2016-11-11T08:53:23-06:00 2015-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2015-01-01 113535388 L'REFUAH MEDICAL AND REHABILITATION CENTER INC LREF 7186867600 1312 38TH STREET BROOKLYN NY 11218 YISHAI HECHT EXECUTIVE DIRECTOR 7186867600 2016-11-10 1 AARON SHAPIRO P01333816 2128674000 2015 2017-02-10 21:41:12Z EZRA MEDICAL CENTER YISHAI HECHT 1312 38TH STREET BROOKLYN NY 11218 17101611 0 X WWW.EZRAMEDICAL.ORG X 2000 NY HEALTH CARE SERVICES 10 10 168 10 0 0 978416 1431493 14651398 15532920 -1860 -45615 47785 -30944 15675739 16887854 18000 36000 0 0 9797953 10705328 0 0 0 4251068 4804833 14067021 15546161 1608718 1341693 10492724 11514903 1338498 1018983 9154226 10495920 THE PROVISION OF HEALTH CARE SERVICES OF THE HIGHEST QUALITY, THE CONTINUING ADVANCMENT OF TOTAL FAMILY WELLNESS, AND THE ONGOING EDUCATION OF OUR PATIENTS AND OUR COMMUNITY. 0 0 12245423 36000 15532920 IN FULFILLMENT OF OUR MISSION TO PROVIDE HEALTH CARE SERVICES OF THE HIGHEST QUALITY, THE CONTINUING ADVANCEMENT OF TOTAL FAMILY WELLNESS, AND THE ONGOING EDUCATION OF OUR PATIENTS AND OUR COMMUNITY, 74,074 VISITS WERE PROVIDED IN 2015. 12245423 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 43 0 168 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X BASYA UNGAR 7186862011 1312 38TH STREET BROOKLYN NY 11218 HERMAN SILBERSTEIN CHAIRMAN 1.00 X X 0 0 0 BEREL GRAUS SECRETARY 1.00 X X 0 0 0 JOSHUA SILBERBERG TREASURER 1.00 X X 0 0 0 BELLA GROSSMAN BOARD MEMBER 1.00 X 0 0 0 YITTY GRUNWALD BOARD MEMBER 1.00 X 0 0 0 DAVID CHIMMEL BOARD MEMBER 1.00 X 0 0 0 AVROM PORGES BOARD MEMBER 1.00 X 0 0 0 GITEL KLEIN BOARD MEMBER 1.00 X 0 0 0 FAIGY ENGLANDER BOARD MEMBER 1.00 X 0 0 0 NURIT OZERI BOARD MEMBER 1.00 X 0 0 0 YISHAI HECHT EXECUTIVE DIRECTOR 37.00 X 201809 0 42332 BASYA UNGAR CHIEF FINANCIAL OFFICER 37.00 X 129561 0 39208 AVROHOM LICHTENSTEIN CHEIF OPERATING OFFICER 37.00 X 145406 0 35126 DR JEFFREY TEITELBAUM MEDICAL DIRECTOR 37.00 X 294339 0 42277 DR ISRAEL GOLDSTEIN PODIATRIST 37.00 X 289019 0 36585 DR ROBERT KADAR PEDIATRICIAN 37.00 X 242740 0 36870 DR MERAV KROLL PEDIATRIC DENTIST 37.00 X 257802 0 6325 DR ROBERT KRINSKY INTERNIST 37.00 X 193212 0 13883 1753888 0 252606 24 0 1 0 MLK CONSULTING INC 2131 62ND STREET BROOKLYN NY 11204 CONSTRUCTION 444700 GO ADVERTISE INC 1205 43RD STREET BROOKLYN NY 11219 PUBLIC INFORMATION 383775 BRIGHTSTACK 450 SEVENTH AVENUE NEW YORK NY 10123 IT SERVICES 175141 STATE COLLEGE OF OPTOMETRY PO BOX 5129 NEW YORK NY 10087 OPTOMETRY SERVICES 138488 INFINITY COMPUTER SYSTEMS 220 EAST 23RD STREET NEW YORK NY 10010 IT SERVICES 121045 6 1431493 211160 1431493 PATIENT SERVICES 621110 15405807 15405807 INDIGENT CARE POOL DISTRIBUTION 621110 127113 127113 15532920 4530 4530 38235 89585 -51350 -51350 -51350 74027 124172 -50145 -50145 -50145 20406 20406 20406 16887854 15532920 0 -76559 36000 36000 593443 126372 467071 8349724 7372035 977689 99737 88245 11492 1019728 922034 97694 642696 546291 96405 403375 403375 70086 70086 71214 71214 205304 204504 800 503169 79116 424053 476979 324487 152492 302932 224169 78763 784280 595785 188495 45129 615 44514 50297 50297 639929 486494 153435 200614 187751 12863 MEDICAL SUPPLIES 1051525 1051525 15546161 12245423 3300738 0 2020 2120 2712509 1931727 101236 246368 2312811 1929244 184901 315746 10514518 3424820 5179247 7089698 10492724 11514903 1338498 1018983 1338498 