LREFUAH MEDICAL & REHABILITATION CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: LREFUAH MEDICAL & REHABILITATION CENTER INC (EIN 11-3535388)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-09-03
IRS object ID: 201302469349300045
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-09-03T08:03:32-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	131517563	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LOEB & TROPER LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	655 THIRD AVENUE 12TH FLOOR	AddressLine1
City	NEW YORK	City
State	NY	State
ZIP Code	10017	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	113535388	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	LREFUAH MEDICAL AND REHABILITATION CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	LREF	NameControl
Phone	7186863786	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1312 38TH STREET	AddressLine1
City	BROOKLYN	City
State	NY	State
ZIP Code	11218	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	YISHAI HECHT	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	7186863786	Phone
Date Signed	2013-08-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	FREDERICK H ROTHMAN	Name
PTIN	P01275277	PTIN
Phone	2128674000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	EZRA MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	YISHAI HECHT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1312 38TH STREET	AddressLine1
City	BROOKLYN	City
State	NY	State
ZIP Code	11218	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	12777148	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.EZRAMEDICAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2000	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	PATIENT CARE SERVICES	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	125	TotalNbrEmployees
Total Nbr Volunteers	11	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	150731	ContributionsGrantsPriorYear
Contributions Grants Current Year	893579	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	4506572	ProgramServiceRevenuePriorYear
Program Service Revenue CY	11874726	ProgramServiceRevenueCY
Investment Income Prior Year	0	InvestmentIncomePriorYear
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3692	OtherRevenuePriorYear
Other Revenue Current Year	8843	OtherRevenueCurrentYear
Total Revenue Prior Year	4660995	TotalRevenuePriorYear
Total Revenue Current Year	12777148	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	18000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	32500	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2790760	SalariesEtcPriorYear
Salaries Etc Current Year	6926766	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1665989	OtherExpensePriorYear
Other Expenses Current Year	4235409	OtherExpensesCurrentYear
Total Expenses Prior Year	4474749	TotalExpensesPriorYear
Total Expenses Current Year	11194675	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	186246	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1582473	RevenuesLessExpensesCY
Total Assets BOY	4948225	TotalAssetsBOY
Total Assets EOY	6354704	TotalAssetsEOY
Total Liabilities BOY	1161029	TotalLiabilitiesBOY
Total Liabilities EOY	1039755	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3787196	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	5314949	NetAssetsOrFundBalancesEOY
Mission Description	THE PROVISION OF PATIENT CARE SERVICES OF THE HIGHEST QUALITY, THE CONTINUING ADVANCMENT OF TOTAL FAMILY WELLNESS, AND THE ONGOING EDUCATION OF OUR PATIENTS AND OUR COMMUNITY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	8408957	Expense
Grants	32500	Grants
Revenue	11874726	Revenue
Description	IN FULFILLMENT OF OUR MISSION TO PROVIDE PATIENT CARE SERVICES OF THE HIGHEST QUALITY, THE CONTINUING ADVANCEMENT OF TOTAL FAMILY WELLNESS, AND THE ONGOING EDUCATION OF OUR PATIENTS AND OUR COMMUNITY, 57,670 VISITS WERE PROVIDED IN 2012.	Description
Total Program Service Expense	8408957	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	32	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	125	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	BASYA UNGAR	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7186862011	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1312 38TH STREET	AddressLine1
City	BROOKLYN	City
State	NY	State
ZIP Code	11218	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
HERMAN SILBERSTEIN
PRESIDENT	1.00	X	X	0	0	0
NACHUM SANDERS
VICE PRESIDENT	1.00	X	X	0	0	0
BEREL GRAUSZ
SECRETARY	1.00	X	X	0	0	0
JOSHUA SILBERBERG
TREASURER	1.00	X	X	0	0	0
YITTY GRUNWALD
BOARD MEMBER	1.00	X		0	0	0
DAVID CHIMMEL
BOARD MEMBER	1.00	X		0	0	0
AVRAM PORGESZ
BOARD MEMBER	1.00	X		0	0	0
GITTEL KLEIN
BOARD MEMBER	1.00	X		0	0	0
SARA SPIRA
BOARD MEMBER	1.00	X		0	0	0
FAIGY ENGLANDER
BOARD MEMBER	1.00	X		0	0	0
BAILA GROSSMAN
BOARD MEMBER	1.00	X		0	0	0
YISHAI HECHT
EXECUTIVE DIRECTOR	37.00		X	165855	0	17194
BASYA UNGAR
CHIEF FINANCIAL OFFICER	37.00		X	102959	0	19407
AVROHOM LICHTENSTEIN
CHEIF OPERATING OFFICER	37.00		X	129480	0	10228
JEFFREY TEITELBAUM
MEDICAL DIRECTOR	37.00			289752	0	16499	X
DR KADAR
PEDIATRICIAN	37.00			175600	0	15829	X
MERAV KROLL
PEDIATRIC DENTIST	37.00			283393	0	5977	X
DR ABITBOL
DENTIST	37.00			194580	0	793	X
SANDRA PETTY
PEDIATRICIAN	37.00			149076	0	8112	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1490695	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	94039	TotalOtherCompensation
Number Individuals GT100 K	17	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
GO ADVERTISE
1205 43RD STREET	BROOKLYN	NY	11219	PUBLIC INFORMATION DISSEMINATION	139017
QSI
PO BOX 809390	CHICAGO	IL	60680	IT SUPPORT AND LISCENSING	134485
FILE SCAN SOLUTIONS
1425 37TH STREET SUITE 608	BROOKLYN	NY	11218	SCANNING	123321
STATE COLLEGE OF OPTOMETRY
PO BOX 5129	NEW YORK	NY	10087	OPTOMETRY SERVICES	118883
MEDICAL DOCTOR ASSOCIATES
PO BOX 277185	ATLANTA	GA	30384	MEDICAL DOCTOR	110550

