FURP.ORG / PUBLIC DATA EXPLORER

THE MONTEFIORE HOME: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE MONTEFIORE HOME (EIN 34-0714360)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201231369349303313
Schema version
2010v3.4
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)
Timestamp2012-05-15T09:26:47-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN340714360EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MONTEFIORE HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMONTNameControl
Phone2163609080Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One David N Myers PkwyAddressLine1
CityBeachwoodCity
StateOHState
ZIP Code441221101ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMark WeissName
TitleCFOTitle
Phone2169102640Phone
Date Signed2012-05-14DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLauren RockNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1One David N Myers ParkwayAddressLine1
CityBeachwoodCity
StateOHState
ZIP Code44122ZIPCode
FieldValueIRS element (for citing)
Gross Receipts27956779GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.montefiorecare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1882YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionMontefiore provides a comprehensive system of support services related to healthcare needs throughout the aging process. Guided by Jewish values, Montefiore is dedicated to a standard of excellence and personalized care, enabling individuals to live with dignity and security and as independently as they are able.ActivityOrMissionDescription
Nbr Voting Members Governing Body67NbrVotingMembersGoverningBody
Nbr Independent Voting Members67NbrIndependentVotingMembers
Total Nbr Employees711TotalNbrEmployees
Total Nbr Volunteers345TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1670547ContributionsGrantsPriorYear
Contributions Grants Current Year1317367ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27476541ProgramServiceRevenuePriorYear
Program Service Revenue CY26548609ProgramServiceRevenueCY
Investment Income Prior Year92681InvestmentIncomePriorYear
Investment Income Current Year70233InvestmentIncomeCurrentYear
Other Revenue Prior Year20280OtherRevenuePriorYear
Other Revenue Current Year20570OtherRevenueCurrentYear
Total Revenue Prior Year29260049TotalRevenuePriorYear
Total Revenue Current Year27956779TotalRevenueCurrentYear
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 Year18693276SalariesEtcPriorYear
Salaries Etc Current Year19333149SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9729029OtherExpensePriorYear
Other Expenses Current Year9286628OtherExpensesCurrentYear
Total Expenses Prior Year28422305TotalExpensesPriorYear
Total Expenses Current Year28619777TotalExpensesCurrentYear
Revenues Less Expenses Prior Year837744RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-662998RevenuesLessExpensesCY
Total Assets BOY33308291TotalAssetsBOY
Total Assets EOY33406630TotalAssetsEOY
Total Liabilities BOY18405891TotalLiabilitiesBOY
Total Liabilities EOY17926564TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14902400NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15480066NetAssetsOrFundBalancesEOY
Mission DescriptionMontefiore provides a comprehensive system of support services related to healthcare needs throughout the aging process. Guided by Jewish values, Montefiore is dedicated to a standard of excellence and personalized care, enabling individuals to live with dignity and security and as independently as they are able.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense22424074Expense
Grants0Grants
Revenue22743010Revenue
DescriptionNursing Home Care: The Montefiore Home provides nursing home care and therapy for the aged and ill. Montefiore strives to be recognized as the center of excellence for promotion of wellness, innovative treatment and care of illness, and attainment of the highest possible quality of life for the aging community.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2101641Expense
Grants0Grants
Revenue2216910Revenue
DescriptionHomecare - From skilled nursing to physical therapy, Montefiore's homecare professionals provide first rate healthcare services. Montefiore delivers compassionate, individualized healthcare right to the community. Montefiore's homecare specialists work with a patient's schedule to meet all their healthcare needs. Our homecare nurses and therapists act as case managers, coordinating with the physician and medical team to implement an individualized care plan for each patient.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1514814Expense
Grants0Grants
Revenue1588689Revenue
DescriptionHospice - Montefiore Hospice seeks to bring pain management and symptom control, as well as ultimate caring and compassion, to those with a life-limiting illness, their caregivers, families and loved ones. We provide our signature care in the patient's own home, our inpatient unit or in other healthcare facilities.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense0Expense
Grants0Grants
Revenue0Revenue
DescriptionMontefiore's Palliative Care Consult Program helps patients and families who are struggling with medical decisions associated with life threatening illness and with the manangement of symptoms such as pain, anxiety and respiratory distress. This service is available to patients who may be seeking ongoing life-prolonging care and may not qualify to transition into hospice care. In Fiscal Year 2011, the revenue and expenses for this service line were combined with Hospice.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense26040529TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
