2017-05-12T10:54:13-05:00 2016-12-31 232385520 ROBERT ROSSI & CO 299 MAIN ST - 2ND FLOOR OLYPHANT PA 184472326 990 2016-01-01 240798701 JEWISH HOME OF EASTERN PENNSYLVANIA JEWI 5703446177 1101 VINE STREET SCRANTON PA 18510 RABBI SAMUEL K SANDHAUS EXECUTIVE DIRECTOR 5703446177 2017-05-12 1 JOSEPH ROSSI CPA P01217405 5708762300 2017-05-08 50.77.100.142 2017-05-12 12:02:48 ED P 0556FF401B124C3821D3D60448A3AF56A629C53B C43ED96E12338BB9EB7F37A7DB1916E4FDFB7C8F 2016 2021-01-29 14:40:06Z RABBI SAMUEL K SANDHAUS 1101 VINE STREET SCRANTON PA 18510 24318365 0 X HTTP://JHEP.ORG X 1916 PA PROVIDING SKILLED NURSING CARE FOR THE ELDERLY 103 103 310 0 0 0 224247 236809 13683548 13643811 1467356 1140054 23831 27596 15398982 15048270 0 0 0 0 8838185 9042825 0 0 0 5562887 5497632 14401072 14540457 997910 507813 28673047 28902982 3230753 2952875 25442294 25950107 TO PROVIDE SKILLED NURSING CARE FOR THE ELDERLY 0 0 14540457 13643811 THE "HOME" PROVIDES SKILLED NURSING CARE TO THE ELDERLY ALONG WITH LODGING, MEDICAL & SOCIAL SERVICES TO RESIDENTS IN ITS 173-BED FACILITY. 14540457 1 1 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 0 1 0 0 0 1 11 0 0 310 1 0 0 0 0 0 0 0 0 0 0 0 0 X 103 103 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X SCOTT BLAKIEWICZ 5703446177 1101 VINE STREET SCRANTON PA 18510 SAMUEL K SANDHAUS EXECUTIVE DIRECTOR 40.00 X 331759 0 57990 MARSHALL KORNBLATT PRESIDENT 0.00 X 0 0 0 DOUGLAS FINK VICE-PRESIDENT 0.00 X 0 0 0 RICHARD KLINE VICE-PRESIDENT 0.00 X 0 0 0 JOHNATHON SIMON VICE-PRESIDENT 0.00 X 0 0 0 JAMES ALPERIN TREASURER 0.00 X 0 0 0 BETSY HYERS ASST. TREASURER 0.00 X 0 0 0 RICHARD BISHOP ESQ SECRETARY 0.00 X 0 0 0 MRS MARYLYN PREVEN ASST. SECRETARY 0.00 X 0 0 0 STEVEN H SEITCHIK PAST PRESIDENT 0.00 X 0 0 0 LOUIS KAHANOWITZ PAST PRESIDENT 0.00 X 0 0 0 JERRY WEINBERGER ESQ PAST PRESIDENT 0.00 X 0 0 0 ALAN GLASSMAN PAST PRESIDENT 0.00 X 0 0 0 MARY ROSE APPLEGATE CHIEF OPERATING OFFICER 40.00 X 126824 0 13707 458583 0 71697 2 0 1 0 GENESIS REHABILITATION SERVICE PO BOX 821322 PHILADELPHIA PA 19182 THERAPY SERVICES 706762 1 145209 91600 236809 MEDICARE/MEDICAID PAYMENTS 623000 10217637 10217637 RESIDENT LODGING 623000 3212152 3212152 NURSING FACILITY ASSESSMENT 623000 214022 214022 13643811 457953 457953 9952196 9270095 682101 682101 682101 PERSONAL SERVICES 623000 27596 27596 27596 15048270 13643811 0 1167650 X 353570 353570 7998966 7998966 690289 690289 104927 104927 48000 48000 23230 23230 13275 13275 17505 17505 40710 40710 474613 474613 GROUP INSURANCE & EMPLO 1423021 1423021 THERAPY SERVICES 715925 715925 MEDICAL SUPPLIES 544678 544678 FOOD AND BEVERAGE 541695 541695 1550053 1550053 14540457 14540457 0 0 14046 5627 931699 1968659 2408039 2390400 326889 364307 81740 69334 14096759 9405128 5018722 4691631 19006249 18559341 600000 650000 285663 203683 28673047 28902982 1893978 1200688 1219591 930054 26573 695343 90611 126790 3230753 2952875 X 10878644 10694997 14547724 15240172 15926 14938 25442294 25950107 28673047 28902982 507813 0 X X 0 1 X 1 0 X 223318 235714 215409 224247 236809 1135497 