2017-11-15T13:28:59-06:00 2016-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2016-01-01 237253508 DAUGHTERS OF JACOB NURSING HOME COMPANY INC DAUG 7182931500 1160 TELLER AVENUE BRONX NY 104564145 KENNETH ROZENBERG CEO 7189319700 2017-11-14 1 AARON SHAPIRO P01333816 2128674000 38.98.118.70 2017-11-15 14:03:29 ES P D7076C0EC39B17C3336BFEA465ABF20A32036F2A 73A2BDB4DEE3E1301F7FB9DCBA9193E2BC5F7900 2016 2017-02-10 21:41:12Z KENNETH ROZENBERG 4770 WHITE PLAINS ROAD BRONX NY 10470 38924570 0 X WWW.DOJHEALTHSERVICES.COM X 1969 NY TO PROVIDE SHELTER, THERAPY AND LONG TERM CARE FOR THE DISABLED AND ELDERLY. X 2 2 384 4 0 0 0 0 49417019 37350837 15921 -579783 196068 215161 49629008 36986215 59590 0 0 0 22139792 15323003 0 0 0 18683140 14059291 40882522 29382294 8746486 7603921 40402934 7754492 46781210 5510089 -6378276 2244403 X THE HOME PROVIDES NURSING HOME SERVICES ALONG WITH ADULT DAY CARE AND LONG TERM HOME HEALTH CARE SERVICES TO CLIENTS IN THE BRONX. 0 1 24759775 34398204 THE 405 BED NURSING HOME PROVIDED MEDICAL CARE FOR INFIRM AND AMBULATORY RESIDENTS, OCCUPATIONAL AND PHYSICAL THERAPY PROGRAMS AND SOCIAL AND EDUCATIONAL SERVICES 2084306 2952633 ASSISTED LIVING PROGRAM CONSISTING OF 70 BEDS. 26844081 1 0 0 0 0 0 0 0 1 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 1 0 1 0 0 0 1 10 0 384 1 0 0 0 0 0 0 0 0 0 0 X 2 2 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X MICHAEL ITZKOWITZ 7189319700 4770 WHITE PLAINS ROAD BRONX NY 10470 X GERALD GORDON TRUSTEE 1.00 4.00 X 0 0 0 HENRY BURR TRUSTEE 1.00 4.00 X 0 0 0 KENNETH ROZENBERG CEO 5.00 X 0 0 0 OLGA CHICHESTER NURSE COORDINATOR 35.00 X 130269 0 0 NATE GOLDMAN ADMINISTRATOR 35.00 X 341940 0 12414 STANLEY JEAN-NOEL ADNS 35.00 X 147905 0 0 GEMMA LYNCH-MOORE DIRECTOR OF NURSING 35.00 X 215340 0 0 OLIVE JENNAS-LEUNG RN SUPERVISOR 35.00 X 120165 0 0 955619 0 12414 5 0 1 0 CENTERS FOR CARE 4770 WHITE PLAINS RD BRONX NY 10470 CONSULTANT 852719 ADVANCED CARE STAFFING 1000 GATES AVE SUITE 5B BROOKLYN NY 11221 STAFFING 452763 CFSC SYRACUSE 4770 WHITE PLAINS RD BRONX NY 10470 STAFFING 442942 LI SCRIPT LLC 225 CROSSWAYS PARK DRIVE WOODBURY NY 11797 PHARMACY 441618 CARETECH GROUP 1123 MCDONALD AVE BROOKLYN NY 11230 NURSING HOME SUPPLIES 361244 5 PATIENT REVENUE 623000 36322806 36322806 RENTAL 623000 1028031 1028031 37350837 37584 37584 139764 10406 129358 129358 129358 1310582 1927949 -617367 -617367 -617367 OTHER 900099 69503 69503 TELEPHONE 900099 16300 16300 85803 36986215 37350837 0 -364622 X 10732148 10732148 1467319 1467319 2083496 2083496 1040040 1040040 1210391 1210391 77973 77973 79376 79376 4618468 4618468 159520 159520 2284075 2141200 142875 1335968 1282113 53855 246223 43230 202993 11679 11679 6777 6777 1521488 1384554 136934 462617 462617 NYS ASSESSMENT 1634419 1634419 MEDICAL SUPPLIES 373816 373816 BAD DEBT 36501 36501 29382294 26844081 2538213 0 314078 1524084 17545026 8297619 290189 444230 4787984 395742 13403743 4392242 398238 1547977 40402934 7754492 27575278 621617 3240000 324047 31267 340050 2065996 13235839 4857205 46781210 5510089 X -6378276 2244403 -6378276 2244403 40402934 7754492 X 7603921 1018758 X X 0 0 0 X 542709 1098370 4415145 6056224 39139590 39419926 43421190 49417019 37350837 208748562 39682299 40518296 47836335 49417019 37350837 214804786 0 0 0 214804786 46677 143500 172356 200069 177348 739950 46677 143500 172356 200069 177348 739950 215833 88403 1359168 25630 85803 1774837 39944809 40750199 49367859 49642718 37613988 217319573 0.98840 0.98860 0.00340 0.00290 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME EMPLOYEE CAFETERIA VENDING MACHINE MGMT FEE RELATED ORG PARKING PHARMACY SETTLEMENT TELEPHONE 0 1 X 122287 35123 87164 4665697 360619 4305078 4392242 ESCROW DEPOSITS 1310582 DUE FROM RELATED PARTY 237395 1547977 DUE TO PURCHASER 4857205 4857205 PART IV, LINE 2B: RESIDENT FUNDS ARE HELD BY THE HOME ON BEHALF OF ITS RESIDENTS. SUCH FUNDS REPRESENT LIVING ALLOWANCES RECEIVED BY RESIDENTS AND OTHER RESIDENT FUNDS DEPOSITED WITH THE HOME FOR SAFEKEEPING. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 0 0 0 0 0 0 0 0 0 NATE GOLDMAN ADMINISTRATOR 341940 0 0 0 0 0 0 0 12414 0 354354 0 0 0 GEMMA LYNCH-MOORE DIRECTOR OF NURSING 215340 0 0 0 0 0 0 0 0 0 215340 0 0 0 SALE OF NURSING HOME 2016-09-16 2663328 COST 1 0 1 1 PART II, LINE 2E: PERSON(S) INVOLVED: KENNETH ROZENBERG PART II, LINE 2E: EXPLANATION OF INVOLVEMENT: KENNETH ROZENBERG WAS THE UNCOMPENSATED CEO OF DAUGHTERS OF JACOB NURSING HOME COMPANY, INC. AND IS A PARTNER IN TRIBORO CENTER. FORM 990, PART III, LINE 3 DURING 2016 THE ORGANIZATION SOLD ITS NURSING HOME OPERATIONS AND ASSETS AND ONLY MAINTAINED ITS ASSISTED LIVING PROGRAM. FORM 990, PART VI, SECTION B, LINE 11B KENNETH ROZENBERG WILL REVIEW THE 990. ONCE REVIEWED IT WILL BE REVIEWED BY THE BOARD OF TRUSTEES. ANY QUESTIONS OR COMMENTS WILL BE FORWARDED TO MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL EMPLOYEES AND AGENTS AND IS SET FORTH IN ITS CORPORATE COMPLIANCE MANUAL. THE CONFLICTS POLICY REQUIRES EMPLOYEES TO REPORT TO MANAGEMENT ANY CONFLICT OF INTEREST INVOLVING THE EMPLOYEE OR MEMBERS OF THE EMPLOYEE'S FAMILY. IN ADDITION, ON A YEARLY BASIS, THE ORGANIZATION REMINDS ITS EMPLOYEES OF THEIR OBLIGATIONS TO COMPLY WITH ALL OF THE PRACTICES AND PROCEDURES SET FORTH IN THE CORPORATE COMPLIANCE MANUAL, INCLUDING THE POLICY ON CONFLICTS OF INTEREST. THIS YEARLY REMINDER IS EFFECTUATED (I) BY DISTRIBUTING TO EACH EMPLOYEE A SECTION OF THE CORPORATE COMPLIANCE MANUAL THAT STATES THE EMPLOYEE'S OBLIGATION TO COMPLY WITH THE CORPORATE COMPLIANCE MANUAL, INCLUDING THE CONFLICTS POLICY, AND (II) BY HAVING AN ORAL PRESENTATION FOR THE EMPLOYEES AT WHICH THE EMPLOYEES OBLIGATIONS ARE ALSO EMPHASIZED, INCLUDING THE OBLIGATION TO REPORT CONFLICTS OF INTERESTS OF WHICH THE EMPLOYEE IS AWARE. THE ORGANIZATION ALSO HAS ADOPTED A CONFLICTS POLICY THAT EXPRESSLY APPLIES TO ALL TRUSTEES, DIRECTORS, AND OFFICERS AND REQUIRES EACH TRUSTEE, DIRECTOR, AND OFFICER TO CERTIFY ON AN ANNUAL BASIS THAT HE OR SHE HAS DISCLOSED ALL INTERESTS FROM WHICH A CONFLICT OF INTEREST MIGHT ARISE. THE CHAIRMAN OF THE BOARD IS NOTIFIED OF ANY CONFLICTS AND THE CONFLICTED INDIVIDUALS APPROPRIATELY RECUSE THEMSELVES FROM DISCUSSIONS AND VOTING ON MATTERS ON WHICH THEY HAVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THERE ARE NO OFFICERS OR KEY EMPLOYEES PAID FROM THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 215,272. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 215,272. LAUNDRY: PROGRAM SERVICE EXPENSES 339,455. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 339,455. THERAPY: PROGRAM SERVICE EXPENSES 511,850. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 511,850. PHYSICIAN/NURSING FEES: PROGRAM SERVICE EXPENSES 2,763,750. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,763,750. LAB: PROGRAM SERVICE EXPENSES 488,595. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 488,595. SECURITY: PROGRAM SERVICE EXPENSES 81,326. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,326. RADIOLOGY: PROGRAM SERVICE EXPENSES 20,963. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,963. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 197,257. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 197,257. FORM 990, PART XI, LINE 9: ADJUSTMENT TO MINIMUM PENSION LIABILITY 1,018,758. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. DOJ DIALYSIS CENTER CORP 1160 TELLER AVENUE BRONX NY 10456 200183213 CHRONIC RENAL DIALYSIS SERVICES TO INDIVIDUALS WITH ESRD NY 501(C)(3) 10 N/A 0 DOJ SUPPORT ORGANIZATION 1160 TELLER AVENUE BRONX NY 10456 131740106 SUPPORT PROGRAMS FOR THE ELDERLY NY 501(C)(3) PF N/A 0 FINDLAY PLAZA HOUSING DEVELOPMENT FUND INC 1201 FINDLAY AVENUE BRONX NY 10456 132944779 RESIDENTIAL HEALTH AND DIETARY SERVICES FOR SENIOR CITIZENS NY 501(C)(3) 10 N/A 0 FINDLAY HOUSE INC 1175 FINDLAY AVENUE BRONX NY 10456 132689955 HOUSING UNITS TO SENIOR CITIZENS NY 501(C)(3) 10 N/A 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0