2015-05-15T09:38:34-07:00 2014-06-30 990 2013-07-01 340714360 MONTEFIORE HOME MONT 2163609080 One David N Myers Parkway Beachwood OH 441221101 Mark Weiss CFO 2169102640 2015-05-15 2013 2016-03-07 17:11:31Z Lauren Rock One David N Myers Parkway Beachwood OH 44122 28041113 0 X www.montefiorecare.org X 1882 OH Montefiore provides a comprehensive system of support services related to healthcare needs throughout the aging process. Guided by Jewish values, Montefiore is dedicated to a standard of excellence and personalized care, enabling individuals to live with dignity and security and as independently as they are able. 68 68 712 321 0 0 1682713 2891966 24923221 24294548 95798 175094 789845 679505 27491577 28041113 0 0 19552558 19304509 0 0 8913587 9295141 28466145 28599650 -974568 -558537 32627496 32348972 19286317 17452467 13341179 14896505 Montefiore provides a comprehensive system of support services related to healthcare needs throughout the aging process. Guided by Jewish values, Montefiore is dedicated to a standard of excellence and personalized care, enabling individuals to live with dignity and secrurity and as independently as they are able. 0 0 21940145 0 21070610 Nursing Home Care: The Montefiore Home provides nursing home care and therapy for the aged and ill. Montefiore strives to be recognized as the center of excellence for promotion of wellness treatment and care of illness, and attainment of the highest possible quality of life for the aging community. 1636875 0 1597213 Homecare: From skilled nursing to physical therapy, Montefiore's Homecare professionals provide first rate healthcare services. Montefiore delivers compassionate, individualized healthcare right to the community. Montefiore's homecare specialists work with a patient's schedule to meet all their healthcare needs. Our homecare nurses and therapists act as case managers, coordinating with the physician and medical team to implement an individualized care plans for each patient. 1728912 0 1626725 Hospice: Montefiore Hospice seeks to bring pain management and symptom control, as well as ultimate caring and compassion to those with a life-limiting illness, their caregivers, families and loved ones. We provide our signature care in the patient's own home, our inpatient unit or in other heathcare facilities. 0 0 0 25305932 1 1 0 1 0 0 0 0 1 1 1 1 0 1 1 1 1 1 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 0 0 0 0 1 78 0 712 1 0 0 0 0 0 0 0 0 0 0 X 68 68 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OH X Mark Weiss 2169102640 One David N Myers Parkway Beachwood OH 44122 Steven Willensky Board Chair 0 0 X X 0 0 0 Lawrence Mack Chair Elect 0 0 X X 0 0 0 Ira Goffman Vice Chair 0 0 X X 0 0 0 David Orlean Vice Chair 0 0 X X 0 0 0 Ben Sheridan Vice Chair 0 0 X X 0 0 0 June Taylor Secretary 0 0 X X 0 0 0 Margo Vinney Assistant Secretary 0 0 X X 0 0 0 Idelle Wolf Treasurer 0 0 X X 0 0 0 Bruce Cweiber Assistant Treasurer 0 0 X X 0 0 0 Andrew Hoffmann Immediate Past Chair 0 0 X X 0 0 0 Marilyn Weinberg Auxiliary President 0 0 X X 0 0 0 Sylvia Aarons Board Member 0 0 X 0 0 0 Janice Bilchik Board Member 0 0 X 0 0 0 Carol Clark Board Member 0 0 X 0 0 0 Brad Coven Board Member 0 0 X 0 0 0 Zeev Friedman Board Member 0 0 X 0 0 0 Suri Goldman Board Member 0 0 X 0 0 0 Daria Gordon Board Member 0 0 X 0 0 0 David Hexter Board