14042126 13941033 13997050 13744523 13732353 69457085 14265444 14176747 14212459 13968770 13969162 70592582 0 0 0 70592582 440635 477551 557970 555036 457953 2489145 440635 477551 557970 555036 457953 2489145 14706079 14654298 14770429 14523806 14427115 73081727 0.96590 0.96550 0.03410 0.03450 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15926 -247 741 14938 16831 -155 750 15926 16790 786 745 16831 17643 -107 746 16790 18361 40 758 17643 1 0 1018894 1018894 10284694 7223841 3060853 2793171 2181287 611884 4691631 DEFERRED COMPENSATION 126790 126790 15090295 86344 86344 15003951 44319 44319 15048270 14496138 0 14496138 44319 44319 14540457 PART V, LINE 4: ENDOWMENT FUND PRINCIPAL IS TO TO RETAINED INDEFINITELY BY THE ORGANIZATION. THE FUND'S EARNINGS IS TO BE USED FOR THE EXEMPT PURPOSES OF THE ORGANIZATION. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 105,265 PERSONAL SERVICES 27,596 BAD DEBTS (88,542) PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 105,265 PERSONAL SERVICES 27,596 BAD DEBTS (88,542) X X X X 0 1 0 0 0 0 0 0 0 SAMUEL K SANDHAUS EXECUTIVE DIRECTOR 331759 0 0 0 0 0 36179 0 21811 0 389749 0 0 0 PART I, LINE 4B SAMUEL K. SANDHAUS, PARTICIPANT IRC 457(B) NON-QUALIFIED DEFERRED COMPENSATION PLAN, $36,179 A SCRANTON-LACKAWANNA HEALTH AND WELFARE AUTHORITY 232205980 2004-04-21 4500000 BUILDING RENOVATIONS 0 0 0 A 3569946 4500000 50363 1242355 2006 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS AS DESCRIBED IN FORM 990, PART VI, SECTION A, LINE 7A BELOW. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERSHIP OF THE JEWISH HOME IS COMPRISED OF A REPRESENTATIVE OF THE SCRANTON LACKAWANNA JEWISH FEDERATION, THE GREATER WILKES-BARRE FEDERATION AND SUCH OTHER DULY RECOGNIZED AFFILIATED COMMUNITIES THRU THEIR REPRESENTATIVE COMMUNITY AGENCIES AS THE BOARD OF DIRECTORS SHALL FROM TIME TO TIME DESIGNATE AND APPROVE, AS WELL AS ALL INDIVIDUALS WHO HAVE CONTRIBUTED DURING THE PRECEDING YEAR TO THE JEWISH HOME MEMBERSHIP CAMPAIGN. FORM 990, PART VI, SECTION A, LINE 7B NOMINATION FOR BOARD MEMBERSHIP AND OFFICERS ARE PRESENTED TO THE MEMBERSHIP BY THE NOMINATING COMMITTEE AND RATIFIED BY PROCESS OF ELECTION BY THE MEMBERS AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING OF THE FORM 990, A COPY OF THE 990 IS PROVIDED TO THE PRESIDENT/CHAIRMAN OF THE BOARD AND EXECUTIVE DIRECTOR FOR REVIEW AND DISCUSSION WITH THE INDEPENDENT C.P.A. FIRM RETURN PREPARER. THE 990 IS THEN PROVIDED TO AND REVIEWED BY THE EXECUTIVE COMMITTEE AS AUTHORIZED IN THE BY-LAWS TO ACT ON BEHALF OF THE ENTIRE BOARD. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED THROUGH THE JEWISH HOME'S COMPLIANCE PROGRAM. FORM 990, PART VI, SECTION B, LINE 15 15(A)- THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") COMPRISED OF INDEPENDENT DIRECTORS, DETERMINES THE TERM OF THE EXECUTIVE DIRECTOR'S EMPLOYMENT AND COMPENSATION PACKAGE. THE EXECUTIVE DIRECTOR SUBMITS TO THE ECC HIS PROPOSED EMPLOYMENT AND COMPENSATION PACKAGE. INDEPENDENT COMPARABLE DATA PROVIDES A MEASUREMENT OF THE PROPOSED COMPENSATION AND THE ECC DELIBERATION AND DECISION IS CONTEMPORANEOUSLY SUBSTANTIATED IN THE JEWISH HOME'S REBUTTABLE PRESUMPTION CHECKLIST OF COMPENSATION TO A DISQUALIFIED PERSON, AND THE COMMITTEE MINUTES. 