FURP.ORG / PUBLIC DATA EXPLORER

MJHS HOSPICE AND PALLIATIVE CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MJHS HOSPICE AND PALLIATIVE CARE INC (EIN 13-3438643)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-12-20
IRS object ID
201203559349300865
Schema version
2011v1.2
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)
Timestamp2012-12-20T13:58:39-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133438643EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JACOB PERLOW HOSPICE CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJACONameControl
Phone7189217742Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16323 7TH AVENUEAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11220ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameALEX BALKOName
TitleEXECUTIVE VP/CFOTitle
Phone7189217742Phone
Date Signed2012-12-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFREDERICK H ROTHMANName
PTINP01275277PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1MJHS HOSPICE AND PALLIATIVE CAREBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonALEX BALKONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16323 7TH AVENUEAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11220ZIPCode
FieldValueIRS element (for citing)
Gross Receipts42622546GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HOSPICE SERVICES ON BOTH AN INPATIENT AND OUTPATIENT BASIS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees297TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2881036ContributionsGrantsPriorYear
Contributions Grants Current Year1068639ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20669719ProgramServiceRevenuePriorYear
Program Service Revenue CY41447443ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year194296OtherRevenuePriorYear
Other Revenue Current Year106464OtherRevenueCurrentYear
Total Revenue Prior Year23745051TotalRevenuePriorYear
Total Revenue Current Year42622546TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9664449SalariesEtcPriorYear
Salaries Etc Current Year17728539SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14624905OtherExpensePriorYear
Other Expenses Current Year28733926OtherExpensesCurrentYear
Total Expenses Prior Year24289354TotalExpensesPriorYear
Total Expenses Current Year46462465TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-544303RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3839919RevenuesLessExpensesCY
Total Assets BOY8141751TotalAssetsBOY
Total Assets EOY11620621TotalAssetsEOY
Total Liabilities BOY9026439TotalLiabilitiesBOY
Total Liabilities EOY16387100TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-884688NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-4766479NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionJACOB PERLOW IS A NFP ORGANIZATION PROVIDING HOSPICE AND PALLIATIVE CARE SERVICES FOR ADULTS AND CHILDREN. CARE IS PROVIED IN A BROAD CROSS SECTION OF SETTINGS FROM THE COMFORT OF A PATIENT'S OWN HOME TO IN-PATIENT UNITS, NURSING HOMES AND ASSISTED LIVING FACILITIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense40503335Expense
Revenue41447443Revenue
DescriptionJACOB PERLOW IS A NOT-FOR-PROFIT ORGANIZATION PROVIDING HOSPICE AND PALLIATIVE CARE SERVICES. PERLOW IS COMMITTED TO SERVING THE NEEDS OF ADULTS AND CHILDREN FACING LIFE LIMITING ILLNESSES AS WELL AS THEIR FAMILIES. IN ADDITION TO OFFERING OUR PATIENTS MEDICAL SUPPORT FROM PHYSICIANS AND NURSES CERTIFIED IN HOSPICE OR PALLIATIVE CARE, WE ALSO PROVIDE EMOTIONAL AND SPIRITUAL SUPPORT FOR PATIENTS AND THEIR FAMILIES THROUGH OUR SOCIAL WORKERS, PASTORAL STAFF AND MUSIC AND ART THERAPISTS. IN ORDER TO SERVE OUR PATIENTS AND FAMILIES WHEN AND WHERE THEY NEED IT MOST, JACOB PERLOW PROVIDES CARE IN THE COMFORT OF A PATIENT'S OWN HOME, OUR DEDICATED IN-PATIENT UNIT AT BETH ISRAEL HOSPITAL, A NUMBER OF HOSPITALS ACROSS GREATER NEW YORK, NURSING HOMES, ASSISTED LIVING FACILITIES AND OUR MOLLIE AND JACK ZICKLIN RESIDENCE IN RIVERDALE. IN 2011, JACOB PERLOW PROVIDED 39,867 HOSPICE DAYS, 82,136 CONTINUOUS HOME CARE DAYS, 110,132 ROUTINE HOME CARE DAYS, 115 INPATIENT RESPITE CARE DAYS AND 10,234 GENERAL INPATIENT CARE DAYS.Description
Total Program Service Expense40503335TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
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 Stmt1ConsolidatedAuditFinancialStmt
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096111NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees297NumberOfEmployees
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 Line16323-7TH AVEAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11220ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ELI S FELDMAN
CEO/PRESIDENT/DIRECTOR2.00XX769631173679274708
SHMUEL LEFKOWITZ
CHAIRPERSON/DIRECTOR0.50XX000
DAVID WIENER
DIRECTOR/TREASURER/SECRETARY0.50XX000
RONALD MILCH
DIRECTOR0.50X000
ESTERE DUBOULAY
DIRECTOR0.50X000
IRVING DAYAN
DIRECTOR0.50X000
BURTON ESRIG
DIRECTOR0.50X000
SUZANNE CUTLER
DIRECTOR0.50X000
MARTIN MARCUS
DIRECTOR0.50X000
STEVEN ROTTER
DIRECTOR0.50X000
ROBERT LEAMER
SENIOR VP, GENERAL COUNSEL2.00X24948380470130179
ALEX BALKO
EXECUTIVE VP/COO2.0042795663324172874X
ELLIOT BROOKS
SENIOR VP HUMAN RESOURCES3.0037298366767111407X
SUSAN CAPUTO
PRESIDENT HOME AND CONTINUING CARE6.5095339410689198021X