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Government Grants	893579	GovernmentGrants
Noncash Contributions	175331	NoncashContributions
Total Contributions	893579	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES	621110	11420165	11420165
INDIGNET CARE POOL DISTRIBUTION	621110	254482	254482
MEANINGFUL USE INCENTIVE	621110	200079	200079

Field	Value	IRS element (for citing)
Total Program Service Revenue	11874726	TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER	Description
Business Code	900099	BusinessCode
Total Revenue Column	8843	TotalRevenueColumn
Exclusion	$8,843	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	8843	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12777148	TotalRevenueColumn
Related Or Exempt Function Income	11874726	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$8,843	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	32500	Total
Program Services	32500	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	447375	Total
Program Services	98276	ProgramServices
Management And General	349099	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	5590688	Total
Program Services	4922563	ProgramServices
Management And General	668125	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	34510	Total
Program Services	33288	ProgramServices
Management And General	1222	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	390142	Total
Program Services	355596	ProgramServices
Management And General	34546	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	464051	Total
Program Services	389803	ProgramServices
Management And General	74248	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	238959	Total
Management And General	238959	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	29654	Total
Management And General	29654	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	42811	Total
Management And General	42811	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	286878	Total
Program Services	286462	ProgramServices
Management And General	416	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	235016	Total
Program Services	7019	ProgramServices
Management And General	227997	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	540834	Total
Program Services	189020	ProgramServices
Management And General	351814	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	145840	Total
Management And General	145840	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	576093	Total
Program Services	445901	ProgramServices
Management And General	130192	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	24675	Total
Management And General	24675	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	29843	Total
Program Services	23253	ProgramServices
Management And General	6590	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	555079	Total
Program Services	424726	ProgramServices
Management And General	130353	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	374873	Total
Program Services	366910	ProgramServices
Management And General	7963	ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	833640	833640
BAD DEBTS	321214		321214

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	11194675	Total
Program Services	8408957	ProgramServices
Management And General	2785718	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	385168	BOY
EOY	595132	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	119552	BOY
EOY	128089	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1419933	BOY
EOY	2032327	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	131816	BOY
EOY	100591	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	5141059	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1642494	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2891756	BOY
EOY	3498565	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4948225	BOY
EOY	6354704	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	561029	BOY
EOY	669755	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	600000	BOY
EOY	370000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1161029	BOY
EOY	1039755	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3787196	BOY
EOY	5314949	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3787196	BOY
EOY	5314949	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4948225	BOY
EOY	6354704	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1582473	ReconcilationRevenueExpenses
Reconcilation Other Changes	-54720	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	220242	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	124152	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	228195	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	150731	CurrentTaxYearMinus1Year
Current Tax Year	893579	CurrentTaxYear
Total	1616899	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5106180	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7470406	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9287092	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4506572	CurrentTaxYearMinus1Year
Current Tax Year	11874726	CurrentTaxYear
Total	38244976	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5326422	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7594558	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9515287	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4657303	CurrentTaxYearMinus1Year
Current Tax Year	12768305	CurrentTaxYear
Total	39861875	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	39861875	PublicSupportTotal509

