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40963352 39754166 8380801 663037 729864 58279093 58645895 2377462 2580211 16450000 15960000 572886 650598 732174 516052 20132522 19706861 X 37843795 38819738 302776 119296 38146571 38939034 58279093 58645895 656384 136079 0 X 0 1 X 1 0 X 595985 273561 221539 100674 303974 1495733 23842437 23928869 25104680 24774710 25416420 123067116 24438422 24202430 25326219 24875384 25720394 124562849 0 0 0 124562849 15702 72722 102052 82085 220516 493077 15702 72722 102052 82085 220516 493077 24454124 24275152 25428271 24957469 25940910 125055926 0.99610 0.99640 0.00390 0.00360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 1 X 6640000 6640000 51802806 18688640 33114166 39754166 INTEREST RATE SWAP 515379 DUE TO RELATED PARTIES 673 516052 X 26004230 136079 136079 25868151 0 25868151 25211767 0 25211767 0 25211767 PART III, LINE 4: WORKS OF ART ARE ON DISPLAY FOR RESIDENT ENJOYMENT PART IV, LINE 2B: THE ORGANIZATION IS THE CUSTODIAN FOR RESIDENT FUNDS AS WELL AS REFUNDABLE SECURITY DEPOSITS COLLECTED PART X, LINE 2: THE HOME ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE FINANCIAL STATEMENTS USING A RECOGNITION THRESHOLD OF MORE LIKELY THAN NOT AS TO WHETHER THE UNCERTAINTY WILL BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD. THE HOME'S FEDERAL EXEMPT ORGANIZATION RETURNS ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS PRIOR TO 2010. X X 0 0 0 0 0 0 0 0 0 SUNNI HERMAN EXECUTIVE VICE PRESIDENT 234120 0 0 0 0 0 0 0 36844 0 270964 0 0 0 CHARLES P BERKOWITZ PRESIDENT & CEO 0 372661 0 0 0 0 0 0 0 47786 0 420447 0 0 BRANDY STEFANCO CFO 0 205154 0 0 0 0 0 0 0 35975 0 241129 0 0 FORM 990, PART VI, SECTION A, LINE 2 ELEANOR EPSTEIN AND NANCY EPSTEIN, MOTHER AND DAUGHTER. WILLIAM LIPPMAN AND HOWARD LIPPMAN, FATHER AND SON. HOWARD BLATT PROVIDES SERVICES TO BOARD MEMBERS. IN ADDITION, CERTAIN BOARD MEMBERS OF THIS ORGANIZATION HAVE FAMILY RELATIONSHIPS WITH BOARD MEMBERS OF OTHER ORGANIZATIONS LISTED ON SCHEDULE R. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY AND HAS THE RIGHT TO RECEIVE ANY EXCESS FUNDS. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE GOVERNING BODY FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION DISTRIBUTES THE CONFLICT OF INTEREST FORMS ON AN ANNUAL BASIS AND REQUIRES ALL BOARD MEMBERS TO DISCLOSE ANY CONFLICTS OF INTEREST. IN ADDITION, THERE ARE BOARD DISCUSSIONS REGARDING CONFLICTS OF INTEREST AS NEEDED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION OBTAINS SALARY SURVEYS AND A SALARY STUDY IS CONDUCTED FOR THE PURPOSES OF COMPARING THE SALARIES THE ORGANIZATION PAYS ITS KEY EMPLOYEES WITH THE SALARIES FROM THOSE POSITIONS OF OTHER SIMILIAR ORGANIZATIONS FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE UPON REQUEST FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE REPORTED IN THE RELATED PARTY'S GALA DINNER JOURNAL AS WELL AS BEING POSTED ON DUN & BRADSTREET. FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY ARE ALSO AVAILABLE UPON REQUEST. JEWISH HOME ASSISTED LIVING 685 WESTWOOD AVENUE RIVER VALE NJ 07675 450501306 PROVIDE ASSISTED LIVING TO THE ELDERLY NJ 501(C)(3) 9 0 JEWISH HOME AND REHABILITATION CENTER 10 LINK DRIVE ROCKLEIGH NJ 076472504 221500528 CURRENTLY THE BENEFICIARY OF BEQUESTS WHICH BENEFITS THE AFFILIATES. NJ 501(C)(3) 3 0 JEWISH HOME FOUNDATION OF NORTH JERSEY INC 10 LINK DRIVE ROCKLEIGH NJ 076472504 521720580 SUPPORT VARIOUS PROGRAMS AT RELATED ORGANIZATIONS NJ 501(C)(3) 7 0 THE JEWISH HOME FAMILY INC 10 LINK DRIVE ROCKLEIGH NJ 076472504 260493240 OVERSEES THE ACTIVITIES, PERFORMANCE AND FINANCIAL HEALTH OF RELATED ORGANIZ NJ 501(C)(3) 11B, TYPE II 0 JEWISH HOME AT HOME 10 LINK DRIVE ROCKLEIGH NJ 076472504 271101121 PROVIDE SERVICES TO THE ELDERLY OR ASSIST THEM IN THEIR HOME ENVIRONMENT NJ 501(C)(3) 7 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 JEWISH HOME FAMILY M 901558 ACTUAL AMOUNT JEWISH HOME ASSISTED LIVING Q 296079 ACTUAL AMOUNT JEWISH HOME AT HOME Q 467977 ACTUAL AMOUNT