BARBARA HINEY
EXEC. VP HOSPICE35.00282653028731X
WENDI LOVENVIRTH
PHYSICIAN35.00180994023767X
BERNARD LEE
PHYSICIAN35.00338836043915X
OLGA BARATT
PHYSICIAN35.00198910032929X
IRINA BELKINA
PHYSICIAN35.0020115603782X
MILDRED GAMBLE
DIRECTOR OF HOSPICE35.00197737010013X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1677629TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2994929TotalReportableCompFrmRltdOrgs
Total Other Compensation1030326TotalOtherCompensation
Number Individuals GT100 K29NumberIndividualsGT100K
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
BETH ISRAEL MEDICAL CENTER
555 WEST 57TH STREETNEW YORKNY10019HOSPITAL3041461
JEWISH HOME & HOSPITAL FOR THE AGED BRON
100 W KINGSBRIDGE ROADBRONXNY10471HOSPICE PATIENTS1640715
HEBREW HOME FOR THE AGED AT RIVERDALE
5901 PALISADE AVERIVERDALENY10471NURSING HOME1140490
PALISADE NURSING HOME COMPANY INC
5901 PALISADE AVERIVERDALENY10471NURSING HOME934220
ENCLARA HEALTH
PO BOX 105328ATLANTAGA303485328DRUGS859940
FieldValueIRS element (for citing)
Number Of Contractors GT100 K36NumberOfContractorsGT100K
Related Organizations525000RelatedOrganizations
All Other Contributions543639AllOtherContributions
Total Contributions1068639TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHOSPICE AND PALLIATIVEDescription
Business Code623000BusinessCode
Total Revenue Column41447443TotalRevenueColumn
Related Or Exempt Function Income41447443RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue41447443TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column106464TotalRevenueColumn
Exclusion$106,464ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue106464TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42622546TotalRevenueColumn
Related Or Exempt Function Income41447443RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$106,464ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total671712Total
Program Services311384ProgramServices
Management And General360328ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13555615Total
Program Services12629311ProgramServices
Management And General926304ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total621747Total
Program Services516441ProgramServices
Management And General105306ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1701890Total
Program Services1505049ProgramServices
Management And General196841ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1177575Total
Program Services1074275ProgramServices
Management And General103300ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total129669Total
Program Services121595ProgramServices
Management And General8074ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45630Total
Program Services40000ProgramServices
Management And General5630ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19046809Total
Program Services18894988ProgramServices
Management And General151821ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2188096Total
Program Services22552ProgramServices
Management And General2165544ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3645665Total
Program Services3097889ProgramServices
Management And General547776ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total13700Total
Management And General13700ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2078156Total
Program Services1754919ProgramServices
Management And General323237ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total397676Total
Program Services391136ProgramServices
Management And General6540ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total43041Total
Program Services13511ProgramServices
Management And General29530ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2610Total
Management And General2610ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total287745Total
Management And General287745ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total152200Total
Management And General152200ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionBAD DEBTDescription
Total515289Total
Management And General515289ManagementAndGeneral

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total187640Total
Program Services130285ProgramServices
Management And General57355ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total46462465Total
Program Services40503335ProgramServices
Management And General5959130ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3134642BOY
EOY27000EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY1486021EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3787139BOY
EOY9048610EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1693015LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1177664LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY681823BOY
EOY515351EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY538147BOY
EOY543639EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8141751BOY
EOY11620621EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5263902BOY
EOY9174961EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3762537BOY
EOY7212139EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9026439BOY
EOY16387100EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1494688BOY
