2013-11-11T09:49:29-06:00 2012-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2012-01-01 113538697 METROPOLITAN JEWISH HEALTH SYSTEM INC METR 7189217742 6323 7TH AVENUE BROOKLYN NY 11220 ALEX BALKO 7189217742 2013-10-30 1 FREDERICK H ROTHMAN P01275277 2128674000 2012 2016-02-24 21:20:13Z ALEX BALKO 6323 7TH AVENUE BROOKLYN NY 11220 56232788 0 X WWW.MJHS.ORG X 1995 NY TO SUPPORT THE DELIVERY OF HEALTH CARE SERVICES TO PATIENTS IN THE NEW YORK METROPOLITAN AREA. 21 19 610 19 0 0 58950640 56172953 0 0 16021 59835 1200000 0 60166661 56232788 236427 261451 0 0 34025298 35191472 0 0 0 21797703 20384091 56059428 55837014 4107233 395774 29134756 32472395 19991183 23183048 9143573 9289347 X SEE SCHEDULE OMJHS WAS ESTABLISHED TO OPERATE WITH VARIOUS INDEPENDENT ORGANIZATIONS THAT ARE DEVOTED TO THE PROVISION OF HEALTH CARE, HOUSING AND SERVICES TO THE ILL, THE IMPAIRED, THE DISABLED, THE ELDERLY AND CHILDREN INCLUDING, FOR SUCH PURPOSES, THE PROVISION OF ADVISORY SERVICES. MJHS WAS ESTABLISHED TO SUPPORT AND BENEFIT THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF HEALTH CARE ORGANIZATIONS THAT PROVIDE CARE AND SERVICES TO THE ELDERLY, THE ILL, THE IMPAIRED AND THE DISABLED THROUGH THE PROVISION OF SUPERVISORY, COORDINATING, AND ADMINISTRATIVE SERVICES TO SUCH ORGANIZATIONS. 0 0 547826 261451 MJHS WAS ESTABLISHED TO OPERATE WITH VARIOUS ORGANIZATIONS WITHIN THE SYSTEM THAT ARE DEVOTED TO THE PROVISION OF HEALTH CARE, HOUSING AND SERVICES TO THE ILL, THE IMPAIRED, THE DISABLED, THE ELDERLY AND CHILDREN INCLUDING, FOR SUCH PURPOSES, THE PROVISION OF ADVISORY SERVICES. MJHS WAS ESTABLISHED TO SUPPORT AND BENEFIT THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF HEALTH CARE ORGANIZATIONS THAT PROVIDE CARE AND SERVICES TO THE ELDERLY, THE ILL, THE IMPAIRED AND THE DISABLED THROUGH THE PROVISION OF SUPERVISORY, COORDINATING, AND ADMINISTRATIVE SERVICES TO SUCH ORGANIZATIONS. 547826 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 106 0 610 1 0 0 0 0 0 0 0 0 0 0 X 21 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X PEGGY GUNDERMAN 7189217742 6323 7TH AVE BROOKLYN NY 11220 ELI S FELDMAN 1.00 32.00 X X 82718 1218851 272061 RONALD B MILCH 0.50 3.50 X X 0 0 0 ARTHUR GOSHIN 0.50 2.00 X X 0 0 0 ELI GREENBERG 0.50 0.00 X X 0 0 0 DAVID WIENER 0.50 1.00 X X 0 0 0 STEVEN L TOPAL 0.50 3.00 X 0 0 0 SHMUEL LEFKOWITZ 0.50 3.00 X 0 0 0 JACOB FRIEDMAN 0.50 2.50 X 0 0 0 ISAAC ASSAEL 0.50 1.00 X 0 0 0 HOWARD GREENBERG 0.50 1.50 X 0 0 0 DIANE P POLLARD 0.50 0.50 X 0 0 0 TRACI ENTEL 0.50 0.00 X 0 0 0 PHILIP GELLER 0.50 1.00 X 0 0 0 PAUL FINKELSTEIN 0.50 2.00 X 0 0 0 PETER POST 0.50 X 0 0 0 IRVING DAYAN 0.50 1.00 X 0 0 0 ESTERE DUBOULAY 0.50 1.00 X 0 0 