1018983 X 9154226 10495920 9154226 10495920 10492724 11514903 1341693 0 X X 0 1 X 1 1 1 X 150731 893579 964227 978416 1431493 4418446 4506572 11874726 13823514 14918887 15532920 60656619 4657303 12768305 14787741 15897303 16964413 65075065 0 0 0 65075065 3692 8843 10396 47785 20406 91122 4660995 12777148 14798137 15945088 16984819 65166187 0.99860 0.99860 0.00000 X PART III, LINE 12 MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1014000 1014000 2455758 62259 2393499 3021875 1221960 1799915 3357089 1680926 1676163 665796 459675 206121 7089698 X 16977439 0 16977439 -89585 -89585 16887854 15635745 89585 89585 15546160 0 15546160 PART X, LINE 2: THE CENTER HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2012 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -89,585. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 89,585. 1 CHESED 247 286 N MAIN STREET SUITE 210 SPRING VALLEY NY 10977 133475062 501(C)(3) 18000 GENERAL SUPPORT ROFEH CHOLIM CANCER SOCIETY 762 BEDFORD AVENUE BROOKLYN NY 11205 113355081 501(C)(3) 18000 GENERAL SUPPORT 2 0 PART I, LINE 2: IN ORDER TO SHOW THAT THE FUNDS WERE EXPENDED FOR THE PURPOSES WHICH WERE APPROVED BY THE BOARD OF DIRECTORS, THE GRANTEE ORGANIZATION SHALL BE OBLIGATED TO FURNISH EZRA MEDICAL CENTER WITH ITS BOOKS AND RECORDS, FOR REVIEW AND INSPECTION BY A REPRESENTATIVE(S) OF EZRA MEDICAL CENTER, AT ANYTIME AND FROM TIME TO TIME, UPON REASONABLE NOTICE TO THE GRANTEE ORGANIZATION. X X X X 0 0 0 0 0 0 0 1 0 YISHAI HECHT EXECUTIVE DIRECTOR 186059 0 14500 0 1250 0 12607 0 29725 0 244141 0 0 0 BASYA UNGAR CHIEF FINANCIAL OFFICER 126061 0 3500 0 0 0 8499 0 30709 0 168769 0 0 0 AVROHOM LICHTENSTEIN CHEIF OPERATING OFFICER 141906 0 3500 0 0 0 9157 0 25969 0 180532 0 0 0 DR JEFFREY TEITELBAUM MEDICAL DIRECTOR 288089 0 5000 0 1250 0 0 0 42277 0 336616 0 0 0 DR ISRAEL GOLDSTEIN PODIATRIST 267019 0 0 0 22000 0 0 0 36585 0 325604 0 0 0 DR ROBERT KADAR PEDIATRICIAN 241490 0 0 0 1250 0 2515 0 34355 0 279610 0 0 0 DR MERAV KROLL PEDIATRIC DENTIST 256552 0 0 0 1250 0 0 0 6325 0 264127 0 0 0 DR ROBERT KRINSKY INTERNIST 193212 0 0 0 0 0 0 0 13883 0 207095 0 0 0 PART I, LINE 7 THE BOARD OF DIRECTORS AWARDS BONUSES TO EMPLOYEES BASED ON SERVICE THROUGHOUT THE YEAR. X 1 211160 LETTER FROM GRANTOR 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11 THE EXECUTIVE DIRECTOR AND CFO REVIEW THE 990 AND THEN THEY FORWARD IT TO THE BOARD OF DIRECTORS AT THE NEXT BOARD MEETING FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C AS PER OUR CONFLICT OF INTEREST POLICY, WE HAVE OUR DIRECTORS AND OFFICERS COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ON AN ANNUAL BASIS WHICH DISCLOSES ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS AND AFFIRMS THAT THEY HAVE READ, UNDERSTAND, AND AGREE TO COMPLY WITH THE POLICY. ALL POSSIBLE CONFLICTS OF INTEREST ARE REPORTED TO THE BOARD OR THE FINANCE AND AUDIT COMMITTEE. THE INTERESTED PERSON IS EXCLUDED FROM ANY MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION RESULTING IN THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 IN 2015, THE BOARD HIRED AN INDEPENDENT CONSULTING COMPANY TO REVIEW THE SALARIES OF TOP OFFICIALS FOR APPROPRIATENESS. THE COMPENSATION COMMITTEE REVIEWED THE SALARIES OF OFFICERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART XII LINE 2C PROCESS HAS NOT CHANGED FROM PRIOR YEAR