2012-12-20T13:58:54-06:00 2011-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2011-01-01 237123076 MJG NURSING HOME CO INC MJGN 7189217742 6323 7TH AVENUE BROOKLYN NY 11220 ALEX BALKO 7189217742 2012-11-29 1 FREDERICK H ROTHMAN P01275277 2128674000 2011 2016-02-24 21:20:13Z ALEX BALKO 6323 7TH AVENUE BROOKLYN NY 11220 69045074 0 X N/A X 1971 NY A SKILLED NURSING FACILITY WITH HOMECARE AND DAY CARE. 9 8 464 32 0 0 22320 65268 98488316 14029727 37637 35815790 15715 6660 98563988 49917445 0 0 0 0 47734037 10768273 0 0 0 46401305 5574941 94135342 16343214 4428646 33574231 44504892 4449364 23392640 871787 21112252 3577577 X TO OPERATE A NOT-FOR-PROFIT REHABILITATION CENTER AND NURSING FACILITY THAT PROVIDES PHYSICAL THERAPY AND NURSING CARE FOR PATIENTS AND RESIDENTS REQUIRING ACUTE AND LONG-TERM CARE. 0 1 11774596 14029727 MJG NURSING HOME IS A 354 BED, NOT-FOR-PROFIT FACILITY THAT PROVIDES SUB-ACUTE REHABILITATION SERVICES (INCLUDING: PHYSICAL THERAPY, OCCUPATIONAL THERAPY, RECREATIONAL THERAPY, SPEECH AND LANGUAGE THERAPY, ETC) FOR ADULTS OF ALL AGES, AND SKILLED NURSING CARE FOR THE ELDERPLY AND INDIVIDUALS 18 YEARS AND OLDER WHO HAVE SEVERELY DISABLING DISORDERS THAT REQUIRE LONG-TERM INSITUTIONAL CARE. LOCATED IN THE HEART OF BOROUGH PARK, BROOKLYN, MJHS NURSING HOME COMBINES THE CLINICAL SERVICES, COMPASSIONATE CARE AND PHYSICAL PROXIMITY PATIENTS, RESIDENTS AND FAMILY MEMBERS SEARCH FOR WHEN CHOOSING A CENTER FOR REHABILITATION AND NURSING CARE. IN MAY 2011, MJG NURSING HOME SOLD THE NURSING HOME TO BORO PARK OPERATING COMPANY, LLC. MJG PROVIDED A TOTAL OF 41,027 DAYS OF SKILLED NURSING CARE IN 2011. 11774596 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 1 0 0 1 0 0 0 0 1 42 0 464 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 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 FELDMAN 0.50 X X 19241 1231402 274708 STEVEN TOPAL 0.50 X X 0 0 0 MAURICE KOLODIN 0.50 X X 0 0 0 SHMUEL LEFKOWITZ 0.50 X 0 0 0 JACOB FRIEDMAN 0.50 X 0 0 0 RONALD B MILCH 0.50 X 0 0 0 PAUL FINKELSTEIN MD 0.50 X 0 0 0 HOWARD GREENBERG 0.50 X 0 0 0 FRED ABRAMS 0.50 X 0 0 0 ROBERT LEAMER 0.50 X 6237 399181 130179 ALEXANDER BALKO 0.50 X 10699 695420 172874 CAROL ALTIERI 10.50 X 74104 169381 45739 ELLIOT BROOKS 0.50 X 6216 397850 111406 SUSAN CAPUTO 0.50 X 7334 498694 198022 YUSHUANG XIE 35.00 X 166325 0 13274 290156 3391928 946202 1 0 1 0 CARETECH GROUP 1123 MCDONALD AVE BROOKLYN NY 11230 FOOD SERVICES 495363 LOEB & TROPER LLP 655 3RD AVE NEW YORK NY 10017 ACCOUNTING AND CONSULTING 491821 BJK INC (CHEM RX) PO BOX 1060 LONG BEACH NY 11561 PHARMACEUTICAL 371326 BORO PARK OPERATING CO LLC 4915 10TH AVE BROOKLYN NY 11219 HOSPICE PATIENTS 335328 MMS PO BOX 643925 CINCINNATI OH 452643925 MEDICAL SUPPLIES 296400 9 65268 65268 SKILLED NURSING FACILI 623000 14029727 14029727 14029727 9972 9972 54933447 19127629 35805818 35805818 35805818 6660 6660 6660 49917445 14029727 0 35822450 151184 151184 7293587 6387264 906323 461890 380824 81066 2085931 1701706 384225 775681 690100 85581 32315 32315 27179 27179 964086 598998 365088 55274 55274 1662776 1276991 385785 24892 24892 723338 363017 360321 6894 3248 3646 21346 2831 18515 537 537 685179 367299 317880 265740 265740 MEDICAID ASSESSMENT 844651 844651 BAD DEBT 219710 219710 41024 2318 38706 16343214 11774596 4568618 0 6450 6300 5079242 1332771 13855419 253572 110319 742005 225844 21264559 516161 15726 4173177 2340560 44504892 4449364 7734598 456598 3855449 11802593 415189 23392640 871787 X 21112252 3577577 21112252 3577577 44504892 4449364 X 33574231 -51108906 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 190000 190000 552005 225844 326161 516161 ESTIMATED AMOUNT DUE FROM THIRD PARTIES 2340560 2340560 ESTIMATED AMOUNT DUE TO THIRD PARTIES 406802 DUE TO PARTICIPATING AGENCIES OF METROPOLITAN JEWISH HEALTH SYSTEM 8387 415189 49917445 16343214 33574231 -428 -51108478 -51108906 -17534675 49917017 0 49917017 428 428 49917445 16343214 0 16343214 0 16343214 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: MJGNH HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2008 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: TRANSFER TO METROPOLITAN JEWISH HEALTH SYSTEM FOUNDATION -51,108,478. PART XII, LINE 4B - OTHER ADJUSTMENTS: UNREALIZED LOSS ON INVESTMENTS 428. X X X X X X 1 1 0 0 0 0 0 1 0 ELI FELDMAN 17685 1131832 0 0 1556 99570 3617 231502 609 38980 23467 1501884 0 0 ROBERT LEAMER 5459 349399 0 0 778 49782 1479 94655 524 33521 8240 527357 0 0 ALEXANDER BALKO 9689 629802 0 0 1010 65618 2103 136726 516 33529 13318 865675 0 0 CAROL ALTIERI 60133 137447 9039 20661 4932 11273 4470 10216 9451 21602 88025 201199 0 0 ELLIOT BROOKS 5458 349314 0 0 758 48536 1473 94258 241 15434 7930 507542 0 0 SUSAN CAPUTO 6671 453601 0 0 663 45093 2306 156787 564 38365 10204 693846 0 0 YUSHUANG XIE 166159 0 0 0 166 0 0 0 13274 0 179599 0 0 0 PART I, LINES 4A-B PART I, LINES 4A-B: YUSHUANG XIE RECEIVED SEVERANCE PAYMENTS OF $66,790 PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: ALEXANDER BALKO - $17,333 ELLIOT BROOKS - $17,333 SUE CAPUTO - $17,333 ROBERT LEAMER - $17,333 PART I, LINE 7 BONUS ELIGIBILITY IS BASED ON THE EXTENT THAT EACH EXECUTIVE AND EMPLOYEE HAS ACHIEVED HIS/HER GOAL. BUILDING AND OPERATIONS 2011-05-05 35805818 BORO PARK OPERATING COMPANY LLC 4915 10TH AVENUE BROOKLYN NY 11219 LEGAL FEES 2011-12-31 170032 CADWALADER WICKERSHAM & TAFT LLP ONE WORLD FINANCIAL CENTER NEW YORK NY 10281 0 0 0 0 1 1 1 1 0 0 CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 IN MAY 2011, MJG NURSING HOME SOLD THE NURSING HOME TO BORO PARK OPERATING COMPANY, LLC. ADDITIONALLY, MJG NURSING HOME MOVED ITS LONG TERM HOME HEALTH CARE SERVICES TO METROPOLITAN JEWISH HOME CARE, INC. AND ITS ADULT DAY HEALTH CENTER TO SHOREFRONT JEWISH GERIATRIC CENTER, INC. FORM 990, PART VI, SECTION A, LINE 6 ALL 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 7A DIRECTORS SHALL BE ELECTED BY THE MEMBERS OF THE ORGANIZATION. ALL MEMBERS HAVE THE SAME VOTING RIGHTS. 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 FINANCE AND INVESTMENT COMMITTEE FOR ITS REVIEW AND APPROVAL. ONCE THE FINANCE AND INVESTMENT 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 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 15 EACH YEAR, THE METROPOLITAN JEWISH HEALTH SYSTEM, INC. 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 JANUARY 2011. 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 5: NET UNREALIZED LOSSES ON INVESTMENTS: -428. TRANSFER TO METROPOLITAN JEWISH HEALTH SYSTEM FOUNDATION -51,108,478. TOTAL TO FORM 990, PART XI, LINE 5: -51,108,906. FORM 990, PART XII, LINE 2C PROCESS HAS NOT CHANGED FROM PRIOR YEAR. HOURS WORKED FOR RELATED ORGANIZATIONS FORM 990, PART VII ELI S. FELDMAN - 32.5 ALEXANDER BALKO - 32.5 ROBERT LEAMER - 32.5 ELLIOT BROOKS - 33 PAUL FINKELSTEIN, MD - 2.5 SHMUEL LEFKOWITZ - 3.5 STEVEN TOPAL - 3.5 JACOB FRIEDMAN - 3 MAURICE KOLODIN - 2 RONALD B. MILCH - 4 FRED ABRAMS - 1.5 SUSAN CAPUTO - 29.5 HOWARD GREENBERG - 2 CAROL ALTIERI - 24.5 METROPOLITAN JEWISH HEALTH SYSTEM INC 6323 7TH AVENUE BROOKLYN NY 11220 113538697 ADMINISTRATIVE SERVICES NY 501(C)(3) 7 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 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 N/A 0 SHOREFRONT TOWERS HOUSING DEVELOPMENT FUND CORPORATION 6323 7TH AVENUE BROOKLYN NY 11220 113200785 HOUSING NY 501(C)(3) 9 N/A 0 METROPOLITAN JEWISH HEALTH SYSTEM FOUNDATION INC 6323 7TH AVENUE BROOKLYN NY 11220 111630753 FUNDRAISING NY 501(C)(3) 7 N/A 0 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 JACOB PERLOW HOSPICE CORPORATION 6323 7TH AVENUE BROOKLYN NY 11220 133438643 HOSPICE SERVICES NY 501(C)(3) 3 METROPOLITAN JEWISH HEALTH SYSTEM INC 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0