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4432	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	15837	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	10798	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3692	CurrentTaxYearMinus1Year
Current Tax Year	8843	CurrentTaxYear
Total	43602	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5330854	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7610395	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9526085	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4660995	CurrentTaxYearMinus1Year
Current Tax Year	12777148	CurrentTaxYear
Total	39905477	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99890	PublicSupportPercentage509
Prior Year Support Percentage	0.99880	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509
General Explanation	SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART III, SECTION A: THE AMOUNTS FOR 2011 REFLECT A SIX MONTH YEAR END PERIOD	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1971575	OtherCostOrOtherBasis
Depreciation	429730	Depreciation
Book Value	1541845	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1550871	OtherCostOrOtherBasis
Depreciation	712319	Depreciation
Book Value	838552	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1618613	OtherCostOrOtherBasis
Depreciation	500445	Depreciation
Book Value	1118168	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3498565	TotalOfBookValueLandBuildings
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	12401214	TotRevenueEtcAuditedFinclStmt
Other Revenues	-54720	OtherRevenues
Revenue Not Rptd F990	-54720	RevenueNotRptdF990
Revenue Subtotal	12455934	RevenueSubtotal
Other Revenues Not Included	321214	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	321214	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	12777148	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	10873461	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	10873461	ExpensesSubtotal
Other Expenses Not Included	321214	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	321214	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	11194675	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	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 JUNE 30, 2010 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		LOSS ON DISPOSAL OF ASSETS -54,720.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		BAD DEBT EXPENSE 321,214.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		BAD DEBT EXPENSE 321,214.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	LADIES BIKUR CHOLIM D'SATMAR	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	545 BEDFORD AVENUE	AddressLine1
City	BROOKLYN	City
State	NY	State
ZIP Code	11211	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	116081323	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	10000	AmountOfCashGrant
Purpose Of Grant	FINANCIAL ASSISTANCE TO FURTHER THE MISSION OF PROVIDING VITAL SERVICES TO NEEDY HOSPITAL PATIENTS.	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
YISHAI HECHT
EXECUTIVE DIRECTOR	154363	0	2500	0	8992	0	10605	0	6589	0	183049	0	0	0
JEFFREY TEITELBAUM
MEDICAL DIRECTOR	286752	0	3000	0	0	0	0	0	16499	0	306251	0	0	0
DR KADAR
PEDIATRICIAN	175600	0	0	0	0	0	1850	0	13979	0	191429	0	0	0
MERAV KROLL
PEDIATRIC DENTIST	283393	0	0	0	0	0	0	0	5977	0	289370	0	0	0
DR ABITBOL
DENTIST	194580	0	0	0	0	0	0	0	793	0	195373	0	0	0
SANDRA PETTY
PEDIATRICIAN	149076	0	0	0	0	0	1494	0	6618	0	157188	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 7	ReturnReference
Explanation	THE BOARD OF DIRECTORS AWARDS AN ANNUAL HOLIDAY BONUS TO EMPLOYEES BASED ON SERVICE THROUGHOUT THE YEAR.	Explanation

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	175331	NoncashContribsRptdF990
Method Of Determining Revenues	LETTER FROM VFC PROGRAM	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:	Identifier
Return Reference	PART I, COLUMN (B):	ReturnReference
Explanation	THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11	THE EXECUTIVE DIRECTOR AND CONTROLLER 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 2011, THE BOARD HIRED AN INDEPENDENT CONSULTING COMPANY TO REVIEW THE SALARIES OF TOP OFFICIALS FOR APPROPRIATENESS. IN 2011, THE COMPENSATION COMMITTEE REVIEWED THE SALARIES OF OFFICERS. THE NEXT INDEPENDENT STUDY WILL BE CONDUCTED IN 2013.
FORM 990, PART VI, SECTION C, LINE 19	THE 990'S ARE AVAILABLE FOR PUBLIC INSPECTION.
FORM 990, PART XI, LINE 9:	LOSS ON DISPOSAL OF ASSETS -54,720.	CHANGES IN NET ASSETS OR FUND BALANCES:
	PROCESS IS THE SAME AS PRIOR YEAR.