2014-05-09T10:42:56-05:00 2013-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2012-10-01 060846991 JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INC JEWI 2033656400 175 JEFFERSON STREET FAIRFIELD CT 06432 ANDREW H BANOFF 2033749461 2014-05-06 1 MARY KAY CURTISS P01551484 8605614000 2012 2015-11-30 17:44:51Z ANDREW H BANOFF 175 JEFFERSON STREET FAIRFIELD CT 06825 51036968 0 X WWW.JHE.ORG X 1967 CT NON-PROFIT HEALTH CARE FACILITY PROVIDING REST HOME AND SKILLED NURSING CARE TO THE AGED AND INFIRM. 36 36 960 200 0 0 1834591 1897824 45818543 47984070 3304 4399 1205208 1150675 48861646 51036968 0 0 0 0 33253349 35072514 0 0 0 15156751 14301774 48410100 49374288 451546 1662680 39254956 46462464 11810916 12547682 27444040 33914782 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 35182076 41193345 SKILLED NURSING FACILITY: A MODERN 360 BED SKILLED NURSING FACILITY PROVIDING SHORT TERM POST ACUTE CARE, LONG TERM CARE, SPECIAL CARE FOR MEMORY, AND COGNITIVE DISORDERS. 2690375 3103604 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. 1014383 857403 ADULT DAY HEALTH SERVICES, ALSO KNOWN AS GRASMERE BY THE SEA, IS A MEDICAL MODEL ADULT DAY SERVICE PROVIDING SOCIAL, HEALTH AND REHABILIATION SERVICES TO MAXIMIZE THE INDEPENDENCE AND DIGNITY OF PARTICIPANTS. THESE SERVICES PROVIDE A RESPITE FOR FAMILY CAREGIVERS DURING DAY TIME HOURS. INDIVIDUAL PLANS OF CARE ADDRESS UNIQUE NEEDS OF THE CLIENT. LOCATED IN A BEAUTIFUL SECURE WATER FRONT SETTING, NURSING CARE, MEDICATION, PERSONAL CARE MANAGEMENT, MEALS AND SNACKS ARE PROVIDED. COUNSELING, SUPPORT GROUPS, REHABILITATIVE THERAPY AND THERAPEUTIC RECREATION ACTIVITIES ARE ALSO OFFERED. 4381419 2829718 INCLUDES THE INSTITUTE ON AGING GERIATRIC ASSESSMENT SERVICE, THE CENTER FOR ELDER ABUSE PREVENTION AND THE NEW MEDICARE CERTIFIED HOME CARE AGENCY. 4381419 2829718 43268253 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 1 0 0 1 960 1 0 0 0 0 0 0 0 0 1 0 0 0 X 36 36 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 175 JEFFERSON STREET FAIRFIELD CT 06825 WILLIAM SIMS 0.50 X X 0 0 0 JEFF RADLER 0.50 X X 0 0 0 JON ANGEL 0.50 X X 0 0 0 BUNNY KASPER 0.50 X X 0 0 0 RICHARD D BECKER 0.50 X 0 0 0 DIANE MANGANO-COHEN 0.50 X 0 0 0 CARL BENNETT 0.50 X 0 0 0 ELIOT BLACK 0.50 X 0 0 0 RUSSEL FUCHS 0.50 X 0 0 0 SANFORD BUCHSBAUM 0.50 X 0 0 0 MORRIS GLUCKSMAN 0.50 X 0 0 0 JOEL COLEMAN 0.50 X 0 0 0 ROY FRIEDMAN 0.50 X 0 0 0 RICHARD J DUBOW 0.50 X 0 0 0 LARRY MERRIAM 0.50 X 0 0 0 ROSLYN GOLDSTEIN 0.50 X 0 0 0 SUSAN GREENWALD 0.50 X 0 0 0 RICHARD S SECLOW 0.50 X 0 0 0 MARK A LAPINE 0.50 X 0 0 0 ALAN PHILLIPS 0.50 X 0 0 0 MICHAEL L MARCUS 0.50 X 0 0 0 BOB NEGELE 0.50 X 0 0 0 HON ALAN H NEVAS 0.50 X 0 0 0 JANET NEVAS 0.50 X 0 0 0 JEFFREY J SIEGEL 0.50 X 0 0 0 MICHAEL GUTHMAN 0.50 X 0 0 0 RENEE MANGER 0.50 X 0 0 0 LEONARD SREBNICK 0.50 X 0 0 0 JAMES SUGARMAN 0.50 X 0 0 0 MILTON SUTIN 0.50 X 0 0 0 JOHN VACCARO 0.50 X 0 0 0 KENNETH I WIRFEL 0.50 X 0 0 0 MARTIN F WOLF 0.50 X 0 0 0 SANDRA YOUNG 0.50 X 0 0 0 ANDREW H BANOFF 40.00 X X 489837 0 13829 MICHAEL DIVERS 40.00 X X 65392 0 12058 WILLIAM KOWALEWSKI 40.00 X 173759 0 936 ROGER SLIBY 40.00 X 169278 0 14783 MARGE NICOLIA 40.00 X 135998 0 12068 LINDA CISZKOWSKI 40.00 X 149115 0 644 STEPHANIE COFFEY 40.00 X 111858 0 0 DEBORAH WESLEY 40.00 X 147025 0 0 1442262 0 54318 7 0 1 0 PERKINS EASTMAN 115 FIFTH AVENUE NEW YORK NY 01003 ARCHITECTURAL SERVICES 788057 ONWARD HEALTHCARE INC PO BOX 27421 NEW YORK NY 10087 PHYSICAL THERAPY STAFFING 381619 FLAGSHIP NETWORKS PO BOX 523 STRATFORD CT 06615 NETWORK AND COMPUTER MANAGEMENT 208751 AMN HEALTHCARE PO BOX 281939 ATLANTA GA 30368 TRAVEL NURSING STAFFING 201512 CAPITAL PROJECTS CONSULTING 153 BROADWAY HAWTHORNE NY 10532 CONSTRUCTION MANAGEMENT 190418 5 1572481 23014 302329 1897824 NURSING HOME FEES 623000 41193345 41193345 COMPASSIONATE CARE 621610 3103604 3103604 ADULT DAY CARE 623000 857043 857043 RESIDENT WORK 