2012-05-10T15:43:13-05:00 2011-12-31 232385520 ROBERT ROSSI & CO 299 MAIN ST - 2ND FLOOR OLYPHANT PA 184472326 990 2011-01-01 240798701 JEWISH HOME OF EASTERN PENNSYLVANIA JEWI 5703446177 1101 VINE STREET SCRANTON PA 18510 SAMUEL K SANDHAUS 5703446177 2012-05-10 1 JOSEPH ROSSI CPA P01217405 5708762300 2012-05-08 2011 2016-02-24 21:20:13Z RABBI SAMUEL K SANDHAUS 1101 VINE STREET SCRANTON PA 18510 22671710 0 X HTTP://JHEP.ORG X 1916 PA PROVIDING SKILLED NURSING CARE FOR THE ELDERLY 103 103 305 0 0 0 346427 322012 13695056 14473685 552057 1307708 27969 27113 14621509 16130518 0 0 0 0 8070471 8961932 0 0 0 5969401 6187311 14039872 15149243 581637 981275 24155102 25107346 3648083 3619052 20507019 21488294 TO PROVIDE SKILLED NURSING CARE FOR THE ELDERLY 0 0 15149243 14473685 THE "HOME" PROVIDES SKILLED NURSING CARE TO THE ELDERLY ALONG WITH LODGING, MEDICAL & SOCIAL SERVICES TO RESIDENTS IN ITS 173-BED FACILITY. 15149243 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 10 0 0 305 1 0 0 0 0 0 0 0 0 0 0 0 0 X 103 103 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 PA X SUSAN NOREK 5703446177 1101 VINE STREET SCRANTON PA 18510 X SAMUEL K SANDHAUS 40.00 X 467905 0 29402 STEVEN SEITCHIK X 0 0 0 ALAN GLASSMAN X 0 0 0 MARSHALL KORNBLATT X 0 0 0 DR DAVID S WAGNER X 0 0 0 JOHNATHON SIMON X 0 0 0 JAMES ALPERIN X 0 0 0 ROBERTA NOVICK X 0 0 0 RICHARD BISHOP ESQ X 0 0 0 MRS MARYLYN PREVEN X 0 0 0 MRS BERNADINE KAPLAN X 0 0 0 EDWARD NOVICK X 0 0 0 LOUIS KAHANOWITZ X 0 0 0 JERRY WEINBERGER ESQ X 0 0 0 MARY ROSE APPLEGATE 40.00 X 107228 0 15731 575133 0 45133 2 0 1 0 GENESIS REHABILITATION SERVICE PO BOX 7247-6524 PHILADELPHIA PA 19170 THERAPY SERVICES 969181 CHRISTOPHER S LUCAS & ASSOCIATES 2917 GLENWOOD ROAD CAMP HILL PA 17011 LEGAL 295315 NURSEFINDERS PO BOX 910738 DALLAS TX 75391 NURSE STAFFING 118312 3 111554 210458 322012 MEDICARE/MEDICAID PAYM 623000 12146096 12146096 RESIDENT LODGING 623000 2006344 2006344 NURSING FACILITY ASSES 623000 321245 321245 14473685 513615 513615 7335285 6541192 794093 794093 794093 PERSONAL SERVICES 623000 27113 27113 27113 16130518 14473685 0 1334821 X 858960 858960 7469674 7469674 633298 633298 323257 323257 48725 48725 24288 24288 15142 15142 99157 99157 505435 505435 GROUP INSURANCE & EMPLO 1506421 1506421 THERAPY SERVICES 899809 899809 FOOD AND BEVERAGE 574636 574636 MEDICAL SUPPLIES 565878 565878 1624563 1624563 15149243 15149243 0 0 41547 112661 979633 1352417 1726523 1858944 376534 370584 78726 80568 13786917 7695685 6142757 6091232 13873738 14380851 706290 675500 229354 184589 24155102 25107346 1019821 1260104 2628262 2346528 0 12420 3648083 3619052 X 9949547 10318260 10538467 11151673 19005 18361 20507019 21488294 24155102 25107346 981275 0 X X 0 1 1 X 0 X 202557 194747 186624 226427 166848 977203 11875688 12798901 13374324 13695056 14473685 66217654 12078245 12993648 13560948 13921483 14640533 67194857 0 0 0 67194857 710322 490530 342089 367555 513616 2424112 710322 490530 342089 367555 513616 2424112 12788567 13484178 13903037 14289038 15154149 69618969 0.96520 0.96220 0.03480 0.03780 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19005 133 777 18361 20000 377 1372 19005 20000 796 796 20000 20000 795 795 20000 1.00000 1 0 1018894 1018894 10037960 5738008 4299952 2730063 1957677 772386 6091232 DEFERRED COMPENSATION 12420 12420 16130518 15149243 981275 981275 14932365 -1085221 -1085221 16017586 112932 112932 16130518 14674658 0 14674658 474585 474585 15149243 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ENDOWMENT FUND PRINCIPAL IS TO TO RETAINED INDEFINITELY BY THE ORGANIZATION. THE FUND'S EARNINGS IS TO BE USED FOR THE EXEMPT PURPOSES OF THE ORGANIZATION. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 85,819 PERSONAL SERVICES 27,113 PART XIII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 85,819 PERSONAL SERVICES 27,113 SAMUEL K. SANDHAUS,PARTICIPANT,IRC 457(F) DEFERRAL VESTING IN 2011, $361,653 X X X X 0 1 0 0 0 0 0 0 0 SAMUEL K SANDHAUS 232702 0 0 0 235203 0 12420 0 16982 0 497307 0 212843 0 PART I, LINE 4B SAMUEL K. SANDHAUS, PARTICIPANT IRC 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN PRIOR YEARS DEFERRAL AMOUNTS AND CURRENT YEAR DEFERRAL VESTING IN 2011, $235,203 SCRANTON-LACKAWANNA HEALTH AND WELFARE AUTHORITY 232205980 2004-04-21 4500000 BUILDING RENOVATIONS 0 0 0 2153472 4500000 50363 1242355 2006 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS AS DESCRIBED IN FORM 990, PART VI, SECTION A, LINE 7A BELOW. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERSHIP OF THE JEWISH HOME IS COMPRISED OF A REPRESENTATIVE OF THE SCRANTON LACKAWANNA JEWISH FEDERATION, THE GREATER WILKES-BARRE FEDERATION AND SUCH OTHER DULY RECOGNIZED AFFILIATED COMMUNITIES THRU THEIR REPRESENTATIVE COMMUNITY AGENCIES AS THE BOARD OF DIRECTORS SHALL FROM TIME TO TIME DESIGNATE AND APPROVE, AS WELL AS ALL INDIVIDUALS WHO HAVE CONTRIBUTED DURING THE PRECEDING YEAR TO THE JEWISH HOME MEMBERSHIP CAMPAIGN. FORM 990, PART VI, SECTION A, LINE 7B NOMINATION FOR BOARD MEMBERSHIP AND OFFICERS ARE PRESENTED TO THE MEMBERSHIP BY THE NOMINATING COMMITTEE AND RATIFIED BY PROCESS OF ELECTION BY THE MEMBERS AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING OF THE FORM 990, A COPY OF THE 990 IS PROVIDED TO THE PRESIDENT/CHAIRMAN OF THE BOARD AND EXECUTIVE DIRECTOR FOR REVIEW AND DISCUSSION WITH THE INDEPENDENT C.P.A. FIRM RETURN PREPARER. THE 990 IS THEN PROVIDED TO AND REVIEWED BY THE EXECUTIVE COMMITTEE AS AUTHORIZED IN THE BY-LAWS TO ACT ON BEHALF OF THE ENTIRE BOARD. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED THROUGH THE JEWISH HOME'S COMPLIANCE PROGRAM. FORM 990, PART VI, SECTION B, LINE 15 15(A)- THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") COMPRISED OF INDEPENDENT DIRECTORS, DETERMINES THE TERM OF THE EXECUTIVE DIRECTOR'S EMPLOYMENT AND COMPENSATION PACKAGE. THE EXECUTIVE DIRECTOR SUBMITS TO THE ECC HIS PROPOSED EMPLOYMENT AND COMPENSATION PACKAGE. INDEPENDENT COMPARABLE DATA PROVIDES A MEASUREMENT OF THE PROPOSED COMPENSATION AND THE ECC DELIBERATION AND DECISION IS CONTEMPORANEOUSLY SUBSTANTIATED IN THE JEWISH HOME'S REBUTTABLE PRESUMPTION CHECKLIST OF COMPENSATION TO A DISQUALIFIED PERSON, AND THE COMMITTEE MINUTES. 15(B)- APPLICABLE TO EXECUTIVE DIRECTOR ONLY. FORM 990, PART VI, SECTION C, LINE 19 THE JEWISH HOME'S GOVERNING DOCUMENTS, POLICY STATEMENTS AND FINANCIAL STATEMENTS, AS WELL AS FORM 990, ARE AVAILABLE TO THE PUBLIC FOR INSPECTION BY APPOINTMENT DURING BUSINESS HOURS AT THE ORGANIZATION'S OFFICE AND COPIES ARE PROVIDED UPON WRITTEN REQUEST. ALL OTHER FUNCTIONAL EXPENSES FORM 990, PART X, LINE 24E UTILITIES: PROGRAM SERVICE EXPENSES 397,258. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 397,258. NURSING SERVICES: PROGRAM SERVICE EXPENSES 284,220. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 284,220. OFFICE SUPPLIES & EXPENSE: PROGRAM SERVICE EXPENSES 174,439. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,439. HOUSEKEEPING SUPPLIES & EXPENSE: PROGRAM SERVICE EXPENSES 174,092. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,092. MAINTENANCE SUPPLIES & EXPENSE: PROGRAM SERVICE EXPENSES 149,817. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 149,817. GENERAL INSURANCE: PROGRAM SERVICE EXPENSES 137,955. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,955. KITCHEN SUPPLIES & EXPENSE: PROGRAM SERVICE EXPENSES 86,386. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,386. INVESTMENT FEES: PROGRAM SERVICE EXPENSES 85,819. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,819. EMPLOYMENT & GENERAL ADVERTISING: PROGRAM SERVICE EXPENSES 30,579. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,579. OTHER ANCILLARY SERVICES: PROGRAM SERVICE EXPENSES 24,233. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,233. CONTINUING EDUCATION: PROGRAM SERVICE EXPENSES 24,010. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,010. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 22,666. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,666. TELEPHONE: PROGRAM SERVICE EXPENSES 19,730. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,730. RECREATION EXPENSE: PROGRAM SERVICE EXPENSES 7,665. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,665. GENERAL EXPENSE: PROGRAM SERVICE EXPENSES 5,694. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,694. FORM 990, PART XII, LINE 2C THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW, OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT ELAN GARDENS INC 465 VENARD ROAD CLARKS SUMMIT PA 18411 232812565 ASSISTED LIVING FACILITY FOR THE ELDERLY PA 501(C)3 SCHED A PART I-#9 JEWISH HOME OF EASTERN PENNSYLVANIA IS THE SOLE MEMBER 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ELAN GARDENS INC E 6950 CASH