ELDERPLAN INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ELDERPLAN INC (EIN 11-2625096)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201303169349301585
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-11T09:39:55-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN131517563EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN112625096EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ELDERPLAN INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlELDENameControl
Phone7189217742Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16323 SEVENTH AVENUEAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11220ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameALEX BALKOName
TitleEXECUTIVE VP/COOTitle
Phone7189217742Phone
Date Signed2013-10-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFREDERICK H ROTHMANName
PTINP01275277PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALEX BALKONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16323 SEVENTH AVENUEAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11220ZIPCode
FieldValueIRS element (for citing)
Gross Receipts616870388GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MJHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionA MEDICARE MANAGED CARE AND MEDICAID MANAGED LONG TERM CARE PROGRAMActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees413TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year399877926ProgramServiceRevenuePriorYear
Program Service Revenue CY527051784ProgramServiceRevenueCY
Investment Income Prior Year1400409InvestmentIncomePriorYear
Investment Income Current Year1490983InvestmentIncomeCurrentYear
Other Revenue Prior Year2886OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year401281221TotalRevenuePriorYear
Total Revenue Current Year528542767TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4000000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year38131358SalariesEtcPriorYear
Salaries Etc Current Year40538604SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year370903515OtherExpensePriorYear
Other Expenses Current Year485940499OtherExpensesCurrentYear
Total Expenses Prior Year413034873TotalExpensesPriorYear
Total Expenses Current Year526479103TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-11753652RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2063664RevenuesLessExpensesCY
Total Assets BOY148020075TotalAssetsBOY
Total Assets EOY153912205TotalAssetsEOY
Total Liabilities BOY66153127TotalLiabilitiesBOY
Total Liabilities EOY69424271TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY81866948NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY84487934NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionELDERPLAN, A MEDICARE ADVANTAGE ORGANIZATION WITH A MEDICARE CONTRACT, SERVES OVER 15,000 SENIORS AND ADULTS WITH DISABILITIES IN THE BRONX, BROOKLYN, MANHATTAN, QUEENS AND STATEN ISLAND. A NOT-FOR-PROFIT ORGANIZATION, ELDERPLAN OFFERS A VARIETY OF HEALTH PLANS FOR MEDICARE AND MEDICAID BENEFICIARIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense451028030Expense
Revenue527051784Revenue
DescriptionELDERPLAN STARTED AS ONE OF THE FOUR ORIGINAL SOCIAL HEALTH MAINTENANCE ORGANIZATIONS (SHMOS) IN THE COUNTRY. NEARLY 30 YEARS LATER, ELDERPLAN, A MEDICARE ADVANTAGE ORGANIZATION WITH A MEDICARE CONTRACT, SERVES OVER 15,000 SENIORS AND ADULTS WITH DISABILITIES IN THE BRONX, BROOKLYN, QUEENS, MANHATTAN AND STATEN ISLAND. THEY OPERATE A MANAGED LONG-TERM CARE PLAN, WHICH PROVIDES SERVICES TO MEDICAID-ELIGIBLE NEW YORKERS, AGE 18 AND OLDER, WHO ARE QUALIFIED FOR A NURSING HOME LEVEL OF CARE ACCORDING TO NEW YORK STATE ASSESSMENT CRITERIA. ELDERPLAN OFFERS A VARIETY OF PLANS THAT ARE DESIGNED TO ADDRESS THE HEALTH CARE NEEDS OF SENIORS AND PEOPLE WITH DISABILITIES. AS A NOT-FOR-PROFIT ORGANIZATION, WE REINVEST EARNINGS TO BRING OUR MEMBERS IMPROVED BENEFITS AND SERVICES. AS A RESULT, EACH YEAR NEW PLANS ARE DEVELOPED TO BETTER SERVE THE NEEDS OF THIS COMMUNITY.Description
Total Program Service Expense451028030TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964707NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees413NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PEGGY GUNDERMANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7189217742TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16323 SEVENTH AVENUEAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11220ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ELI S FELDMAN
PRESIDENT, CEO, DIRECTOR15.5017.80XX641062619148263416
ARTHUR GOSHIN MD
DIRECTOR, CHAIRPERSON0.50XX000
RONALD B MILCH
DIRECTOR / SECRETARY / TRE0.50XX000
CLARA WILLIAMS
DIRECTOR0.50X000
HOWARD GREENBERG
DIRECTOR0.50X000
DIANE P POLLARD
DIRECTOR0.50X000
BURTON ESRIG
DIRECTOR0.50X000
HILDA RAYAS
DIRECTOR0.50X000
ROBERT LEAMER
ASST. SEC./ SR. VP GENERAL15.5017.80X211786204546125319
ALEX BALKO
EXECUTIVE VP/COO16.0017.30365420346708166374X
ELLIOT BROOKS
SENIOR VP, HUMAN RESOURCES6.5026.6082505331279107054X
RONALD CHAFFIN
PRESIDENT MANAGED CARE33.501.5058478717457207898X
VINCENT MARCHELLO
CHIEF MEDICAL DIRECTOR16.0019.0017553920884342691X
RANDALL KLEIN
EXEC VP MANAGED CARE35.00282411024657X
GERALD ANELLO
CONTROLLER35.00210196040563X
FRANCISCO POLANCO
DIRECTOR OF SALES35.00231422032114X
LYNDA MONTELLA
VP MANAGED CARE/CLINICAL M35.00246272024075X
KAYE MORROW
ASSOCIATE VP, NPO35.00246223044739X
FELICIA DYER-JOHNSON