0 BURTON ESRIG 0.50 1.50 X 0 0 0 MAURICE KOLODIN 0.50 1.50 X 0 0 0 HILDA RAYAS 0.50 X 0 0 0 CLARA WILLIAMS 0.50 0.50 X 0 0 0 ROBERT LEAMER 1.00 32.00 X 27328 402668 129433 ALEX BALKO 1.00 32.00 X 45964 689145 171744 ELLIOT BROOKS 1.00 32.00 X 27631 400032 110646 SUSAN CAPUTO 1.00 30.00 X 78576 463247 194613 RONALD CHAFFIN 1.00 34.00 X 17457 584787 207898 LYDIA GALEON 1.00 34.00 X 11422 388360 28542 CAROL ALTIERI 1.00 34.00 X 10121 229392 43692 NANCY COHN 35.00 X 278432 0 30541 JEFFREY DAVIS 35.00 X 366592 0 48506 DIANE ASHLEY 35.00 X 311182 0 51006 STUART GELLER 35.00 X 278833 0 32224 SAIFUL KHAN 1.00 X 392315 0 41015 1928571 4376482 1361921 64 0 1 0 ID MEDIA PO BOX 7427-6588 PHILADELPHIA PA 191706588 MEDIA PLACEMENT 4384715 CGLIC PO BOX 644546 PITTSBURGH PA 152644546 ADMIN. FEE FOR EMPLOYEE HEALTH PROGRAM 1366158 BERNARD HODES GROUP 220 EAST 42ND STREET NEW YORK NY 10017 TEMP AGENCY 615861 CROTHALL SERVICES GROUP 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING SERVICES 563181 MERCY COLLEGE 555 BROADWAY DOBBS FERRY NY 10522 ON SITE ADVERTISING NURSING ED. 267477 19 297246 55875707 56172953 59835 59835 56232788 0 0 59835 200000 200000 61451 61451 182488 182488 24172037 137381 24034656 3356356 3356356 5968552 42690 5925862 1512039 1512039 301545 301545 54900 54900 2155421 2155421 6091723 6091723 3251967 8742 3243225 254096 254096 3867339 3867339 59765 59765 285785 285785 37890 37890 1282087 1282087 2574170 2574170 167403 97562 69841 55837014 547826 55289188 0 48900 82900 9560477 2232664 193573 608319 800000 653333 454452 943975 11457699 9830369 2153978 1627330 15923376 26323874 29134756 32472395 8319152 9621197 5000000 5000000 6672031 8561851 19991183 23183048 X 9000000 9149903 143573 139444 9143573 9289347 29134756 32472395 X 395774 -250000 X X 0 1 X 1 0 X 42733228 48095157 53065023 58950640 56172953 259017001 42733228 48095157 53065023 58950640 56172953 259017001 259017001 325681 11943 81055 16021 59835 494535 259511536 0.99810 0.99330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 26084 0 0 26084 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: EXPENDITURES ON INFLUENCING LEGISLATION RELATING TO MEDICAID AND MEDICARE CUTS. 677083 531236 145847 10780616 9299133 1481483 1627330 DUE FROM PARTICIPATING AGENCIES OF THE METROPOLITAN JEWISH HEALTH SYSTEM 17750206 SECURITY DEPOSITS 6500 INVESTMENT IN JACOB PERLOW HOSPICE CORPORATION 5500000 ASSETS HELD FOR SUPPLEMENTAL RETIREMENT PLAN 3067168 26323874 SUPPLEMENTARY RETIREMENT PLAN 5611196 DUE TO PARTICIPATING AGENCIES OF THE METROPOLITAN JEWISH HEALTH SYSTEM 2950655 8561851 X 56232788 0 56232788 0 56232788 55837014 0 55837014 0 55837014 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION ADOPTED THE PROVISION PERTAINING TO UNCERTAIN TAX POSITIONS AND 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. 