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 Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 With109681NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees711NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members67NbrVotingGoverningBodyMembers
Number Independent Voting Members67NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
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 Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMark WeissNamePerson
Telephone Number2169102640TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1One David Myers PkwyAddressLine1
CityBeachwoodCity
StateOHState
ZIP Code441221101ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (71 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Carolyn Mahler
Board Member0X000
Jack Mandel
Board Member0X000
Hal Myers
Board Member0X000
Elmer Paull
Board Member0X000
Dennis Roth
Board Member0X000
Susan Hurwitz
Board Member0X000
Arthur Arnson
Board Member0X000
Alvin Barkley
Board Member0X000
Lois Goodman
Board Member0X000
Susan Grody Ruben
Board Member0X000
Alice Sayre
Board Member0X000
Harvey Siegel
Board Member0X000
Mary Ann Hexter
Board Member0X000
Robert Hexter
Board Member0X000
Nancy Hyams
Board Member0X000
I Leonard Kaplan
Board Member0X000
Paula Silverman
Board Member0X000
Naomi Singer
Board Member0X000
Jordan Tobin
Board Member0X000
Hal Uhrman
Board Member0X000
Gerald Weinstein
Treasurer0X000X
Lawrence Weiss
Board Member0X000
Sally Wertheim
Board Member0X000
Stanley Wertheim
Board Member0X000
Malcolm Zucker
Board Member0X000
Rueven Dessler
Board Member0X000
Gerald Goldberg
Board Member0X000
David Berns
Board Member0X000
Jackie Feiner Derrow
Board Member0X000
Audrey Frank
Board Member0X000
Marilyn Garfunkel
Board Member0X000
Joel Garver
Board Member0X000
Elaine Rocker
Board Member0X000
Steven Willensky
Chair Elect0X000X
Darrell Young
Board Member0X000
Andrew Hoffmann
Chairman0X000X
Donald Scherzer
Immediate Past Chair0X000X
David Orlean
Asst Secretary0X000X
Stanley Baron
Board Member0X000
James Chessin
Board Member0X000
Bruce Cweiber
Board Member0X000
Donald Freedheim
Board Member0X000
JoAnn Glick
Board Member0X000
Harley Gross
Board Member0X000
Phyllis Harris
Board Member0X000
Hal Becker
Board Member0X000
Robert Lustig
Board Member0X000
Lawrence Mack
Board Member0X000
Lee Rosen
Board Member0X000
June Taylor
Vice Chair0X000X
Shirley Basch
Auxiliary President0X000X
Patricia Inglis
Vice Chair0X000X
Barry Miller
Board Member0X000
Benjamin Sheridan
Board Member0X000
Susan Stone
Board Member0X000
Idelle Wolf
Assistant Treasurer0X000X
Sylvia Aarons
Board Member0X000
David Hexter
Board Member0X000
Kenneth Hochman
Board Member0X000
Bonnie Stein
Board Member0X000
Joan Weintraub
Board Member0X000
Judy Willensky
Board Member0X000
Michael Waxman-Lenz
Board Member0X000
Margo Vinney
Secretary0X000X
Darla Gordon
Board Member0X000
Alan Jaffa
Board Member0X000
Jeffrey Soclof
Board Member0X000
Mark Weiss
CFO & VP of Operations55215499018785X
Gina Prosser
VP of Nursing55155820014350X
Lauren Rock
President55313435014762X
Carol Weiss
VP of HR55130940011269X
FieldValueIRS element (for citing)
Total Reportable Comp From Org815694TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation59166TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1Address Line2AddressOfContractor/AddressUS/AddressLine2CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Talk of the Town Consulting LLC
3609 West Alexis RoadSuite 214ToledoOH43623Dietary Consulting/Services322462
Custom Healthcare Prof Inc
PO Box 18934Cleveland HeightsOH44118Nursing Services248525
Euclid Hospital
18901 Lakeshore BlvdEuclidOH44119Therapy Services182571
Jackson Therapy Partners
PO Box 277637AtlantaGA30384Homecare Therapy123359
Maxim Healthcare Services
12558 Collections Center DriveChicagoIL60693Agency Nursing108224
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations987554RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions329813AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions1317367TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Nursing Home62300022743010227430100$0
Homecare621610221691022169100$0
Hospice624190158868915886890$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue26548609TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column70233TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$70,233ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column20570TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$20,570ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue20570TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27956779TotalRevenueColumn
Related Or Exempt Function Income26548609RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$90,803ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total686745Total
Program Services163962ProgramServices
Management And General522783ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total15064411Total
Program Services14056940ProgramServices
Management And General1007471ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total543179Total
Program Services543179ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1587390Total
Program Services1587390ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1451424Total
Program Services1451424ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total30444Total
Management And General30444ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total61299Total
Management And General61299ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total50156Total
Management And General50156ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1604295Total
Program Services1510595ProgramServices
Management And General93700ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total153425Total