15(B)- APPLICABLE TO EXECUTIVE DIRECTOR ONLY. FORM 990, PART VI, SECTION C, LINE 19 THE JEWISH HOME'S GOVERNING DOCUMENTS, POLICY STATEMENTS AND FINANCIAL STATEMENTS, AS WELL AS FORM 990, ARE AVAILABLE TO THE PUBLIC FOR INSPECTION BY APPOINTMENT DURING BUSINESS HOURS AT THE ORGANIZATION'S OFFICE AND COPIES ARE PROVIDED UPON WRITTEN REQUEST. FORM 990, PART IX, LINE 24E UTILITIES: PROGRAM SERVICE EXPENSES 297,983. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 297,983. OFFICE SUPPLIES & EXPENSE: PROGRAM SERVICE EXPENSES 164,496. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 164,496. MAINTENANCE SUPPLIES & EXPENSE: PROGRAM SERVICE EXPENSES 149,774. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 149,774. NURSING SERVICES: PROGRAM SERVICE EXPENSES 133,084. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 133,084. GENERAL INSURANCE: PROGRAM SERVICE EXPENSES 125,676. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,676. HOUSEKEEPING SUPPLIES & EXPENSE: PROGRAM SERVICE EXPENSES 118,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 118,400. INVESTMENT FEES: PROGRAM SERVICE EXPENSES 105,265. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,265. PAYROLL & HR PROCESSING: PROGRAM SERVICE EXPENSES 86,606. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,606. STRATEGIC PLANNING: PROGRAM SERVICE EXPENSES 77,196. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77,196. RESIDENT CARE DEVELOPMENT: PROGRAM SERVICE EXPENSES 73,077. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,077. KITCHEN SUPPLIES & EXPENSE: PROGRAM SERVICE EXPENSES 67,183. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,183. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 48,899. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,899. EMPLOYMENT & GENERAL ADVERTISING: PROGRAM SERVICE EXPENSES 27,350. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,350. OTHER ANCILLARY SERVICES: PROGRAM SERVICE EXPENSES 20,687. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,687. TELEPHONE: PROGRAM SERVICE EXPENSES 19,903. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,903. CONTINUING EDUCATION: PROGRAM SERVICE EXPENSES 15,741. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,741. RECREATION EXPENSE: PROGRAM SERVICE EXPENSES 10,356. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,356. GENERAL EXPENSES: PROGRAM SERVICE EXPENSES 8,377. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,377. FORM 90, PART XII, LINE 2C THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW, OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT ELAN GARDENS INC 465 VENARD ROAD CLARKS SUMMIT PA 18411 232812565 ASSISTED LIVING FACILITY FOR THE ELDERLY PA 501(C)3 SCHED A PART I-#9 JEWISH HOME OF EASTERN PENNSYLVANIA IS THE SOLE MEMBER 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ELAN GARDENS INC E 10000 CASH