2012-05-15T09:26:47-07:00 2011-06-30 990 2010-07-01 340714360 MONTEFIORE HOME MONT 2163609080 One David N Myers Pkwy Beachwood OH 441221101 Mark Weiss 2169102640 2012-05-14 2010 2016-02-24 21:20:13Z Lauren Rock One David N Myers Parkway Beachwood OH 44122 27956779 0 X www.montefiorecare.org X 1882 OH Montefiore 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. 67 67 711 345 0 0 1670547 1317367 27476541 26548609 92681 70233 20280 20570 29260049 27956779 0 0 0 0 18693276 19333149 0 0 0 9729029 9286628 28422305 28619777 837744 -662998 33308291 33406630 18405891 17926564 14902400 15480066 Montefiore 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. 0 0 22424074 0 22743010 Nursing 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. 2101641 0 2216910 Homecare - 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. 1514814 0 1588689 Hospice - 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. 0 0 0 Montefiore'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. 0 0 0 26040529 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 81 0 711 1 0 0 0 0 0 0 X 67 67 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OH X Mark Weiss 2169102640 One David Myers Pkwy Beachwood OH 441221101 Carolyn Mahler 0 X 0 0 0 Jack Mandel 0 X 0 0 0 Hal Myers 0 X 0 0 0 Elmer Paull 0 X 0 0 0 Dennis Roth 0 X 0 0 0 Susan Hurwitz 0 X 0 0 0 Arthur Arnson 0 X 0 0 0 Alvin Barkley 0 X 0 0 0 Lois Goodman 0 X 0 0 0 Susan Grody Ruben 0 X 0 0 0 Alice Sayre 0 X 0 0 0 Harvey Siegel 0 X 0 0 0 Mary Ann Hexter 0 X 0 0 0 Robert Hexter 0 X 0 0 0 Nancy Hyams 0 X 0 0 0 I Leonard Kaplan 0 X 0 0 0 Paula Silverman 0 X 0 0 0 Naomi Singer 0 X 0 0 0 Jordan Tobin 0 X 0 0 0 Hal Uhrman 0 X 0 0 0 Gerald Weinstein 0 X X 0 0 0 Lawrence Weiss 0 X 0 0 0 Sally Wertheim 0 X 0 0 0 Stanley Wertheim 0 X 0 0 0 Malcolm Zucker 0 X 0 0 0 Rueven Dessler 0 X 0 0 0 Gerald Goldberg 0 X 0 0 0 David Berns 0 X 0 0 0 Jackie Feiner Derrow 0 X 0 0 0 Audrey Frank 0 X 0 0 0 Marilyn Garfunkel 0 X 0 0 0 Joel Garver 0 X 0 0 0 Elaine Rocker 0 X 0 0 0 Steven Willensky 0 X X 0 0 0 Darrell Young 0 X 0 0 0 Andrew Hoffmann 0 X X 0 0 0 Donald Scherzer 0 X X 0 0 0 David Orlean 0 X X 0 0 0 Stanley Baron 0 X 0 0 0 James Chessin 0 X 0 0 0 Bruce Cweiber 0 X 0 0 0 Donald Freedheim 0 X 0 0 0 JoAnn Glick 0 X 0 0 0 Harley Gross 0 X 0 0 0 Phyllis Harris 0 X 0 0 0 Hal Becker 0 X 0 0 0 Robert Lustig 0 X 0 0 0 Lawrence Mack 0 X 0 0 0 Lee Rosen 0 X 0 0 0 June Taylor 0 X X 0 0 0 Shirley Basch 0 X X 0 0 0 Patricia Inglis 0 X X 0 0 0 Barry Miller 0 X 0 0 0 Benjamin Sheridan 0 X 0 0 0 Susan Stone 0 X 0 0 0 Idelle Wolf 0 X X 0 0 0 Sylvia Aarons 0 X 0 0 0 David Hexter 0 X 0 0 0 Kenneth Hochman 0 X 0 0 0 Bonnie Stein 0 X 0 0 0 Joan Weintraub 0 X 0 0 0 Judy Willensky 0 X 0 0 0 Michael Waxman-Lenz 0 X 0 0 0 Margo Vinney 0 X X 0 0 0 Darla Gordon 0 X 0 0 0 Alan Jaffa 0 X 0 0 0 Jeffrey Soclof 0 X 0 0 0 Mark Weiss 55 X 215499 0 18785 Gina Prosser 55 X 155820 0 14350 Lauren Rock 55 X 313435 0 14762 Carol Weiss 55 X 130940 0 11269 815694 0 59166 4 0 1 0 Talk of the Town Consulting LLC 3609 West Alexis Road Suite 214 Toledo OH 43623 Dietary Consulting/Services 322462 Custom Healthcare Prof Inc PO Box 18934 Cleveland Heights OH 44118 Nursing Services 248525 Euclid Hospital 18901 Lakeshore Blvd Euclid OH 44119 Therapy Services 182571 Jackson Therapy Partners PO Box 277637 Atlanta GA 30384 Homecare Therapy 123359 Maxim Healthcare Services 12558 Collections Center Drive Chicago IL 60693 Agency Nursing 108224 5 0 0 0 987554 0 329813 0 1317367 Nursing Home 623000 22743010 22743010 0 0 Homecare 621610 2216910 2216910 0 0 Hospice 624190 1588689 1588689 0 0 0 0 0 0 26548609 70233 0 0 70233 0 0 0 0 0 0 0 0 0 0 0 0 0 20570 0 0 20570 20570 27956779 26548609 0 90803 686745 163962 522783 0 15064411 14056940 1007471 0 543179 543179 1587390 1587390 1451424 1451424 30444 30444 61299 61299 50156 50156 1604295 1510595 93700 153425 33032 120393 68174 6842 61332 157664 157664 705695 705695 60109 60109 47603 23874 23729 154202 154202 1489177 1489177 256377 256377 Medical, Dietary, & Maintenance Supplies 2531088 2526718 4370 0 Bed, Property, & Sales Tax 1108757 1107745 1012 0 Miscellaneous 622088 433570 188518 0 Bad Debt Expense 184156 184156 0 0 Inpatient Stay Expense 1919 1919 0 0 28619777 26040529 2579248 0 1150 1150 3120591 2644789 2600084 2992159 