Program Services33032ProgramServices
Management And General120393ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total68174Total
Program Services6842ProgramServices
Management And General61332ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total157664Total
Management And General157664ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total705695Total
Program Services705695ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total60109Total
Program Services60109ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total47603Total
Program Services23874ProgramServices
Management And General23729ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total154202Total
Program Services154202ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1489177Total
Program Services1489177ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total256377Total
Management And General256377ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical, Dietary, & Maintenance Supplies2531088252671843700
Bed, Property, & Sales Tax1108757110774510120
Miscellaneous6220884335701885180
Bad Debt Expense18415618415600
Inpatient Stay Expense1919191900

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28619777Total
Program Services26040529ProgramServices
Management And General2579248ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1150BOY
EOY1150EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3120591BOY
EOY2644789EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2600084BOY
EOY2992159EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY65341BOY
EOY69781EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY126863BOY
EOY118041EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis38734977LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18137901LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21611630BOY
EOY20597076EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5782632BOY
EOY6983634EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33308291BOY
EOY33406630EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1736559BOY
EOY2200097EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY11215000BOY
EOY10860000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
EOY48554EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5454332BOY
EOY4817913EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18405891BOY
EOY17926564EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14800290BOY
EOY15363293EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY77710BOY
EOY92373EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY24400BOY
EOY24400EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14902400BOY
EOY15480066EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33308291BOY
EOY33406630EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-662998ReconcilationRevenueExpenses
Reconcilation Other Changes1240664ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2032956CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1245989CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1010842CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1670547CurrentTaxYearMinus1Year
Current Tax Year1346167CurrentTaxYear
Total7306501Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25693213CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26638205CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26790815CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27476541CurrentTaxYearMinus1Year
Current Tax Year26548609CurrentTaxYear
Total133147383Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27726169CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27884194CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27801657CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29147088CurrentTaxYearMinus1Year
Current Tax Year27894776CurrentTaxYear
Total140453884Total
FieldValueIRS element (for citing)
Public Support Total509140453884PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years204168CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years183176CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years123225CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year92681CurrentTaxYearMinus1Year
Current Tax Year70233CurrentTaxYear
Total673483Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years204168CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years183176CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years123225CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year92681CurrentTaxYearMinus1Year
Current Tax Year70233CurrentTaxYear
Total673483Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years310716CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years322730CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years229517CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50280CurrentTaxYearMinus1Year
Current Tax Year294027CurrentTaxYear
Total1207270Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28241053CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28390100CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28154399CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29290049CurrentTaxYearMinus1Year
Current Tax Year28259036CurrentTaxYear
Total142334637Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98679PublicSupportPercentage509
Prior Year Support Percentage0.98692PriorYearSupportPercentage
Investment Income Percentage0.00473InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00549PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationIncome derived from Management Fees, Rebates and Refunds, and Miscellaneous.GeneralExplanation

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$717DirectContactLegislatorsAmount
