2017-07-20T14:33:58-05:00 2016-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2015-10-01 060846991 JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INC DBA JEWISH SENIOR SERVICES JEWI 2033961108 4200 PARK AVE BRIDGEPORT CT 06604 ANDREW H BANOFF PRESIDENT & CEO 2033749461 2017-07-18 1 MARY KAY CURTISS P01551484 8605614000 2017-07-18 2015 2021-01-29 14:40:06Z X ANDREW H BANOFF 4200 PARK AVENUE BRIDEGPORT CT 06604 75712130 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. 47 46 1043 254 0 0 1346279 2526173 47909617 45832509 129891 11213173 1311373 1370595 50697160 60942450 0 0 0 0 36544216 37139451 0 0 138194 14096510 16458654 50640726 53598105 56434 7344345 121570149 124417141 83284693 78373700 38285456 46043441 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 35858981 38590407 SKILLED NURSING FACILITY: A MODERN 280 BED SKILLED NURSING FACILITY PROVIDING SHORT TERM POST ACUTE CARE, LONG TERM CARE, SPECIAL CARE FOR MEMORY, AND COGNITIVE DISORDERS. 3161528 3145518 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. 1655094 1426740 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. 6057413 2669844 INCLUDES THE INSTITUTE ON AGING GERIATRIC ASSESSMENT SERVICE, THE CENTER FOR ELDER ABUSE PREVENTION, ADULT DAY CARE, HOSPICE, WORK ACTIVITY CENTER, THERAPY. 6057413 2669844 46733016 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 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1 1043 1 0 0 0 0 0 0 0 0 1 0 X 47 46 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 JEFF RADLER CHAIRPERSON 0.50 X X 0 0 0 KENNETH I WIRFEL VICE CHAIRPERSON 0.50 X X 0 0 0 RUSSELL BEITMAN TREASURER 0.50 X X 0 0 0 ALAN PHILLIPS SECRETARY 0.50 X X 0 0 0 JON AUGUST DIRECTOR 0.50 X 0 0 0 RICHARD D BECKER DIRECTOR 0.50 X 0 0 0 CARL BENNETT DIRECTOR 0.50 X 0 0 0 ROBERT BERKOWITZ DIRECTOR 0.50 X 0 0 0 MURIEL BROWN DIRECTOR 0.50 X 0 0 0 SANFORD BUCHSBAUM DIRECTOR 0.50 X 0 0 0 JOEL COLEMAN DIRECTOR 0.50 X 0 0 0 BILL DARDANI DIRECTOR 0.50 X 0 0 0 KAREN FERLEGER 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 DIRECTOR 0.50 X 0 0 0 SUSAN GREENWALD DIRECTOR 0.50 X 0 0 0 MICHAEL GUTHMAN DIRECTOR 0.50 X 0 0 0 MARC J ISAACS DIRECTOR 0.50 X 0 0 0 MARK A LAPINE DIRECTOR 0.50 X 0 0 0 LINDA LAZINGER DIRECTOR 0.50 X 0 0 0 RICHARD LEVIN DIRECTOR 0.50 X 0 0 0 DAVID LEVINE DIRECTOR 0.50 X 0 0 0 RENEE MANGER DIRECTOR 0.50 X 0 0 0 MICHAEL L MARCUS DIRECTOR 0.50 X 0 0 0 FRANK MORSE DIRECTOR 0.50 X 0 0 0 HON ALAN H NEVAS DIRECTOR 0.50 X 0 0 0 JANET NEVAS DIRECTOR 0.50 X 0 0 0 NATE NEVAS DIRECTOR 0.50 X 0 0 0 WILMA PERSKY DIRECTOR 0.50 X 0 0 0 PETER POSER DIRECTOR 0.50 X 0 0 0 HAL ROSNICK DIRECTOR 0.50 X 0 0 0 DR ROBERT RUSSO DIRECTOR 0.50 X 0 0 0 RICHARD S SECLOW 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 CAROL SPINNER DIRECTOR 0.50 X 0 0 0 LEONARD SREBNICK DIRECTOR 0.50 X 0 0 0 JAMES SUGARMAN DIRECTOR 0.50 X 0 0 0 MILTON SUTIN DIRECTOR 0.50 X 0 0 0 JOHN VACCARO DIRECTOR 0.50 X 0 0 0 MARTIN F WOLF DIRECTOR 0.50 X 0 0 0 EMIL MESHBERG