2013-07-09T11:42:45-05:00 2012-12-31 223271712 MERCADIEN PC PO BOX 7648 PRINCETON NJ 085437648 990 2012-01-01 223466678 JEWISH HOME AT ROCKLEIGH JEWI 2017841414 10 LINK DRIVE ROCKLEIGH NJ 07647 SUNNI HERMAN 2017841414 2013-07-09 1 DAVID L STAFFORD CPA P00634128 6096899700 2012 2016-02-24 21:20:13Z SUNNI HERMAN 10 LINK DRIVE ROCKLEIGH NJ 07647 25005467 0 X WWW.JEWISHHOMEROCKLEIGH.ORG X 1996 NJ TO PROVIDE NURSING CARE TO THE ELDERLY 58 58 398 290 0 0 221539 148674 25104680 24774708 102052 82085 0 0 25428271 25005467 0 0 0 0 12993715 14623714 0 0 0 12008444 10121491 25002159 24745205 426112 260262 58365250 58279093 20478942 20132523 37886308 38146570 X WE MUST STRIVE TO BE PROACTIVE - TO BE AWARE OF, AND READY TO SERVE, THE NEEDS OF THE INCREASING NUMBERS OF OUR ELDERLY (GIVEN THE IMPROVEMENT OF LONGEVITY) WITH THE NEWEST METHODS AND PROGRAMS. WE MUST INSURE THE CONTINUITY AND VITALITY OF OUR SERVICES TO ALL IN THE MOST CARING AND PROFESSIONAL MANNER. 0 0 21860529 24774708 TO PROVIDE NURSING CARE TO THE ELDERLY REGARDLESS OF THEIR FINANCIAL STATUS. 21860529 1 1 0 0 0 0 0 1 1 0 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 1 0 0 0 0 0 1 0 0 0 1 67 0 0 398 1 0 0 0 0 0 0 0 0 0 0 X 58 58 1 0 1 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X BRANDY STEFANCO CFO 2017841414 10 LINK DRIVE ROCKLEIGH NJ 07647 LUCILLE AMSTER 1.50 X 0 0 0 RONNIE AROESTY 1.00 1.00 X 0 0 0 MARIE ADLER-KRAVECAS 1.00 X 0 0 0 GEORGE BEAN 1.00 1.00 X 0 0 0 DR RAFAEL LEVIN 1.00 X 0 0 0 ANGELICA BERRIE 1.00 2.00 X 0 0 0 SHELLI BETTMAN 1.00 X 0 0 0 HOWARD J BLATT 1.00 1.00 X X 0 0 0 MYRNA BLOCK 2.50 1.00 X X 0 0 0 BERNARD BOBER 1.00 2.00 X 0 0 0 JUDY COOK 1.00 X 0 0 0 MARVIN EISEMAN 1.00 1.00 X 0 0 0 CARL EPSTEIN 1.00 4.00 X 0 0 0 ELEANOR EPSTEIN 1.00 1.00 X 0 0 0 NANCY EPSTEIN 1.00 X 0 0 0 WARREN FELDMAN 1.00 X X 0 0 0 SETH FINKEL 1.00 X 0 0 0 SHARRY FRIEDBERG 1.00 X 0 0 0 GAYLE GERSTEIN 1.00 X X 0 0 0 DR SANDRA GOLD 1.00 2.00 X 0 0 0 PATRICIA S GOLDMAN 1.00 X 0 0 0 RICHARD GOLDSTEIN 1.00 X 0 0 0 DENNIS GRALLA 1.00 X 0 0 0 STEVEN MOREY GREENBERG ESQ 1.00 4.00 X X 0 0 0 DR IRWIN HIRSHBERG 1.00 X 0 0 0 EVA HOLZER 1.00 X 0 0 0 ROBIN JAFFIN 1.00 X 0 0 0 MAGGIE KAPLEN 1.00 3.00 X 0 0 0 DR HENRY KAUFMAN 1.00 X 0 0 0 ROSALEE KEECH 1.00 1.00 X 0 0 0 JOSEPH KLYDE 1.00 X X 0 0 0 BERNIE KOSTER 1.00 1.00 X 0 0 0 RICHARD KURTZ 1.00 X 0 0 0 DR NATE LEBOWITZ 1.00 X 0 0 0 RICHARD LEVENTHAL 1.00 X 0 0 0 BERNARD LEVERE 1.00 X 0 0 0 HOWARD LIPPMAN 1.00 1.00 X 0 0 0 WILLIAM LIPPMAN 1.00 2.00 X 0 0 0 LISA MACTAS 1.00 X 0 0 0 RITA MERENDINO 1.00 X 0 0 0 DR DEANE PENN 1.00 X 0 0 0 JOANN HASSAN PERLMAN 1.00 2.00 X X 0 0 0 JAYNE PETAK 1.00 1.00 X 0 0 0 DR IRVING PLUTZER 1.00 1.00 X 0 0 0 LINDA FARBER POST 1.00 X 0 0 0 GABE SCHLISSER 1.00 X 0 0 0 DR MORTON SCHNEIDER 1.00 X 0 0 0 PEARL SEIDEN 1.00 2.00 X 0 0 0 LEON SOKOL 1.00 1.00 X X 0 0 0 ELLEN SOKOLOFF 1.00 X 0 0 0 MICHAEL STERNLIEB 1.00 X X 0 0 0 NORBERT W STRAUSS 1.00 X 0 0 0 MARILYN TAUB 1.00 1.00 X 0 0 0 LOUIS TEKEL 1.00 X 0 0 0 SCOTT WEINSTEIN 1.00 X 0 0 0 BARRY WEIN 1.00 X 0 0 0 FRAN ZIEGELHEIM 1.00 X 0 0 0 CHARLES P BERKOWITZ 1.00 39.00 X 0 366970 47786 SUNNI HERMAN 40.00 X 221048 