS REQUIRED TO SUBMIT A LIST OF ALL POTENTIAL CONFLICTS OF INTEREST. THESE POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE CHIEF EXECUTIVE OFFICER AS WELL AS THE BOARD OF DIRECTORS TO DETERMINE WHETHER A CONFLICT OF INTEREST ACTUALLY EXISTS. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST DOES EXIST, APPROPRIATE RESTRICTIONS ARE PLACED UPON THE PERSON IN CONFLICT TO ENSURE THAT ANY DELIBERATIONS AND DECISIONS DO NOT INCLUDE THE PERSON IN CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 UNITED ODD FELLOW AND REBEKAH HOME RETAINS THE SERVICES OF INDEPENDENT CONSULTANTS TO REVIEW COMPENSATION PRACTICES FOR EXECUTIVE DIRECTORS AND OFFICERS IN OTHER ORGANIZATIONS OF COMPARABLE SIZE AND TYPE. THIS MARKET ANALYSIS IS THEN REVIEWED AND USED TO DETERMINE SALARY ADJUSTMENTS. IN ADDITION, REBEKAH REHAB BELONGS TO TRADE ASSOCIATIONS THAT PERIODICALLY PROVIDE INFORMATION CONCERNING SALARIES, AND THE BOARD REVIEWS COMPENSATION OF SIMILAR ORGANIZATIONS VIA WWW.GUIDESTAR.COM. THIS PROCESS WAS LAST DONE IN 2016 FOR 2017 SALARIES. FORM 990, PART VI, SECTION C, LINE 19 UNITED ODD FELLOW AND REBEKAH HOME PROVIDES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G DIETARY-FEES: PROGRAM SERVICE EXPENSES 20,558. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,558. HOUSEKEEPING CONTRACT: PROGRAM SERVICE EXPENSES 78,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,250. LAUNDRY-CONTRACT: PROGRAM SERVICE EXPENSES 259,639. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 259,639. PROFESSIONAL CARE FEES: PROGRAM SERVICE EXPENSES 595,186. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 595,186. CONTRACTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 208,635. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 208,635. CHHA CONTRACT: PROGRAM SERVICE EXPENSES 392,983. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 392,983. PHARMACY SERVICE CONTRAC: PROGRAM SERVICE EXPENSES 34,449. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,449. CARE MANAGEMENT CONTRACT : PROGRAM SERVICE EXPENSES 69,550. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,550. CARE MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 80,349. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,349. CHHA FEES: PROGRAM SERVICE EXPENSES 74,546. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,546. SKILLED NURSING FACILITY FEES: PROGRAM SERVICE EXPENSES 1,418,322. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,418,322. PHYSICIAN & DENTIST FEES: PROGRAM SERVICE EXPENSES 34,007. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,007. PHYSICAL THERAPY FEES: PROGRAM SERVICE EXPENSES 301,326. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 301,326. OCCUPATIONAL THERAPY FEES: PROGRAM SERVICE EXPENSES 207,823. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 207,823. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. UNITED ODD FELLOWS HOUSING DEVELOPMENT FUND COMPANY 1070 HAVEMEYER AVENUE BRONX NY 10462 133214760 LOW INCOME SENIOR HOUSING NY 501(C)(3) LINE 10 N/A 0 UNIONPORT FOUNDATION INC 1070 HAVEMEYER AVENUE BRONX NY 10462 237084191 HEALTHCARE, CHARITABLE, SCIENTIFIC, LITERARY AND EDUCATIONAL ACTIVITIES NY 501(C)(3) LINE 10 N/A 0 REBEKAH REHAB ASSISTED LIVING 1070 HAVEMEYER AVENUE BRONX NY 10462 815381708 ASSISTED LIVING PROGRAM NY 501(C)(3) LINE 7 N/A 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 1 0 0