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$0RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB717TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchC_P2B_S00_L01Identifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationDelegations from Montefiore which include the CEO & President, Key Employees, and/or specific Board Members meet with politicians on both the state and federal level. During these meetings, factors that have a direct impact on the future of Montefiore such as reimbursement dollars are discussed. Montefiore makes known to the politicians how these matters would impact Montefiore and the nursing home environment in general.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance102110BeginningOfYearBalance
Contributions4494Contributions
Investment Earnings Or Losses12039InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures1390OtherExpenditures
Administrative Expenses480AdministrativeExpenses
End Of Year Balance116773EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance97158BeginningOfYearBalance
Contributions6000Contributions
Investment Earnings Or Losses1597InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures2260OtherExpenditures
Administrative Expenses385AdministrativeExpenses
End Of Year Balance102110EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance72095BeginningOfYearBalance
Contributions83917Contributions
Investment Earnings Or Losses-6454InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures52400OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance97158EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.21PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.79TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis532827OtherCostOrOtherBasis
Book Value532827BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis29733620OtherCostOrOtherBasis
Depreciation12098224Depreciation
Book Value17635396BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1897059OtherCostOrOtherBasis
Depreciation980799Depreciation
Book Value916260BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis6499385OtherCostOrOtherBasis
Depreciation4986792Depreciation
Book Value1512593BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis72086OtherCostOrOtherBasis
Depreciation72086Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20597076TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
Deferred Financing Fees208223
Assets Held By Others77256
Due From Affiliate93397
Investments with Limited Use5720408
Investments Under Bond Indenture899
A/R Other13857
Cash Collateral Account787564
Construction In Progress82030
FieldValueIRS element (for citing)
Total Book Value Other Assets6983634TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Accrued Pension Liability$4,331,487
Estimated Third Party Payables$486,426
FieldValueIRS element (for citing)
Total Of Amounts4817913TotalOfAmounts
Total Revenue27956779TotalRevenue
Total Expenses28619777TotalExpenses
Excess Or Deficit For Year-662998ExcessOrDeficitForYear
Net Unrealized GL On Investments339809NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$900,855OtherAmount
Total Adjustments1240664TotalAdjustments
Excess Or Deficit Per FS577666ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt28598845TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments339809NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities28800DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues273457OtherRevenues
Revenue Not Rptd F990642066RevenueNotRptdF990
Revenue Subtotal27956779RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99027956779TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt28652184TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities28800DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included3607OtherExpensesIncluded
Expenses Not Rptd F99032407ExpensesNotRptdF990
Expenses Subtotal28619777ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99028619777TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P04_S00_L02bSchedule D, Part IV, Line 2bThe Montefiore Home holds personal funds on behalf of the residents for use in the facility, on outings, or for paying a resident's personal bills. Once discharged, all remaining fund balances are refunded to the resident or appropriate individual.
SchD_P05_S00_L04Schedule D, Part V, Line 4To help fund future programs and services at Montefiore.
SchD_P10_S00_L02Schedule D, Part X, Line 2The Home, the Foundation, and the Housing Corporation are tax-exempt under Internal Revenue Code Section 501(c)(3). The Foundation is classified as an exempt organization under 509(a)(1). Effective July 1, 2009, the Organization adopted the accounting guidance for uncertainty in income taxes. The Organization's income tax filings are subject to audit by various taxing authorities. The Organization's open audit periods are for the years ended June 30, 2008 through June 30, 2011. In evaluating the Organization's activities, the Organization believes its position of tax-exempt status is current based on current facts and circumstances. The Organization has further assessed that there are no activities unrelated to the purpose of the Organization and therefore no unrelated business income tax is to be recognized. It is the policy of the Organization to include in operating expenses penalties and interest assessed by income taxing authorities. There are no penalties or interest from taxing authorities included in operating expenses for the years ended June 30, 2011 and 2010.
SchD_P11_S00_L08Schedule D, Part XI, Line 8273,457 represents reimbursed expense netted with revenue. (3607) represents an adjustment to hospice expenses. 631,005 represents an decrease in unfunded pension liability.