ASSOCIATE VP PRODUCT MANAGMENT35.00214517038424X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3492140TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1727981TotalReportableCompFrmRltdOrgs
Total Other Compensation1117324TotalOtherCompensation
Number Individuals GT100 K39NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ENVISION PHARMACEUTICAL SERVICES
8921 CANYON FALLS BLVDTWINSBURGOH44087PHARMACEUTICAL32597521
SPECIAL TOUCH HOME CARE
2091 CONEY ISLANDBROOKLYNNY11223HOME HEALTH AGENCY29600181
BESTCARE INC
3000 HEMPSTEAD TURNPIKE PO BOX 9LEVITTOWNNY11756HOME HEALTH AGENCY24396858
COMMUNITY HOME CARE REFERRAL SERVICE
3920 13TH AVEBROOKLYNNY11218HOME HEALTH AGENCY16569284
METROPOLITAN JEWISH HOME CARE INC
440 9TH AVE 14NEW YORKNY10001HOME HEALTH AGENCY15675419
FieldValueIRS element (for citing)
Number Of Contractors GT100 K268NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAPITATION PAYMENTS524114518899561518899561
MEMBER SURPLUS INCOME52411441974514197451
RECRUITMENT AND RETENTION FUNDS52599033823013382301
REINSURANCE RECOVERY524298572471572471
FieldValueIRS element (for citing)
Total Program Service Revenue527051784TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column932856TotalRevenueColumn
Exclusion$932,856ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities88885748Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities88327621Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities558127Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column558127TotalRevenueColumn
Exclusion$558,127ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column528542767TotalRevenueColumn
Related Or Exempt Function Income527051784RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,490,983ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2915586Total
Management And General2915586ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total32091299Total
Management And General32091299ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total229048Total
Management And General229048ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3742982Total
Management And General3742982ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1559689Total
Management And General1559689ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total205186Total
Management And General205186ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total315079Total
Management And General315079ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total350582Total
Management And General350582ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total411552662Total
Program Services403062264ProgramServices
Management And General8490398ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total7648632Total
Management And General7648632ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total45246020Total
Program Services37950646ProgramServices
Management And General7295374ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2153883Total
Management And General2153883ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1089319Total
Management And General1089319ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total9027996Total
Program Services8920266ProgramServices
Management And General107730ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total277561Total
Management And General277561ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1687117Total
Management And General1687117ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total303103Total
Management And General303103ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
BAD DEBT EXPENSE45303034530303
STOP LOSS INSURANCE10948541094854

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total458202Total
Management And General458202ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total526479103Total
Program Services451028030ProgramServices
Management And General75451073ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1611780BOY
EOY1424357EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY22336264BOY
EOY26810907EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19795096BOY
EOY24391346EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY470541BOY
EOY109817EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12534413LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7760845LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5816833BOY
EOY4773568EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY87128362BOY
EOY88760698EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10861199BOY
EOY7641512EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY148020075BOY
EOY153912205EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY63371045BOY
EOY66124325EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY732093BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2049989BOY
EOY3299946EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY66153127BOY
EOY69424271EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY81866948BOY
EOY84487934EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY81866948BOY
EOY84487934EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY148020075BOY
EOY153912205EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2063664ReconcilationRevenueExpenses
Reconciliation Unrealized Invest557322ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years250343676CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years239006743CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years227569986CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year399877926CurrentTaxYearMinus1Year
