VP OF FINANCE

2013-10-29T11:14:04-05:00 2012-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2012-01-01 111694718 SEPHARDIC HOME FOR THE AGED INC SEPH 7182666100 2266 CROPSEY AVENUE BROOKLYN NY 11214 JAY MOSTEL VP OF FINANCE 7182666100 2013-10-28 1 FREDERICK H ROTHMAN P01275277 2128674000 2012 2016-03-07 17:11:31Z SEPHARDIC SKILLED NURSING AND REHABILITATION CENTER JAY MOSTEL 2266 CROPSEY AVENUE BROOKLYN NY 11214 35927217 0 X WWW.SEPHARDICHOME.ORG X 1949 NY TO OPERATE A 271-BED NURSING HOME IN BROOKLYN, NEW YORK 19 19 383 19 0 0 74386 488635 35958898 35138144 303619 201205 8839 87007 36345742 35914991 0 0 0 0 23604576 23331776 0 0 15066 11986548 12942940 35591124 36274716 754618 -359725 50403649 50078476 6328227 6362779 44075422 43715697 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 31223659 35218852 THE ORGANIZATION PROVIDED 95,508 DAYS OF CARE/REHABILITATIVE SERVICES IN ITS NURSING FACILITY AND 14,422 ADULT DAY HEALTH CARE VISITS IN 2012. 31223659 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 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 72 0 383 1 0 0 0 0 0 0 0 0 0 0 X 19 19 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 JAMES CASPI CHAIRMAN OF THE BOARD 1.00 X X 0 0 0 LAURIE KAMHI PRESIDENT 1.00 X X 0 0 0 LOUIS ROUSSO FIRST VICE 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 JOE HALIO SECRETARY 1.00 X 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 MICHAEL LOPEZ 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 MICHAEL NEW EXECUTIVE DIRECTOR 35.00 X 312581 0 71455 JAY MOSTEL VICE PRESIDENT OF FINANCE 35.00 X 206112 0 75541 NORMAN COHEN SENIOR VICE PRESIDENT 35.00 X 211055 0 62136 GERTRUDES DE GUZMAN DIRECTOR OF NURSING 35.00 X 140400 0 31513 NEIL SCHLISSEL DIRECTOR OF FINANCE 35.00 X 130292 0 30807 ARLENE KAKOULAS ASST. DIRECTOR OF NURSING 35.00 X 129744 0 22414 LINDA HUNTER VP OF HUMAN RESOURCE 35.00 X 135898 0 25344 PHYLLIS CHIN DIRECTOR OF QUALITY MANAGE 35.00 X 120000 0 13952 1386082 0 333162 12 0 1 0 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 60680 THERAPY SERVICES 1864878 PARK AVENUE MEDICAL ASSOCIATES PC 3 BARKER AVENUE WHITE PLAINS NY 10601 MEDICAL SERVICES 691332 TOWNE NURSING STAFF 129 SOUTH 8TH STREET BROOKLYN NY 11211 NURSING STAFFING 489189 ID MEDICAL-AEQUOR 501 5TH AVENUE NEW YORK NY 10017 NURSING STAFFING 389486 QUALITY HEALTHCARE 3512 QUENTIN ROAD BROOKLYN NY 11234 NURSING STAFFING 159082 10 488635 488635 MEDICAID/MEDICARE 623000 29254703 29254703 PRIVATE 623000 4151707 4151707 ADULT DAY CARE 623000 1731734 1731734 35138144 201205 201205 18525 12226 6299 6299 6299 80708 80708 80708 35914991 35218852 0 207504 938880 938880 15374235 13945029 1429206 1286775 1113832 172943 4435241 3842297 592944 1296645 1122376 174269 32011 32011 50175 50175 5226069 4737230 488839 61275 61275 786008 473210 297732 15066 710088 613009 97079 9508 3660 5848 27004 12361 14643 1496567 1295428 201139 309523 267923 41600 CASH RECEIPTS ASSESSMT. 1656850 1656850 FOOD COSTS 931762 820852 110910 PRESCRIPTION DRUGS 401120 401120 MEDICAL SUPPLIES 203595 203595 1041385 714887 326498 36274716 31223659 5035991 15066 3943997 4558 29490915 32558139 5145986 5602307 33943 33943 140827 239549 32254196 21360442 11003227 10893754 644754 746226 50403649 50078476 4986996 5028804 1341231 1333975 6328227 6362779 X 41494742 41133425 1000137 1001729 1580543 1580543 44075422 43715697 50403649 50078476 -359725 0 X X 0 1 X 1 0 X 217106 231769 100265 74386 488635 1112161 32915659 34019512 33511223 35958898 35138144 171543436 33132765 34251281 33611488 36033284 35626779 172655597 0 0 0 172655597 897967 434761 407747 327294 219730 2287499 897967 434761 407747 327294 219730 2287499 80708 80708 34030732 34686042 34019235 36360578 35927217 175023804 0.98650 0.98070 0.01310 0.01930 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3988 3988 0 EXPLANATION OF LOBBYING ACTIVITIES: 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 5923 5923 1580543 1580543 8024 8024 1580543 1580543 21761 21761 1580543 1580543 59959 59959 1580543 1580543 59959 59959 1580543 1.00000 0 0 506140 506140 17718464 11495565 6222899 13428434 9424737 4003697 601158 440140 161018 10893754 ESTIMATED AMOUNTS DUE TO THIRD PARTY PAYORS 791311 RESIDENT PERSONAL FUNDS 542664 1333975 X 35927217 12226 12226 35914991 0 35914991 36286942 12226 12226 36274716 0 36274716 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE INTENDED USE IS TO SUPPORT ACTIVITIES RELATED TO HEALTH CARE SERVICES - MEDICAL RESEARCH AND EDUCATION PROGRAMS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2009 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 12,226. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 12,226. X X X 0 0 0 0 0 0 0 0 0 MICHAEL NEW EXECUTIVE DIRECTOR 305806 0 0 0 6775 0 33000 0 38455 0 384036 0 0 0 JAY MOSTEL VICE PRESIDENT OF FINANCE 201270 0 0 0 4842 0 42500 0 33041 0 281653 0 0 0 NORMAN COHEN SENIOR VICE PRESIDENT 208190 0 0 0 2865 0 33500 0 28636 0 273191 0 0 0 GERTRUDES DE GUZMAN DIRECTOR OF NURSING 140400 0 0 0 0 0 9812 0 21701 0 171913 0 0 0 NEIL SCHLISSEL DIRECTOR OF FINANCE 130292 0 0 0 0 0 9106 0 21701 0 161099 0 0 0 ARLENE KAKOULAS ASST. DIRECTOR OF NURSING 129744 0 0 0 0 0 7020 0 15394 0 152158 0 0 0 LINDA HUNTER VP OF HUMAN RESOURCE 131326 0 0 0 4572 0 9185 0 16159 0 161242 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. AUDIT OVERSIGHT FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.