1 MIDDLE EAST/NORTH AFRICA 0 0 GRANT TO RECIPIENT LOCATED IN THE REGION 61451 0 0 0 0 0 0 61451 0 61451 MIDDLE EAST/NORTH AFRICA IDENTIFY AND ASSIST IN THE DEVELOPMENT OF MEDICAL TECHNOLOGY 61451 WIRE 1 0 0 0 0 0 0 PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: SCHEDULE F, PART I, LINE 2: DETAILS OF GRANT REQUESTS ARE BROUGHT BEFORE THE BOARD AND VOTED UPON FOR APPROVAL. AFTER APPROVAL, PERIODIC REPORTS UPDATING THE BOARD ON THE PROJECTS IT HAS FUNDED ARE PROVIDED BY THE GRANTEES ON A SEMI-ANNUAL BASIS. 1 AGUDATH ISRAEL OF AMERICA 42 BROADWAY NEW YORK NY 10004 135604164 501(C)(3) 200000 CASH TO PROMOTE AND SUPPORT THE MJHS END OF LIFE PROGRAMS WHICH INCLUDE HOSPICE AND PALLIATIVE CARE 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: DETAILS OF GRANT REQUESTS ARE BROUGHT BEFORE THE BOARD AND VOTED UPON FOR APPROVAL. AFTER APPROVAL, PERIODIC REPORTS UPDATING THE BOARD ON THE PROJECTS IT HAS FUNDED ARE PROVIDED BY THE GRANTEES ON A SEMI-ANNUAL BASIS. X 0 0 X X X X X X 0 1 0 0 0 0 0 1 0 ELI S FELDMAN 63830 940532 0 0 18888 278319 14998 220985 2292 33786 100008 1473622 12256 180600 ROBERT LEAMER 23358 344175 700 10303 3270 48190 6286 92613 1940 28594 35554 523875 0 0 ALEX BALKO 40618 608985 1210 18139 4136 62021 8830 132379 1910 28625 56704 850149 0 0 ELLIOT BROOKS 23735 343614 705 10214 3191 46204 6363 92118 786 11379 34780 503529 0 0 SUSAN CAPUTO 69541 409979 2076 12240 6959 41028 23795 140283 4429 26106 106800 629636 0 0 RONALD CHAFFIN 15440 517224 461 15428 1556 52135 5141 172223 885 29649 23483 786659 0 0 LYDIA GALEON 8777 298421 2143 72857 502 17082 518 17607 298 10119 12238 416086 0 0 CAROL ALTIERI 8596 194833 845 19155 680 15404 643 14569 1203 27277 11967 271238 0 0 NANCY COHN 257099 0 0 0 21333 0 18125 0 12416 0 308973 0 0 0 JEFFREY DAVIS 344941 0 0 0 21651 0 18125 0 30381 0 415098 0 0 0 DIANE ASHLEY 292779 0 0 0 18403 0 18125 0 32881 0 362188 0 0 0 STUART GELLER 261031 0 0 0 17802 0 18125 0 14099 0 311057 0 0 0 SAIFUL KHAN 197556 0 180681 0 14078 0 14634 0 26381 0 433330 0 0 0 PART I, LINE 1A SENIOR EXECUTIVES SHALL BE REIMBURSED FOR BUSINESS/FIRST CLASS AIR TRAVEL FOR FLIGHTS OF FOUR AND ONE-HALF HOURS OR LONGER. THIS BENEFIT IS NONTAXABLE TO THE RECIPIENTS. PART I, LINE 4B PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: ALEXANDER BALKO - $17,782 ELLIOT BROOKS - $17,782 SUE CAPUTO - $17,782 RON CHAFFIN - $17,782 ROBERT LEAMER - $17,782 PART I, LINE 7 BONUS ELIGIBILITY IS BASED ON THE EXTENT THAT EACH EXECUTIVE AND EMPLOYEE HAS ACHIEVED HIS/HER GOAL. PAUL WIENER FAMILY MEMBER OF DIRECTOR DAVID WIENER 58888 EMPLOYMENT AS AN INFORMATION TECHNOLOGY NETWORK SPECIALIST. 