Member 0 0 X 0 0 0 Evan Hirsch Board Member 0 0 X 0 0 0 Alan Jaffa Board Member 0 0 X 0 0 0 Jeffrey Korach Board Member 0 0 X 0 0 0 Robert Leb Board Member 0 0 X 0 0 0 Andrew Lefkowitz Board Member 0 0 X 0 0 0 Berinthia LeVine Board Member 0 0 X 0 0 0 Mark Melamud Board Member 0 0 X 0 0 0 Barry Miller Board Member 0 0 X 0 0 0 Jeffrey Muencz Board Member 0 0 X 0 0 0 Claire Nash Board Member 0 0 X 0 0 0 Laura Rocker Board Member 0 0 X 0 0 0 Susan Rubin Board Member 0 0 X 0 0 0 Bryan Schwartz Board Member 0 0 X 0 0 0 Faye Sholiton Board Member 0 0 X 0 0 0 Stephanie Silverman Board Member 0 0 X 0 0 0 Daniel Simon Board Member 0 0 X 0 0 0 Jeffrey Soclof Board Member 0 0 X 0 0 0 Rick Sonkin Board Member 0 0 X 0 0 0 Cathy Stamler Board Member 0 0 X 0 0 0 Bonnie Stein Board Member 0 0 X 0 0 0 Eric Wald Board Member 0 0 X 0 0 0 Joyce Wald Board Member 0 0 X 0 0 0 Stuart Weitzman Board Member 0 0 X 0 0 0 Judy Willensky Board Member 0 0 X 0 0 0 Daniel Zelman Board Member 0 0 X 0 0 0 Alvin Barkley Board Member 0 0 X 0 0 0 James Chessin Board Member 0 0 X 0 0 0 Audrey Frank Board Member 0 0 X 0 0 0 Donald Freedheim Board Member 0 0 X 0 0 0 Joel Garver Board Member 0 0 X 0 0 0 Lois Goodman Board Member 0 0 X 0 0 0 Harley Gross Board Member 0 0 X 0 0 0 Mary Ann Hexter Board Member 0 0 X 0 0 0 Robert Hexter Board Member 0 0 X 0 0 0 Susan Hurwitz Board Member 0 0 X 0 0 0 Leonard Kaplan Board Member 0 0 X 0 0 0 Robert Lustig Board Member 0 0 X 0 0 0 Hal Myers Board Member 0 0 X 0 0 0 Elmer Paull Board Member 0 0 X 0 0 0 Elaine Rocker Board Member 0 0 X 0 0 0 Dennis Roth Board Member 0 0 X 0 0 0 Alice Sayre Board Member 0 0 X 0 0 0 Donald Scherzer Board Member 0 0 X 0 0 0 Harvey Siegel Board Member 0 0 X 0 0 0 Naomi Singer Board Member 0 0 X 0 0 0 Lawrence Weiss Board Member 0 0 X 0 0 0 Sally Wertheim Board Member 0 0 X 0 0 0 Stanley Wertheim Board Member 0 0 X 0 0 0 Darrell Young Board Member 0 0 X 0 0 0 Lauren Rock President and CEO 55 0 X 323645 0 17986 Mark Weiss CFO & VP of Operations 55 0 X 228649 0 24236 Gina Prosser VP of Nursing 55 0 X 166525 0 18584 Carol Weiss VP of Human Resources 55 0 X 134395 0 16697 853214 0 77503 4 0 1 0 Talk of the Town Consulting LLC 3609 West Alexis Road Suite 214 Toledo OH 43623 Dietary Consulting Services 315123 Custom Healthcare Professionals 5001 Mayfield Road Suite 210 Lyndhurst OH 44143 Nursing Services 206920 Euclid Hospital 18901 Lakeshore Blvd Euclid OH 44119 Therapy Services 119848 3 0 0 0 0 0 2891966 0 2891966 Nursing Home 623000 21070610 21070610 0 0 Homecare 621610 1597213 1597213 0 0 Hospice 624190 1626725 1626725 0 0 0 0 0 0 24294548 55094 0 0 55094 0 0 0 0 0 0 0 0 0 0 0 120000 0 0 0 120000 120000 0 0 120000 0 Management Fees 623312 659183 0 0 659183 Beauty Shop Revenue 623990 8171 0 0 8171 12151 0 0 12151 679505 28041113 24294548 0 854599 0 0 0 0 0 0 0 0 640581 105022 535559 0 15171855 14090347 1081508 0 0 0 0 0 555658 498824 56834 0 1404645 1260989 143656 0 1531770 1375114 156656 0 145824 0 145824 0 155547 0 155547 0 66230 0 66230 0 0 0 0 0 0 0 0 0 0 0 1155884 1129462 26422 0 85168 18306 66862 0 63137 10920 52217 0 341404 34140 307264 0 0 0 0 0 620928 558836 62092 0 64273 64273 0 0 0 0 0 0 42812 16594 26218 0 122023 122023 0 0 0 0 0 0 1477447 1477447 0 0 250103 0 250103 0 Medical, Dietary, & Maintenance Supplies 2843833 2841157 2676 0 Bed, Property, & Sales Tax 