65341 69781 126863 118041 38734977 18137901 21611630 20597076 5782632 6983634 33308291 33406630 1736559 2200097 11215000 10860000 48554 5454332 4817913 18405891 17926564 X 14800290 15363293 77710 92373 24400 24400 14902400 15480066 33308291 33406630 X -662998 1240664 X 0 1 1 0 X 2032956 1245989 1010842 1670547 1346167 7306501 25693213 26638205 26790815 27476541 26548609 133147383 0 0 0 0 0 0 0 0 27726169 27884194 27801657 29147088 27894776 140453884 140453884 204168 183176 123225 92681 70233 673483 204168 183176 123225 92681 70233 673483 310716 322730 229517 50280 294027 1207270 28241053 28390100 28154399 29290049 28259036 142334637 0.98679 0.98692 0.00473 0.00549 X Income derived from Management Fees, Rebates and Refunds, and Miscellaneous. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 717 1 0 0 717 0 SchC_P2B_S00_L01 Schedule C, Part II-B, Line 1 Delegations 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. 0 1 102110 4494 12039 0 1390 480 116773 97158 6000 1597 0 2260 385 102110 72095 83917 -6454 0 52400 0 97158 0 0.21 0.79 1 0 0 532827 532827 0 29733620 12098224 17635396 0 1897059 980799 916260 0 6499385 4986792 1512593 0 72086 72086 0 20597076 Deferred Financing Fees 208223 Assets Held By Others 77256 Due From Affiliate 93397 Investments with Limited Use 5720408 Investments Under Bond Indenture 899 A/R Other 13857 Cash Collateral Account 787564 Construction In Progress 82030 6983634 Accrued Pension Liability 4331487 Estimated Third Party Payables 486426 4817913 27956779 28619777 -662998 339809 0 0 0 900855 1240664 577666 28598845 339809 28800 0 273457 642066 27956779 0 0 0 27956779 28652184 28800 0 0 3607 32407 28619777 0 0 0 28619777 SchD_P04_S00_L02b Schedule D, Part IV, Line 2b The 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_L04 Schedule D, Part V, Line 4 To help fund future programs and services at Montefiore. SchD_P10_S00_L02 Schedule D, Part X, Line 2 The 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_L08 Schedule D, Part XI, Line 8 273,457 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_L02d Schedule D, Part XII, Line 2d Reimbursed Expenses Netted with Revenue SchD_P13_S00_L02d Schedule D, Part XIII, Line 2d Additional Hospice Investment Expenses X X 0 1 0 0 0 0 0 0 0 Lauren Rock 288435 0 25000 0 0 0 8360 0 6402 0 328197 0 0 0 Mark Weiss 215499 0 0 0 0 0 6552 0 12233 0 234284 0 0 0 Gina Prosser 155820 0 0 0 0 0 4651 0 9699 0 170170 0 0 0 SchJ_P01_S00_L03 Schedule J, Part I, Line 3 Compensation is discussed by a compensation committee and CEO compensation is approved by the Board of Directors. SchJ_P01_S00_L04 Schedule J, Part I, Line 4 Montefiore 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. Colorado Educational and Cultural Authority 840896727 196458ZY2 2005-02-24 13000000 Expansion and Renovation 0 0 0 0 0 13000000 0 0 0 281017 0 0 13000000 0 0 2005 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 F990_P01_S00_L01 Form 990, Part I, Line 1 The 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_L02 Form 990, Part VI, Section A, Line 2 Sally 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_L04 Form 990, Part VI, Section A, Line 4 During 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_L11b Form 990, Part VI, Section B, Line 11b Form 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_L12c Form 990, Part VI, Section B, Line 12c If a conflict of interest arrises, the matter would be discussed with the appropriate Board Member. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 In 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_L19 Form 990, Part VI, Section C, Line 19 Public documents such as the 990 are made available upon request. F990_P11_S00_L05 Form 990, Part XI, Line 5 A)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 The Montefiore Foundation 1 David N Myers Parkway Beachwood OH 441221162 341788055 Fundraising and grant funding for the Montefiore Home OH 501(c)(3) 7 N/A The Montefiore Housing Corporation 1 David N Myers Parkway Beachwood OH 441221162 311501393 Assisted Living and Skilled Nursing OH 501(c)(3) 9 N/A The Montefiore Home Physicians Corp 1 David N Myers Parkway Beachwood OH 44122 341961355 Physician Visits OH N/A C 0 0 1 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 Filing by May 15, 2012 due to requested extension.