DIRECTOR 0.50 X 0 0 0 MIKE WOLFSON DIRECTOR 0.50 X 0 0 0 SANDRA YOUNG DIRECTOR 0.50 X 0 0 0 ANDREW BANOFF PRESIDENT & CEO 40.00 X X 551417 0 25902 LAWRENCE CONDON SENIOR VP & ADMINISTRATOR 40.00 X 203997 0 5650 ROGER SLIBY VP & CHIEF FINANCIAL OFFICER 40.00 X 202125 0 8775 EVANGELYN PETERSON CONTROLLER 40.00 X 104690 0 0 JULIA PORTALE VP, COMMUNITY SVCS, BUS DEVELOPMENT 40.00 X 150360 0 14119 LINDA CISZKOWSKI VP & CHIEF ADMINISTRATIVE 40.00 X 171805 0 11302 MARGE NICOLIA VP NURSING SERVICES 40.00 X 167910 0 8629 EVELYN PERUGINI DIRECTOR OF CLINICAL NURSI 40.00 X 105220 0 0 1657524 0 74377 12 0 1 0 KBE BUILDING CORPORATION 30 BATTERSON PARK FARMINGTON CT 06032 CONSTRUCTION 41380290 PERKINS EASTMAN 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECTURAL SERVICES 496822 C & H ELECTRIC 1999 SOUTH MAIN STREET WATERBURY CT 06706 ELECTRICAL 257215 CAPITAL PROJECTS CONSULTING 153 BROADWAY HAWTHORNE NY 10532 CONSTRUCTION MANAGEMENT 206724 BKD LLP 910 E ST LOUIS STREET SUITE 200 SPRINGFIELD MO 658011190 MEDICAL BILLING 132400 7 35000 51515 2439658 2526173 RESIDENT CARE SERVICES 623000 38590407 38590407 COMPASSIONATE CARE 621610 3145518 3145518 MEDICAL HOME CARE 623000 1426740 1426740 SENIOR CHOICE AT HOME 623000 987795 987795 ADULT DAY CARE 623000 725692 725692 956357 956357 45832509 612226 612226 153404 0 153404 153404 153404 8867530 16503097 8852404 5917276 15126 10585821 10600947 10600947 MISCELLANEOUS 900099 575395 575395 CHILD CARE CENTER 900099 528357 528357 FITNESS CENTER 900099 113439 113439 1217191 60942450 45832509 0 12583768 1349017 944312 404705 27967463 24527578 3344670 95215 888830 782170 106660 4802441 4226148 576293 2131700 1853650 252771 25279 136496 68248 68248 103631 103631 12000 12000 52121 52121 1943172 1709991 233181 110800 97504 13296 695439 611986 83453 466938 410905 56033 3787489 3332990 454499 227427 200136 27291 89533 78789 10744 1663309 1463712 199597 337184 296722 40462 PATIENT SERVICES 2440327 2147488 292839 FOOD 1742787 1533653 209134 NURSING HOME TAX 1657858 1657858 BAD DEBTS 246220 256118 -9898 745923 521058 207165 17700 53598105 46733016 6726895 138194 6431136 1354348 4481671 2689271 4022284 4081504 116061 131993 56899 55653 99193408 2040769 67750762 97152639 15819063 16438529 22892273 2513204 121570149 124417141 4717133 4689552 2453540 3272564 62000000 61406667 6544261 5714953 7569759 3289964 83284693 78373700 X 12086053 31285864 15629670 4111100 10569733 10646477 38285456 46043441 121570149 124417141 X 7344345 516841 -103201 X X 0 1 X 1 0 X 1834591 1897824 9255571 1346279 2526173 16860438 45818545 47984070 49301410 47909617 45832509 236846151 47653136 49881894 58556981 49255896 48358682 253706589 0 0 0 253706589 186415 186027 193479 279278 765630 1610829 186415 186027 193479 279278 765630 1610829 1022097 969047 1404440 1155656 1217191 5768431 48861648 51036968 60154900 50690830 50341503 261085849 0.97170 0.97420 0.00620 0.00400 X PART III LINE 12 THE JEWISH HOME MOVED TO A NEW LOCATION DURING THE YEAR AND SOLD THE EXISTING FACILITY. THE AMOUNT RECOGNIZED AS REVENUE IS EXCLUDED FROM THIS CALCULATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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. 