EOY-5316479EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY60000BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY550000BOY
EOY550000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-884688BOY
EOY-4766479EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8141751BOY
EOY11620621EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3839919ReconcilationRevenueExpenses
Reconcilation Other Changes-41872ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance550000BeginningOfYearBalance
End Of Year Balance550000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance550000BeginningOfYearBalance
End Of Year Balance550000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance550000BeginningOfYearBalance
End Of Year Balance550000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis355521OtherCostOrOtherBasis
Depreciation41326Depreciation
Book Value314195BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1318272OtherCostOrOtherBasis
Depreciation1136338Depreciation
Book Value181934BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19222OtherCostOrOtherBasis
Book Value19222BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings515351TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED AMOUNT DUE TO THIRD PARTIES$2,300,000
DUE TO PARTICIPATING AGENCIES OF MJHS$4,912,139
FieldValueIRS element (for citing)
Total Of Amounts7212139TotalOfAmounts
Total Revenue42622546TotalRevenue
Total Expenses46462465TotalExpenses
Excess Or Deficit For Year-3839919ExcessOrDeficitForYear
Net Unrealized GL On Investments-41872NetUnrealizedGLOnInvestments
Total Adjustments-41872TotalAdjustments
Excess Or Deficit Per FS-3881791ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt42580674TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-41872NetUnrealizedGainsInvestments
Revenue Not Rptd F990-41872RevenueNotRptdF990
Revenue Subtotal42622546RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99042622546TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt46462465TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal46462465ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99046462465TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (11 entries)

Base 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
707401078777006223949021446922065024363715393868143148200
ROBERT LEAMER
21837333021003111474495916902182095319503295950263800
ALEX BALKO
387576007340040386259084141304152063319825327282572100
ELLIOT BROOKS
32748322023004550447448837868951447142284758246789000
SUSAN CAPUTO
86718373554008621371352997412911873343159513264757140200
BARBARA HINEY
265156000174970177630109680311384000
WENDI LOVENVIRTH
1804310005630131750105920204761000
BERNARD LEE
307314030000015220177630261520382751000
OLGA BARATT
1972680001642029660299630231839000
IRINA BELKINA
2004050007510317606060204938000
MILDRED GAMBLE
1855570916703013000100130207750000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 4BPART I, LINE 4B: PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: ALEXANDER BALKO - $17,333 ELLIOT BROOKS - $17,333 ROBERT LEAMER - $17,333 SUSAN CAPUTO - $17,333
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 (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6METROPOLITAN JEWISH HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF JACOB PERLOW HOSPICE CORPORATION
FORM 990, PART VI, SECTION A, LINE 7AMETROPOLITAN JEWISH HEALTH SYSTEM, INC. MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
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 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 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 15EACH 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 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 XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -41,872.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CPROCESS HAS NOT CHANGED FROM PRIOR YEAR.
FORM 990, PART VIIELI S. FELDMAN - 31 ALEXANDER BALKO - 31 ROBERT LEAMER - 31 ELLIOT BROOKS - 30.5 IRVING DAYAN - 0.5 SHMUEL LEFKOWITZ - 3.5 ESTERE DUBOULAY - 1 RONALD B. MILCH - 4 BURTON ESRIG - 1.5 SUSAN CAPUTO - 23.5 DAVID WIENER - 1HOURS WORKED FOR RELATED ORGANIZATIONS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 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 ACTIVITIESNY501(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 AVENUEBROOKLYNNY11220111572777NURSING HOME, ADULT DAYNY501(C)(3)31METROPOLITAN JEWISH HEALTH SYSTEM INC
SHOREFRONT JEWISH GERIATRIC CENTER INC
6323 7TH AVENUEBROOKLYNNY11220113072153NURSING HOME, ADULT DAYNY501(C)(3)91METROPOLITAN JEWISH HEALTH SYSTEM INC
METROPOLITAN JEWISH HOME CARE INC
6323 7TH AVENUEBROOKLYNNY11220320060822HOME CARE, HOSPICENY501(C)(3)91METROPOLITAN JEWISH HEALTH SYSTEM INC
ELDERPLAN INC
6323 7TH AVENUEBROOKLYNNY11220112625096MEDICARE ADVANTAGE SPECIAL NEEDS PLAN / MEDICAID MANAGED LONG TERM CARE PLANNY501(C)(3)9N/A0
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 IN/A0
METROPOLITAN JEWISH HEALTH SYSTEM FOUNDATION
6323 7TH AVENUEBROOKLYNNY11220111630753FUNDRAISINGNY501(C)(3)7N/A0
SHOREFRONT TOWERS HOUSING DEVELOPMENT FUND CORPORATION
6323 7TH AVENUEBROOKLYNNY11220113200785HOUSINGNY501(C)(3)9N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
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 Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg