2014-11-07T14:24:13-06:00 2013-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2013-01-01 111694718 SEPHARDIC HOME FOR THE AGED INC SEPH 7182666100 2266 CROPSEY AVENUE BROOKLYN NY 11214 JAY MOSTEL VP OF FINANCE 7182666100 2014-09-22 1 ISRAEL TANNENBAUM P01589203 2128674000 2013 2015-11-30 17:44:51Z SEPHARDIC SKILLED NURSING AND REHABILITATION CENTER JAY MOSTEL 2266 CROPSEY AVENUE BROOKLYN NY 11214 35563384 0 X WWW.SEPHARDICHOME.ORG X 1949 NY TO OPERATE A 271-BED NURSING HOME IN BROOKLYN, NEW YORK 17 17 309 19 0 0 488635 37811 35138144 35216388 201205 148037 87007 149878 35914991 35552114 0 0 0 0 23331776 23663139 0 0 16670 12942940 13121449 36274716 36784588 -359725 -1232474 50078476 48726665 6362779 6243442 43715697 42483223 TO PROVIDE THE ELDERLY WITH THE BEST QUALITY OF LIFE IN A RESPECTFUL, DIGNIFIED, SAFE AND COMPASSIONATE ENVIRONMENT IN ACCORDANCE WITH JEWISH TRADITION. 0 0 31596576 35366266 THE ORGANIZATION PROVIDED 95,508 DAYS OF CARE/REHABILITATIVE SERVICES IN ITS NURSING FACILITY AND 14,422 ADULT DAY HEALTH CARE VISITS IN 2013. 31596576 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 85 0 309 1 0 0 0 0 0 0 0 0 0 0 X 17 17 1 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 1 1 0 NY X JAY MOSTEL VP OF FINANCE 7182666100 2266 CROPSEY AVENUE BROOKLYN NY 11214 LAURIE KAMHI CHAIRMAN OF THE BOARD 1.00 X X 0 0 0 LOUIS ROUSSO PRESIDENT 1.00 X X 0 0 0 RAYMOND COHEN SECOND VICE PRESIDENT 1.00 X X 0 0 0 NEIL CRESPI TREASURER 1.00 X X 0 0 0 MICHAEL LOPEZ BOARD MEMBER 1.00 X 0 0 0 JAMES CASPI BOARD MEMBER 1.00 X 0 0 0 ALAN MATARASSO BOARD MEMBER 1.00 X 0 0 0 ALBERT MALEH BOARD MEMBER 1.00 X 0 0 0 CLIFTON RUSSO BOARD MEMBER 1.00 X 0 0 0 EDWARD ALCOSSER BOARD MEMBER 1.00 X 0 0 0 HENRY PERAHIA BOARD MEMBER 1.00 X 0 0 0 IRA ROUSSO BOARD MEMBER 1.00 X 0 0 0 JAMES KHANI BOARD MEMBER 1.00 X 0 0 0 JOEL WEIDMAN BOARD MEMBER 1.00 X 0 0 0 MARC TENZER BOARD MEMBER 1.00 X 0 0 0 REGINALD MATSIL BOARD MEMBER 1.00 X 0 0 0 ROBERT COHEN BOARD MEMBER 1.00 X 0 0 0 VICTOR HAZEN BOARD MEMBER 1.00 X 0 0 0 JOE HALIO SECRETARY 1.00 X 0 0 0 ARTHUR NEW EXECUTIVE DIRECTOR 35.00 X 321561 0 58572 JAY MOSTEL VICE PRESIDENT OF FINANCE 35.00 X 211500 0 63429 NORMAN COHEN SENIOR VICE PRESIDENT 35.00 X 218650 0 55208 GERTRUDES DE GUZMAN DIRECTOR OF NURSING 35.00 X 145800 0 33068 NEIL SCHLISSEL DIRECTOR OF FINANCE 35.00 X 140072 0 32352 ARLENE KAKOULAS ASST. DIRECTOR OF FINANCE 35.00 X 132244 0 22512 LINDA HUNTER VP OF HUMAN RESOURCES 35.00 X 141051 0 26520 KENNY CHEN NURSE PRACTITIONER 35.00 X 149423 0 19938 1460301 0 311599 13 0 1 0 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 60680 THERAPY SERVICES 1067563 PARK AVENUE MEDICAL ASSOCIATES PC 3 BARKER AVENUE WHITE PLAINS NY 10601 MEDICAL SERVICES 518499 TOWNE NURSING STAFF 129 SOUTH 8TH STREET BROOKLYN NY 11211 NURSING STAFFING 466416 THERADYNAMICS PHYSICAL REHAB PC 225 CROSSWAYS PARK DRIVE WOODBURY NY 11797 THERAPY SERVICES 460362 AHS STAFFING INC 377 HOES LANE SUITE 200 PISCATAWAY NJ 08854 NURSING STAFFING 280902 13 37811 37811 MEDICAID/MEDICARE 623000 29449832 29449832 PRIVATE 623000 3901020 3901020 ADULT DAY CARE 623000 1865536 1865536 35216388 148037 148037 11270 11270 0 MISCELLANEOUS 900099 149878 149878 149878 35552114 35366266 0 148037 X 924329 924329 15606195 14776729 829466 1547841 1258959 288882 4281974 3954127 327847 1302800 1172520 130280 4502 4502 50000 50000 2990 2990 5252138 4851098 401040 14922 14922 1650089 1173838 459581 16670 315295 315295 677467 628737 48730 75126 75126 1361371 394181 967190 329615 329615 CASH RECEIPTS ASSESSMT. 1617036 1617036 FOOD COSTS 1149390 1149390 PRESCRIPTION DRUGS 404681 404681 MEDICAL SUPPLIES 191955 191955 24872 23325 1547 36784588 31596576 5171342 16670 4558 4558 32558139 32376533 5602307 5593162 33943 33943 239549 46401 32671806 22721813 10893754 9949993 746226 722075 50078476 48726665 5028804 5033004 1333975 1210438 6362779 6243442 X 41133425 40899859 1001729 1002821 1580543 580543 43715697 42483223 50078476 48726665 -1232474 0 X X 0 1 X 1 0 X 231769 100265 74386 488635 37811 932866 34019512 33511223 35958898 35138144 35216388 173844165 34251281 33611488 36033284 35626779 35254199 174777031 0 0 0 174777031 434761 407747 327294 219730 159307 1548839 434761 407747 327294 219730 159307 1548839 80708 149878 230586 34686042 34019235 36360578 35927217 35563384 176556456 0.98990 0.98650 0.00880 0.01310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2990 2990 0 PART II-B, LINE 1: THE ORGANIZATION HOLDS MEMBERSHIP IN LEADING AGE AND CCLC ORGANIZATIONS AND HAS ENGAGED IN LOBBYING ACTIVITIES CARRIED ON BY THOSE ORGANIZATIONS. 1580543 6934 1000000 6934 580543 1580543 5923 5923 1580543 1580543 8024 8024 1580543 1580543 21761 21761 1580543 1580543 59959 59959 1580543 1.00000 0 0 506140 506140 17768846 12055333 5713513 13796655 10204208 3592447 600165 462272 137893 9949993 ESTIMATED AMOUNTS DUE TO THIRD PARTY PAYORS 735857 RESIDENT PERSONAL FUNDS 474581 1210438 X 35563384 11270 11270 35552114 0 35552114 36795858 11270 11270 36784588 0 36784588 PART V, LINE 4: THE INTENDED USE IS TO SUPPORT ACTIVITIES RELATED TO HEALTH CARE SERVICES - MEDICAL RESEARCH AND EDUCATION PROGRAMS. PART X, LINE 2: THE HOME HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2010 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 11,270. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 11,270. X X X 0 0 0 0 0 0 0 0 0 ARTHUR NEW EXECUTIVE DIRECTOR 321561 0 0 0 0 0 33500 0 25072 0 380133 0 0 0 JAY MOSTEL VICE PRESIDENT OF FINANCE 211500 0 0 0 0 0 43500 0 19929 0 274929 0 0 0 NORMAN COHEN SENIOR VICE PRESIDENT 218650 0 0 0 0 0 34500 0 20708 0 273858 0 0 0 GERTRUDES DE GUZMAN DIRECTOR OF NURSING 145800 0 0 0 0 0 10596 0 22472 0 178868 0 0 0 NEIL SCHLISSEL DIRECTOR OF FINANCE 140072 0 0 0 0 0 10180 0 22172 0 172424 0 0 0 ARLENE KAKOULAS ASST. DIRECTOR OF FINANCE 132244 0 0 0 0 0 7155 0 15357 0 154756 0 0 0 LINDA HUNTER VP OF HUMAN RESOURCES 141051 0 0 0 0 0 10049 0 16471 0 167571 0 0 0 KENNY CHEN NURSE PRACTITIONER 149423 0 0 0 0 0 0 0 19938 0 169361 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 LOUIS ROUSSO AND IRA ROUSSO HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. THE BOARD OF DIRECTORS REVIEWS THE FORM 990 AND APPROVES IT FOR SUBMISSION. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE SALARIES AND BENEFITS ARE SUBJECT TO APPROVAL BY THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE. IN 2009 THE EXECUTIVE COMPENSATION COMMITTEE GATHERED COMPARATIVE SALARY AND BENEFITS INFORMATION FROM AN INDEPENDENT SOURCE AS PART OF ITS REVIEW AND APPROVAL OF EXECUTIVE COMPENSATION. THE LAST SALARY REVIEW WAS DONE IN 2011. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G NURSING- CONTRACT SERVICE: PROGRAM SERVICE EXPENSES 1,425,164. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,425,164. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 915,216. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 915,216. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 801,751. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 801,751. RECREATIONAL THERAPY: PROGRAM SERVICE EXPENSES 58,057. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,057. ALZHEIMER'S UNIT: PROGRAM SERVICE EXPENSES 22,715. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,715. DENTAL: PROGRAM SERVICE EXPENSES 33,968. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,968. SPEECH AND HEARING: PROGRAM SERVICE EXPENSES 132,942. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 132,942. SOCIAL SERVICE: PROGRAM SERVICE EXPENSES 21,722. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,722. GENERAL MEDICAL CARE: PROGRAM SERVICE EXPENSES 691,332. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 691,332. ANCILLARY SERVICES: PROGRAM SERVICE EXPENSES 146,660. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 146,660. ADULT DAY CARE: PROGRAM SERVICE EXPENSES 372,201. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 372,201. PROTECTIVE SERVICES: PROGRAM SERVICE EXPENSES 229,370. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 229,370. HUMAN RESOURCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 74,797. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,797. BORAD OF DIRECTORS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 326,243. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 326,243. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.