SchD_P12_S00_L02dSchedule D, Part XII, Line 2dReimbursed Expenses Netted with Revenue
SchD_P13_S00_L02dSchedule D, Part XIII, Line 2dAdditional Hospice Investment Expenses

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
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 Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 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
Lauren Rock
2884350250000008360064020328197000
Mark Weiss
2154990000065520122330234284000
Gina Prosser
155820000004651096990170170000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L03Schedule J, Part I, Line 3Compensation is discussed by a compensation committee and CEO compensation is approved by the Board of Directors.
SchJ_P01_S00_L04Schedule J, Part I, Line 4Montefiore established a SERP account for 4 employees in fiscal year 2010. In fiscal year 2011, the payout amounts were as follows. Gina Prosser 3,232. Lauren Rock 6,000. Carol Weiss 2,687. Mark Weiss 4,500.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Colorado Educational and Cultural AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN840896727IssuerEIN
CUSIP Number196458ZY2CUSIPNumber
Date Issued2005-02-24DateIssued
Issue Price13000000IssuePrice
Description Of PurposeExpansion and RenovationDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds13000000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds281017IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures13000000CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2005YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0PercentageOfPrvtBusinessReUBI
Total Private Business Use0TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P01_S00_L01Form 990, Part I, Line 1The Montefiore Home engages in several activities throughout the year as a benefit to its residents and the community. During elections, the Board of Elections comes to the nursing home so the residents are able to cast their votes. Montefiore also holds CEU events for professionals, internship and junior volunteer programs in connection with local schools, and a speaker series that is open to the public. Montefiore hosts Food for Thought, a catered discussion on current trends or topics.
F990_P06_S0A_L02Form 990, Part VI, Section A, Line 2Sally Wertheim and Stanley Wertheim, both board members, are husband and wife. Steven Willensky and Judy Willensky, both board members, are husband and wife.
F990_P06_S0A_L04Form 990, Part VI, Section A, Line 4During the course of fiscal year 2011, the Articles of Incorporation for The Montefiore Home were updated. Updates included referring to Directors instead of Trustees, removing the names and addresses of the original Trustees, updating the Duties of Officers, and updating the language concerning the power to vary certain restricted gifts.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bForm 990 is prepared by accounting staff and is then reviewed by the CFO. Once review notes are cleared, the 990 is then reviewed by an independent auditor. After those review notes are cleared the 990 is presented to the Board for comments.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cIf a conflict of interest arrises, the matter would be discussed with the appropriate Board Member.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15In 2007 an ad hoc committee was established to approve the hiring and compensation of the new president and CEO of the organization. This committee approved the hiring of Lauren Rock, current president and CEO of Montefiore. On an annual basis, the Chairman of the Board is responsible for the CEO's annual evaluation. At that time, recommendations can be made to the board concerning compensation and bonuses. The CEO is responsible for the annual evaluations of other key employees. The CEO also recommends compensation levels for such employees.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Public documents such as the 990 are made available upon request.
F990_P11_S00_L05Form 990, Part XI, Line 5A)631,005 - Decrease in Unfunded Pension Liability B)339,809 - Unrealized Gain on Investments C)273,457 - Management Fees D)(3607) - Prior Year Hospice Investment Fees

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
The Montefiore Foundation
1 David N Myers ParkwayBeachwoodOH441221162341788055Fundraising and grant funding for the Montefiore HomeOH501(c)(3)7N/A
The Montefiore Housing Corporation
1 David N Myers ParkwayBeachwoodOH441221162311501393Assisted Living and Skilled NursingOH501(c)(3)9N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1The Montefiore Home Physicians CorpBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 David N Myers ParkwayAddressLine1
CityBeachwoodCity
StateOHState
ZIP Code44122ZIPCode
FieldValueIRS element (for citing)
EIN341961355EIN
Primary ActivityPhysician VisitsPrimaryActivity
Legal Domicile StateOHLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationFiling by May 15, 2012 due to requested extension.Explanation