Current Tax Year527051784CurrentTaxYear
Total1643850115Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years250343676CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years239006743CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years227569986CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year399877926CurrentTaxYearMinus1Year
Current Tax Year527051784CurrentTaxYear
Total1643850115Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5091643850115PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3727198CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2244888CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1411422CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1125780CurrentTaxYearMinus1Year
Current Tax Year932856CurrentTaxYear
Total9442144Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3727198CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2244888CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1411422CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1125780CurrentTaxYearMinus1Year
Current Tax Year932856CurrentTaxYear
Total9442144Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years197CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years323CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5040CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2886CurrentTaxYearMinus1Year
Total8446Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years254071071CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years241251954CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years228986448CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year401006592CurrentTaxYearMinus1Year
Current Tax Year527984640CurrentTaxYear
Total1653300705Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99430PublicSupportPercentage509
Prior Year Support Percentage0.99010PriorYearSupportPercentage
Investment Income Percentage0.00570InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00990PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOMEGeneralExplanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis321629OtherCostOrOtherBasis
Depreciation237801Depreciation
Book Value83828BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12212784OtherCostOrOtherBasis
Depreciation7523044Depreciation
Book Value4689740BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4773568TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO MEDICAID$1,989,850
UNCLAIMED DISBURSEMENTS$17,335
DUE TO PARTICIPATING AGENCIES OF THE METROPOLITAN JEWISH HEALTH SYSTEM$1,292,761
FieldValueIRS element (for citing)
Total Of Amounts3299946TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt528749507TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments557322NetUnrealizedGainsInvestments
Revenue Not Rptd F990557322RevenueNotRptdF990
Revenue Subtotal528192185RevenueSubtotal
Investment Expenses Not Included350582InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt350582RevenueNotRptdOnFinStmt
Total Revenue Per Form990528542767TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt526479103TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal526479103ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990526479103TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE COMPANY 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ELI S FELDMAN
PRESIDENT, CEO, DIRECTOR4946794777690014638314137911622811225517770171637750607485669498891741
ROBERT LEAMER
ASST. SEC./ SR. VP GENERAL1810211748335419523425346244794871047045150391452527553526611600
ALEX BALKO
EXECUTIVE VP/COO3229153063799618912632887312037019466600151791440145079342770900
ELLIOT BROOKS
SENIOR VP, HUMAN RESOURCES708692845572107845995293826318999762852347942310385141698700
RONALD CHAFFIN
PRESIDENT MANAGED CARE51722415440154284615213515561722235141296498857866592348300
VINCENT MARCHELLO
CHIEF MEDICAL DIRECTOR1684852012730070547570181250112331333320489722217600
RANDALL KLEIN
EXEC VP MANAGED CARE257454012907012050018125065320307068000
GERALD ANELLO
CONTROLLER20612200040740152170253460250759000
FRANCISCO POLANCO
DIRECTOR OF SALES11767201132360514086670234470263536000
LYNDA MONTELLA
VP MANAGED CARE/CLINICAL M207745020000018527015073090020270347000
KAYE MORROW
ASSOCIATE VP, NPO229390000168330170380277010290962000
FELICIA DYER-JOHNSON
ASSOCIATE VP PRODUCT MANAGMENT192925020394011980111430272810252941000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 3THE SALARIES FOR THE EXECUTIVES ARE DETERMINED BY METROPOLITAN JEWISH HEALTH SYSTEM, INC., A RELATED ORGANIZATION. THE METHODS UTILIZED INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANTS, REVIEW OF THE FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEYS OR STUDIES AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD.
PART I, LINE 4BPARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: ALEXANDER BALKO - $17,782 ELLIOT BROOKS - $17,782 RON CHAFFIN - $17,782 ROBERT LEAMER - $17,782
PART I, LINE 7BONUS ELIGIBILITY IS BASED ON THE EXTENT THAT EACH EXECUTIVE AND EMPLOYEE HAS ACHIEVED HIS/HER GOAL.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6ALL MEMBERS HAVE THE SAME VOTING RIGHTS. THE MEMBERS HAVE THE RIGHT TO ELECT THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7ADIRECTORS SHALL BE ELECTED BY THE MEMBERS OF THE ORGANIZATION. ALL MEMBERS HAVE THE SAME VOTING RIGHTS.