623000 185317 185317 PHYSICIANS CARE 623000 19500 19500 2625261 2625261 47984070 4399 4399 181628 0 181628 181628 181628 CHILD CARE CENTER 900099 527029 527029 MISCELLANEOUS 900099 442018 442018 969047 51036968 47984070 0 1155074 1237697 828365 409332 26198176 23102195 3095981 1536908 1352479 184429 4092883 3601737 491146 2006850 1766028 240822 246582 123291 123291 85000 85000 30000 30000 1355815 1193117 162698 231040 203315 27725 656566 577778 78788 373874 329009 44865 2187258 1924787 262471 182861 160918 21943 131613 115819 15794 1580357 1390714 189643 339702 298938 40764 PATIENT SERVICES 2425834 2134734 291100 FOOD 2184348 1922226 262122 NURSING HOME TAX 1814238 1814238 BAD DEBTS 187951 187951 288735 210614 78121 49374288 43268253 6106035 0 2602902 3376643 4957484 5104222 92604 73654 27786 34342 44290577 30755236 12159731 13535341 19414449 24338262 39254956 46462464 4376466 4775492 4444053 4002831 2990397 3769359 11810916 12547682 X 10479182 13967722 1384996 6873265 15579862 13073795 27444040 33914782 39254956 46462464 X 1662680 4808062 X X 0 1 X 1 0 X 1695555 1564189 2379493 1834591 1897824 9371652 40404757 41995879 42828574 45818545 47984070 219031825 42100312 43560068 45208067 47653136 49881894 228403477 0 0 0 228403477 158418 153451 174590 186415 186027 858901 158418 153451 174590 186415 186027 858901 166522 983134 1076986 1022097 969047 4217786 42425252 44696653 46459643 48861648 51036968 233480164 0.97830 0.98150 0.00370 0.00350 X 0 0 0 0 0 0 1 0 1 30000 30000 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE JEWISH HOME ENGAGES A LOBBYIST TO MAINTAIN CONTACT WITH STATE LEGISLATION ON ISSUES AFFECTING THE HOME. 1131517 1131517 29198668 22320847 6877821 8673357 7035827 1637530 5287035 1398562 3888473 13535341 DUE FROM FOUNDATION 249626 RESIDENT FUNDS HELD IN TRUST 203584 CSV - LIFE INSURANCE AND ANNUITIES 745005 BENEFICIAL INTEREST IN NET ASSETS 23140047 24338262 DEFERRED REVENUE 1209260 DEFERRED COMPENSATION OBLIGATION 328455 FUNDS HELD FOR RESIDENTS 203584 ACCRUED PENSION COST 2028060 3769359 55657079 4620111 4620111 51036968 0 51036968 48488163 -698174 -698174 49186337 187951 187951 49374288 PART XI, LINE 2D - OTHER ADJUSTMENTS: INCREASE IN BENEFICIAL INTEREST IN NET ASSETS OF JHE, FOUNDATION, INC. 4,808,062. BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIAL STATEMENTS -187,951. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN PENSION LIABILITY -698,174. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIAL STATEMENTS 187,951. X X 0 0 0 0 0 0 0 0 0 ANDREW H BANOFF 338177 0 148000 0 3660 0 0 0 13829 0 503666 0 0 0 WILLIAM KOWALEWSKI 173759 0 0 0 0 0 0 0 936 0 174695 0 0 0 ROGER SLIBY 161278 0 8000 0 0 0 0 0 14783 0 184061 0 0 0 MICHAEL MARCUS DIRECTOR 42187 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 180508 ROY FRIEDMAN IS THE PRESIDENT OF STANDARD OIL WHICH PROVIDES HEATING OIL AND MAINTENANCE TO THE JEWISH HOME. 0 MARTIN WOLF DIRECTOR 10803 MARTIN WOLF IS COUNSEL AT COHEN & WOLF, WHICH PROVIDED LEGAL SERVICES TO THE JEWISH HOME. 0 JAMES SUGARMAN DIRECTOR 150118 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 67620 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 JON ANGEL AND RUSSELL BEITMAN ARE BROTHER-IN-LAWS. 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 HOMES DOES NOT MAKE ITS GOVERNING DOCUMENTS AND OTHER DOCUMENTS AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: INCREASE IN BENEFICIAL INTEREST IN NET ASSETS OF JHE FOUNDATION,INC. 4,808,062. THERE HAS BEEN NO CHANGES TO THE ORGANIZATION'S OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR WITH REGARDS TO THE INDEPENDENT ACCOUNTANT. JHE FOUNDATION INC 175 JEFFERSON STREET FAIRFIELD CT 06825 061349388 FUNDRAISING ACTIVITES TO SUPPORT JEWISH HOME FOR THE ELDERLY OF FFLD COUNTY CT 501(C)(3) 509(A)(2) 0 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 1 0 0 JHE FOUNDATION INC C 1787811 JHE FOUNDATION INC Q 425000