1073557 1071589 1968 0 Administrative and Operating 574471 418389 156082 0 Bad Debt 212500 212500 0 0 28599650 25305932 3293718 0 1150 1625 2329488 804227 1200000 0 3178696 3858971 0 0 0 0 0 0 67085 60874 337064 162899 41934894 22325456 20075706 19609438 0 0 4806376 4778130 0 0 631931 3072808 32627496 32348972 2843220 2907847 0 0 2500 6500 10100000 9690000 44165 37247 0 0 0 0 0 0 6296432 4810873 19286317 17452467 X 11928180 14767751 1388599 104354 24400 24400 13341179 14896505 32627496 32348972 X -558537 660809 0 0 0 1453054 X 0 1 X 1 0 X 1670547 1346167 2552919 1682713 2891966 10144312 27476541 26548609 25320345 24923221 24082048 128350764 29147088 27894776 27873264 26605934 26974014 138495076 138495076 92681 70233 66631 95750 55094 380389 92681 70233 66631 95750 55094 380389 50280 294027 615426 789845 799505 2549083 29290049 28259036 28555321 27491529 27828613 141424548 0.97929 0.9829 0.00269 0.0032 X Schedule A, Part III, Line 12 Income derived from Management Fees $659,183, Sale of Bed Licenses $120,000, and Miscellaneous, Rebates and Refunds, $20,322. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 300 0 0 300 0 Schedule C, Part II-B, Line 1 Delegations from Montefiore which include the CEO & President, Key Employees, and/or specific Board Members meet with politicians on both the state and federal level. During these meetings, factors that have a direct impact on the future of Montefiore such as reimbursement dollars are discussed. Montefiore makes known to the politicians how these matters would impact Montefiore and the nursing home environment in general. 0 1 X 119825 0 12855 0 3363 563 128754 113679 0 8112 0 1966 0 119825 116773 1943 -2687 0 1874 476 113679 102110 4494 12039 0 1390 480 116773 97158 6000 1597 0 2260 385 102110 0.69 0.19 0.12 1 0 0 532827 532827 0 31727988 15196073 16531915 0 2209217 1181327 1027890 0 5979890 4841867 1138023 0 1484972 1106189 378783 19609438 0 0 Global Equity Funds 3153566 F Bonds 955626 F Comodity Funds 668938 F 4778130 Deferred Financing Fees 162733 Assets Held by Others 89237 Due From Affiliate 219045 Investments Under Bond Indenture 22106 Accounts Receivable - Other 27370 Construction In Progress 2552317 3072808 0 Accrued Pension Liability 4555160 Estimated Third Party Payables 255713 4810873 X 28489422 660809 0 0 -212500 448309 28041113 0 0 0 28041113 26934096 0 0 0 -1453054 -1453054 28387150 0 212500 212500 28599650 Schedule D, Part IV, Line 2b The Montefiore Home holds personal funds on behalf of the residents for use in the facility, on outings, or for paying a resident's personal bills. Once discharged, all remaining fund balances are refunded to the resident or appropriate individual. Schedule D, Part V, Line 4 The Endowment Fund is designated for use in the organization's various Hospice Program activities. Schedule D, Part X, Line 2 The Internal Revenue Service has ruled that the Home qualifies under Section 501(c)(3) of the Internal Revenue Code and is, therefore, not subject to tax under present Federal income tax laws. The Home follows generally accepted accounting principles (GAAP) for uncertainty in income taxes. The Home's income tax filings are subject to audit by various taxing authorities. The Home's open audit periods are for the years ended June 30, 2011 through current. In evaluating the Home's activities, the Home believes