FORM 990, PART VI, SECTION B, LINE 11DRAFTS OF THE COMPLETED RETURNS ARE REVIEWED BY THE EXECUTIVE VP/CFO, SENIOR VP/GENERAL COUNSEL AND THEIR STAFF. ANY COMMENTS ARISING FROM THEIR REVIEW ARE DISCUSSED AND IF REQUIRED, CHANGES ARE MADE TO THE DRAFT. THAT DRAFT WILL BE SUBMITTED TO THE MJHS EXECUTIVE COMMITTEE FOR ITS REVIEW AND APPROVAL. ONCE THE COMMITTEE HAS COMPLETED ITS REVIEW COPIES OF THE RETURNS WILL BE PROVIDED TO ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS MUST FILE AND MAINTAIN CURRENT THE ORGANIZATION'S DIRECTORS BIOGRAPHICAL INFORMATION FORM AND, ON AN ANNUAL BASIS, COMPLETE THE ORGANIZATION'S DIRECTORS CONFLICT OF INTEREST STATEMENT AND ACKNOWLEDGEMENT WHICH ACKNOWLEDGES THAT EACH INDIVIDUAL HAS DISCLOSED ANY POTENTIAL CONFLICT OF INTEREST; RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; READ AND UNDERSTANDS THE CONFLICTS OF INTEREST POLICY; AND AGREED TO COMPLY WITH THE CONFLICTS OF INTEREST POLICY. THE SENIOR VICE PRESIDENT/GENERAL COUNSEL SUPERVISES THE DISTRIBUTION, COLLECTION AND REVIEW OF THE ANNUAL DIRECTORS CONFLICT OF INTEREST STATEMENT AND ACKNOWLEDGEMENT. FROM TIME TO TIME, DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES AND/OR COMMITTEE MEMBERS ARE REMINDED OF THEIR OBLIGATION TO DISCLOSE POTENTIAL OR ACTUAL CONFLICTS OF INTEREST WHEN AND IF THEY ARISE. PROCEDURES FOR MANAGING IDENTIFIED CONFLICTS: EACH DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE AND MEMBER OF A BOARD COMMITTEE IS REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST TO THE INDIVIDUAL CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. IN THE EVENT OF SUCH A DISCLOSURE, THE INTERESTED PARTY IS EXCUSED FROM THE MEETING AND THE BOARD/COMMITTEE DETERMINES WHETHER A CONFLICT EXISTS. IF THE BOARD/COMMITTEE DETERMINES THAT A CONFLICT EXISTS, THE CHAIRPERSON OF THE BOARD OR DESIGNEE (IF APPROPRIATE) WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE AND REPORT TO THE BOARD OF DIRECTORS ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. BASED ON THE INFORMATION FURNISHED BY THE DISINTERESTED PERSON OR COMMITTEE, THE BOARD OF DIRECTORS WILL MAKE A DETERMINATION OF WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR MORE REASONABLE ARRANGEMENTS FROM AN ENTITY OR PERSON THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST IS NOT REASONABLY ATTAINABLE UNDER THE CIRCUMSTANCES, THE BOARD OF DIRECTORS WILL DETERMINE, BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS, WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION. ALL OF THE ACTIONS STATED ABOVE SHALL BE REFLECTED IN THE BOARD/COMMITTEE MINUTES. IN THE EVENT THAT A DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE OR MEMBER OF A BOARD COMMITTEE FAILS TO DISCLOSE A POTENTIAL OR ACTUAL CONFLICT OF INTEREST, THE BOARD/COMMITTEE, AFTER AFFORDING THE INDIVIDUAL DUE PROCESS, SHALL DETERMINE WHETHER THE INDIVIDUAL VIOLATED THE CONFLICT OF INTEREST POLICY BY FAILING TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST AND, IN THE EVENT OF A DETERMINATION THAT A VIOLATION OCCURRED, TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.