0 34241 ERICSON A RIGUERRA 40.00 X 120059 0 18873 341107 366970 100900 2 0 1 0 SELECT MEDICAL REHAB SV'S INC PO BOX 643920 PITTSBURGH PA 15264 REHAB SERVICES 1566721 XPEDX PO BOX 644520 PITTSBURGH PA 64520 PAPER GOODS AND SUPPLIES 680522 S BERTRAM PO BOX 4129 LINDEN NJ 07036 FOOD SERVICES 417127 PHARMSCRIPT LLC PO BOX 644520 PITTSBURGH PA 15264 PHARMACEUTICALS 362007 DISCOVER RX 615 MONTROSE AVE SOUTH PLAINFIELD NJ 07080 PHARMACEUTICALS 275003 5 148674 148674 ROOM AND BOARD 623000 23768588 23768588 REHABILITATION SERVICES 623000 635978 635978 OTHER INPATIENT REVENUE 623000 73737 73737 296405 296405 24774708 82085 82085 25005467 24774708 0 82085 255289 235507 19782 11228646 10358550 870096 270059 249132 20927 1966164 1813808 152356 903556 833540 70016 863712 863712 9057 9057 38253 38253 35150 35150 46161 46161 134421 124005 10416 1343553 1239442 104111 2386 2386 2409 2409 1583075 1460404 122671 144360 133174 11186 CONTRACTED SERVICES 1753174 1540537 212637 FOOD 1038831 1038831 MAINTENANCE, REPAIRS, E 951108 905726 45382 MEDICAL SUPPLIES 897602 897602 1278239 995121 283118 24745205 21860529 2884676 0 1125093 954105 11905354 12874948 449405 368258 1747334 2316935 137461 138458 58029200 17065848 42138677 40963352 861926 663037 58365250 58279093 2124048 2377463 16920000 16450000 735899 572886 698995 732174 20478942 20132523 X 37525783 37843794 360525 302776 37886308 38146570 58365250 58279093 260262 0 X 0 1 X 1 0 X 708362 595985 273561 221539 100674 1900121 22911883 23842437 23928869 25104680 24774710 120562579 23620245 24438422 24202430 25326219 24875384 122462700 0 0 0 122462700 175984 15702 72722 102052 82085 448545 175984 15702 72722 102052 82085 448545 23796229 24454124 24275152 25428271 24957469 122911245 0.99640 0.99470 0.00360 0.00530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 164500 X 0 0 1 X 6640000 6640000 51389200 17065848 34323352 40963352 INTEREST RATE SWAP 727224 DUE TO RELATED PARTIES 4950 732174 X 25005467 0 25005467 0 25005467 24745205 0 24745205 0 24745205 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 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 2009. 0 0 0 0 0 0 0 0 0 CHARLES P BERKOWITZ 0 366970 0 0 0 0 0 0 0 47786 0 414756 0 0 SUNNI HERMAN 221048 0 0 0 0 0 0 0 34241 0 255289 0 0 0 CHARLES BERKOWITZ THE INTERESTED PERSON HAS A SON OF A VENDOR OF THE ORGANIZATION 680522 THE ORGANIZATION RECEIVES PRODUCTS/SERVICES FROM THE COMPANY THE INTERESTED PERSON'S SON WORKS FOR. 0 HOWARD J BLATT THE INTERESTED PERSON IS AN OWNER OF A VENDOR OF THE ORGANIZATION 200450 THE ORGANIZATION RECEIVES PRODUCTS/SERVICES FROM THE COMPANY THE INTERESTED PERSON IS AN OWNER OF. 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. 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 4 JEWISH HOME FAMILY IS THE SOLE MEMBER OF THE ORGANIZATION. JEWISH HOME FAMILY FINANCE AND INVESTMENT COMMITTEE HAS THE AUTHORITY TO OVERSEE THE FINANCES OF THE ORGANIZATION ONCE THE ORGANIZATION APPROVES AND FILES RESOLUTIONS. 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 863712 ACTUAL AMOUNT JEWISH HOME ASSISTED LIVING Q 248802 ACTUAL AMOUNT JEWISH HOME AT HOME Q 369660 ACTUAL AMOUNT