13678453 245256 964472 -465476 14422705 134752 -489705 -14033406 13678453 0.18000 0.72000 0.10000 0 0 5000000 5000000 87403706 528065 86875641 199194 146188 53006 4824063 1052461 3771602 1766445 314055 1452390 97152639 DEFERRED COMPENSATION OBLIGATION 182339 FUNDS HELD FOR RESIDENTS 176092 ACCRUED PENSION COST 2623748 INTEREST RATE SWAP AGREEMENTS 116360 LIABILITY UNDER SPLIT INTEREST AGREEMENTS 191425 3289964 61057749 516841 -103201 413640 60644109 52121 246220 298341 60942450 53299764 0 53299764 52121 246220 298341 53598105 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 SPLIT INTEREST AGREEMENTS 13,159. CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENTS -116,360. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIAL STATEMENTS 246,220. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIAL STATEMENTS 246,220. X X 0 0 0 0 0 0 0 0 0 ANDREW BANOFF PRESIDENT & CEO 431257 0 115000 0 5160 0 10500 0 15402 0 577319 0 0 0 LAWRENCE CONDON SENIOR VP & ADMINISTRATOR 198997 0 5000 0 0 0 4080 0 1570 0 209647 0 0 0 ROGER SLIBY VP & CHIEF FINANCIAL OFFICER 197125 0 5000 0 0 0 8131 0 644 0 210900 0 0 0 JULIA PORTALE VP, COMMUNITY SVCS, BUS DEVELOPMENT 150360 0 0 0 0 0 0 0 14119 0 164479 0 0 0 LINDA CISZKOWSKI VP & CHIEF ADMINISTRATIVE 166805 0 5000 0 0 0 8593 0 2709 0 183107 0 0 0 MARGE NICOLIA VP NURSING SERVICES 162910 0 5000 0 0 0 5036 0 3593 0 176539 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 MICHAEL MARCUS DIRECTOR 22640 MICHAEL MARCUS IS PRINCIPAL SHAREHOLDER OF MARCUS DAIRY, INC. DAIRY PRODUCTS WERE ORDERED, APPROVED AND PURCHASED BY MORRISON SENIOR DINING FOR USE IN THE JEWISH HOME. THE HOME PAID MORRISON FOR ALL FOOD ITEMS. 0 ROY FRIEDMAN DIRECTOR 56452 ROY FRIEDMAN IS THE PRESIDENT OF STANDARD OIL WHICH PROVIDES HEATING OIL AND MAINTENANCE TO THE JEWISH HOME. 0 MARTIN WOLF DIRECTOR 3926 MARTIN WOLF IS A RETIRED COUNSEL AT COHEN & WOLF, WHICH PROVIDED LEGAL SERVICES TO THE JEWISH HOME. 0 JAMES SUGARMAN DIRECTOR 217531 JAMES SUGARMAN IS THE PRESIDENT OF EASTERN BAG AND PAPER. HOUSEKEEPING SUPPLIES WERE PURCHASED FOR USE IN THE JEWISH HOME. 0 SUSAN R GREENWALD DIRECTOR 6570 SUSAN GREENWALD IS A PRINCIPAL OF OPTIONS FOR ELDERS, INC., WHO PROVIDED FINANCIAL CONSULTATION SERVICES TO THE JEWISH HOME. 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS HON. ALAN H. NEVAS AND JANET NEVAS ARE HUSBAND AND WIFE. BOARD MEMBER NATE NEVAS IS THEIR SON. BOARD MEMBERS MARK LAPINE AND NOAH LAPINE ARE BROTHERS. FORM 990, PART VI, SECTION B, LINE 11 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. 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 13,159. CHANGE IN INTEREST RATE SWAP AGREEMENTS -116,360. 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 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0