FORM 990, PART VI, SECTION B, LINE 15METROPOLITAN JEWISH HEALTH SYSTEM, INC., A RELATED ORGANIZATION RETAINS THE SERVICES OF A MAJOR EXECUTIVE COMPENSATION FIRM TO REVIEW MARKET PAY PRACTICES AND AVERAGE SALARY MOVEMENT AMONG SIMILARLY SITUATED EXECUTIVES. THE EXECUTIVE COMPENSATION FIRM IS ASKED TO DEVELOP A COMPARATIVE BASE THAT IS AS CLOSE AS POSSIBLE TO OUR ORGANIZATION. DIFFERENT COMPARATIVE GROUPS ARE CONSIDERED FOR EACH POSITION, CEO AND SENIOR VP'S AS APPROPRIATE. THIS WAS LAST COMPLETED IN SEPTEMBER 2012. THIS MARKET ANALYSIS IS THEN REVIEWED BY THE COMPENSATION COMMITTEE IN DETERMINING SALARY ADJUSTMENTS FROM THE PERSPECTIVE OF MARKET COMPETITIVENESS AND PRIOR YEAR PERFORMANCE. PERFORMANCE IS BASED ON THE EXTENT THAT EACH EXECUTIVE HAS ACHIEVED HIS/HER GOALS. BONUS ELIGIBILITY IS DONE IN A SIMILAR MANNER. OTHER KEY EMPLOYEES ARE MANAGED IN SIMILAR MANNER THROUGH THE HUMAN RESOURCES DEPARTMENT UNDER THE DIRECTION OF THE SENIOR VICE PRESIDENT FOR HUMAN RESOURCES IN CONJUNCTION WITH THE CEO, USING LOCAL SURVEYS TO ENSURE MARKET COMPETITIVENESS.
FORM 990, PART VI, SECTION C, LINE 18THESE DOCUMENTS ARE AVAILABLE UPON REQUEST TO THE OFFICE OF THE PRESIDENT.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST TO THE OFFICE OF THE PRESIDENT.
FORM 990, PART IX, LINE 11GMEDICAL FEES: PROGRAM SERVICE EXPENSES 403,062,264. MANAGEMENT AND GENERAL EXPENSES 7,804,403. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 410,866,667. RECRUITING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 685,995. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 685,995.OTHER FEES
FORM 990 PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
METROPOLITAN JEWISH HEALTH SYSTEM INC
6323 7TH AVENUEBROOKLYNNY11220113538697ADMINISTRATIVE SERVICESNY501(C)(3)7N/A0
MJG NURSING HOME CO INC
6323 7TH AVENUEBROOKLYNNY11220237123076NURSING HOMENY501(C)(3)3N/A0
MENORAH HOME AND HOSPITAL FOR THE AGED AND INFIRM
6323 7TH AVENUEBROOKLYNNY11220111672777NURSING HOME, ADULT DAY CARENY501(C)(3)31METROPOLITAN JEWISH HEALTH SYSTEM INC
SHOREFRONT JEWISH GERIATRIC CENTER INC
6323 7TH AVENUEBROOKLYNNY11220113072153NURSING HOME, ADULT DAY CARENY501(C)(3)91METROPOLITAN JEWISH HEALTH SYSTEM INC
METROPOLITAN JEWISH HOME CARE INC
6323 7TH AVENUEBROOKLYNNY11220320060822HOME CARE, HOSPICENY501(C)(3)91METROPOLITAN JEWISH HEALTH SYSTEM INC
MENORAH FOUNDATION INC
6323 7TH AVENUEBROOKLYNNY11220113471173FUNDRAISINGNY501(C)(3)11 TYPE I1METROPOLITAN JEWISH HEALTH SYSTEM FOUNDATION
HOMEFIRST LHCSA INC
6323 7TH AVENUEBROOKLYNNY11220611501623HOME CARENY501(C)(3)11 TYPE I1METROPOLITAN JEWISH HEALTH SYSTEM INC
SHOREFRONT TOWERS HOUSING DEVELOPMENT FUND CORPORATION
6323 7TH AVENUEBROOKLYNNY11220113200785HOUSINGNY501(C)(3)9N/A0
METROPOLITAN JEWISH HEALTH SYSTEM FOUNDATION
6323 7TH AVENUEBROOKLYNNY11220111630753FUNDRAISINGNY501(C)(3)7N/A0
JACOB PERLOW HOSPICE CORPORATION
6323 7TH AVENUEBROOKLYNNY11220133438643HOSPICE SERVICESNY501(C)(3)31METROPOLITAN JEWISH HEALTH SYSTEM INC
MJHS MEDICAL ASSOCIATES PC
6323 7TH AVENUEBROOKLYNNY11220275273404PROVIDING HEALTH CARE SERVICES FOR AFFILIATES OF MJHSNY501(C)(3)91METROPOLITAN JEWISH HEALTH SYSTEM INC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.