0 FORM 990, PART VI, SECTION B, LINE 11 DRAFTS 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 12C EACH DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS MUST FILE AND MAINTAIN CURRENT THE MJHS DIRECTORS BIOGRAPHICAL INFORMATION FORM AND, ON AN ANNUAL BASIS, COMPLETE THE MJHS 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 MJHS 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 15 EACH YEAR, THE 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 18 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST TO THE OFFICE OF THE PRESIDENT. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST TO THE OFFICE OF THE PRESIDENT. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: INVESTMENT IN SAFEPATH BENEFITS, INC -250,000. FORM 990 PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR MJG NURSING HOME CO INC 6323 7TH AVENUE BROOKLYN NY 11220 237123076 NURSING HOME NY 501(C)(3) 3 N/A 0 MENORAH HOME AND HOSPITAL FOR THE AGED AND INFIRM 6323 7TH AVENUE BROOKLYN NY 11220 111672777 NURSING HOME, ADULT DAY CARE NY 501(C)(3) 3 METROPOLITAN JEWISH HEALTH SYSTEM INC 1 SHOREFRONT JEWISH GERIATRIC CENTER INC 6323 7TH AVENUE BROOKLYN NY 11220 113072153 NURSING HOME, ADULT DAY CARE NY 501(C)(3) 9 METROPOLITAN JEWISH HEALTH SYSTEM INC 1 METROPOLITAN JEWISH HOME CARE INC 6323 7TH AVENUE BROOKLYN NY 11220 320060822 HOME CARE, HOSPICE NY 501(C)(3) 9 METROPOLITAN JEWISH HEALTH SYSTEM INC 1 ELDERPLAN INC 6323 7TH AVENUE BROOKLYN NY 11220 112625096 MEDICARE ADVANTAGE SPECIAL NEEDS PLAN / MEDICAID MANAGED LONG TERM CARE PLAN NY 501(C)(3) 9 N/A 0 METROPOLITAN JEWISH HEALTH SYSTEM FOUNDATION 6323 7TH AVENUE BROOKLYN NY 11220 111630753 FUNDRAISING NY 501(C)(3) 8 N/A 0 MENORAH FOUNDATION INC 6323 7TH AVENUE BROOKLYN NY 11220 113471173 FUNDRAISING NY 501(C)(3) 11 TYPE I METROPOLITAN JEWISH HEALTH SYSTEM FOUNDATION 1 HOMEFIRST LHCSA INC 6323 7TH AVENUE BROOKLYN NY 11220 611501623 HOME CARE NY 501(C)(3) 11 TYPE I METROPOLITAN JEWISH HEALTH SYSTEM INC 1 SHOREFRONT TOWERS HOUSING DEVELOPMENT FUND CORPORATION 6323 7TH AVENUE BROOKLYN NY 11220 113200785 HOUSING NY 501(C)(3) 9 N/A 0 JACOB PERLOW HOSPICE CORPORATION 6323 7TH AVENUE BROOKLYN NY 11220 133438643 HOSPICE SERVICES NY 501(C)(3) 3 METROPOLITAN JEWISH HEALTH SYSTEM INC 1 MJHS MEDICAL ASSOCIATES PC 6323 7TH AVENUE BROOKLYN NY 11220 275273404 PROVIDING HEALTH CARE SERVICES FOR AFFILIATES OF MJHS NY 501(C)(3) 9 METROPOLITAN JEWISH HEALTH SYSTEM INC 1 SAFEPATH BENFITS INC 6323 7TH AVENUE BROOKLYN NY 11220 805040936 INSURANCE AGENCY NY METROPOLITAN JEWISH HEALTH SYSTEM INC C 1.00000 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0