its position of tax exempt status is current based on current facts and circumstances. The Home has further assessed that there are no activities unrelated to the purpose of the Home and therefore no unrelated business income tax is to be recognized. It is the policy of the Home to include in operating expenses penalties and interest assessed by income taxing authorities. There are no material penalties or interest from taxing authorities included in operating expenses for the years ended June 30, 2014 and 2013. Schedule D, Part XI, Line 2d $212,500 - Bad Debt Expense netted with Revenue Schedule D, Part XII, Line 2d Decrease in unfunded pension liability $1,464,380 and expenses netted with revenue of $11,324. Schedule D, Part XII, Line 4b $212,500 - Bad Debt Expense X X X 0 1 0 0 0 0 0 0 0 Lauren Rock President and CEO 307125 0 16520 0 0 0 8994 0 8992 0 341631 0 0 0 Mark Weiss CFO & VP of Operations 227649 0 1000 0 0 0 6899 0 17337 0 252885 0 0 0 Gina Prosser VP of Nursing 164725 0 1800 0 0 0 4891 0 13693 0 185109 0 0 0 Carol Weiss VP of Human Resources 134395 0 0 0 0 0 4067 0 12630 0 151092 0 0 0 Schedule J, Part I, Line 3 Compensation is discussed by a compensation committee and CEO compensation is approved by the Board of Directors. A written contract detailing compensation exists. Schedule J, Part I, Line 4 Lauren Rock $11,300, Carol Weiss $4,134, Gina Prosser $1,400 A Colorado Educational and Cultural Authority 840896727 196458ZY2 2005-02-24 13000000 Expansion and Renovation 0 0 0 A 0 0 13000000 0 0 0 281017 0 0 13000000 0 0 2005 0 0 1 1 A 0 0 0 0 0 0 0 1 A 0 0 0 0 1 0 0 0 1 A 1 Form 990, Part VI, Section A, Line 2 Sally Wertheim and Stanley Wertheim, both Board Members, are husband and wife. Steven Willensky, Board Chair, and Judy Willensky, Board Member, are husband and wife. Eric Wald and Joyce Wald, both Board Members, are husband and wife. David Hexter, Board Member, is the son in law of Sally Wertheim and Stanley Wertheim, both Board Members. Robert Hexter and David Hexter are father and son. Form 990, Part VI, Section B, Line 11b The Form 990 is prepared by the organizations's accounting staff, reviewed by the CFO and reviewed by the organization's independent auditor. the complete and accurate 990 is presented to the Board for comments and/or corrections before filing. Form 990, Part VI, Section B, Line 12c On an annual basis, a conflict of interest questionnaire is sent out to be completed by each Board Member. During the year, if a conflict of interest arises, the matter would be discussed with the appropriate Board Member. Form 990, Part VI, Section B, Line 15 In 2007 an ad hoc committee was established to approve the hiring and compensation of the President and CEO of the organization. Lauren Rock was hired and remains in this capacity. On an annual basis, the Board Chair is responsible for the CEO's annual evaluation. At this time, recommendations can be made to the Board concerning compensation and bonuses. The CEO is responsible for the annual evaluation and compensation levels of other key employees. Form 990, Part VI, Section C, Line 19 Public documents, including the Form 990, are made available upon request. Form 990, Part XI, Line 9 $1,464,380represents a decrease in the unfunded pension liability. ($11,326) represents prior year revenue adjustment netted with expenses.