VP OF FINANCE

2011-09-27T15:07:03-05:00 2010-12-31 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2010-01-01 111694718 SEPHARDIC HOME FOR THE AGED INC SEPH 7182666100 2266 CROPSEY AVENUE BROOKLYN NY 11214 JAY MOSTEL VP OF FINANCE 7182666100 2011-09-22 1 FREDERICK H ROTHMAN 2128674000 2010 2016-03-07 17:11:31Z SEPHARDIC SKILLED NURSING JAY MOSTEL 2266 CROPSEY AVENUE BROOKLYN NY 11214 34019235 0 X WWW.SEPHARDICHOME.ORG X 1949 NY TO OPERATE A 271-BED NURSING HOME IN BROOKLYN, NEW YORK 23 23 397 0 0 0 231769 100265 34019512 33511223 347481 293580 3088 -631 34601850 33904437 0 0 0 0 23498968 24750186 0 0 9398 11001149 11243617 34500117 35993803 101733 -2089366 50364267 50554117 4954097 7233313 45410170 43320804 TO PROVIDE THE ELDERLY WITH THE BEST QUALITY OF LIFE IN A RESPECTFUL, DIGNIFIED, SAFE AND COMPASSIONATE ENVIRONMENT IN ACCORDANCE WITH JEWISH TRADITION. 0 0 31444522 33511223 THE ORGANIZATION PROVIDED 95,416 DAYS OF CARE/REHABILITATIVE SERVICES IN ITS NURSING FACILITY AND 14,542 ADULT DAY HEALTH CARE VISITS IN 2010. 31444522 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 94 0 1 397 1 0 0 0 0 0 0 0 0 0 0 X 23 23 1 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 1 1 0 NY X JAY MOSTEL VP OF FINANCE 7182666100 2266 CROPSEY AVENUE BROOKLYN NY 11214 JAMES CASPI PRESIDENT 1.00 X X 0 0 0 LAURIE KAMHI FIRST VICE PRESIDENT 1.00 X X 0 0 0 LOUIS ROUSSO SECOND VICE PRESIDENT 1.00 X X 0 0 0 MICHAEL LOPEZ CHAIRMAN OF THE BOARD 1.00 X X 0 0 0 NEIL CRESPI TREASURER 1.00 X X 0 0 0 JOE HALIO SECRETARY 1.00 X X 0 0 0 ALAN MATARASSO BOARD MEMBER 1.00 X 0 0 0 ALBERT MALEH BOARD MEMBER 1.00 X 0 0 0 ALBERT SUTTON BOARD MEMBER 1.00 X 0 0 0 CLIFTON RUSSO BOARD MEMBER 1.00 X 0 0 0 EDWARD ALCOSSER BOARD MEMBER 1.00 X 0 0 0 HENRY PERAKIA BOARD MEMBER 1.00 X 0 0 0 IRA ROUSSO BOARD MEMBER 1.00 X 0 0 0 JAMES KHANI BOARD MEMBER 1.00 X 0 0 0 JEFFREY MENAGED BOARD MEMBER 1.00 X 0 0 0 JERRY NATKIN BOARD MEMBER 1.00 X 0 0 0 JOEL WEIDMAN BOARD MEMBER 1.00 X 0 0 0 MARC TENZER BOARD MEMBER 1.00 X 0 0 0 MORRIS ADWAR BOARD MEMBER 1.00 X 0 0 0 RAYMOND COHEN BOARD MEMBER 1.00 X 0 0 0 REGINALD MATSIL BOARD MEMBER 1.00 X 0 0 0 ROBERT COHEN BOARD MEMBER 1.00 X 0 0 0 VICTOR HAZEN BOARD MEMBER 1.00 X 0 0 0 MICHAEL NEW EXECUTIVE DIRECTOR 35.00 X 296546 0 84212 JAY MOSTEL VICE PRESIDENT OF FINANCE 35.00 X 199989 0 81290 NORMAN COHEN SENIOR VICE PRESIDENT 35.00 X 201377 0 61195 GERTRUDES DE GUZMAN DIRECTOR OF NURSING 35.00 X 140400 0 30367 NEIL SCHLISSEL CONTROLLER 35.00 X 128000 0 29747 ARLENE KAKOULAS ASST. DIRECTOR OF NURSING 35.00 X 129744 0 22875 LINDA HUNTER DIRECTOR OF HUMAN RESOURCES 35.00 X 127727 0 22733 PHYLLIS CHIN DIRECTOR OF QUALITY MANAGEMENT 35.00 X 120000 0 14248 1343783 0 346667 12 0 1 0 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 60680 THERAPY SERVICES 683448 PARK AVENUE MEDICAL ASSOCIATES PC 3 BARKER AVENUE WHITE PLAINS NY 10601 MEDICAL SERVICES 634918 TOWNE NURSING STAFF 129 SOUTH 8TH STREET BROOKLYN NY 11211 NURSING SERVICES 492422 ID MEDICAL 501 5TH AVENUE NEW YORK NY 10017 MEDICAL SERVICES 281016 TOTAL STRUCTURAL CONCEPTS INC 8 KRISTI CT GREENLAWN NY 11740 CONSTRUCTION SERVICES 218970 9 100265 100265 MEDICAID 623000 20784798 20784798 MEDICARE - PART A 623000 6858752 6858752 SELF-PAY 623000 2972923 2972923 ADULT DAY CARE 623000 2437367 2437367 MEDICARE - PART B 623000 457383 457383 33511223 383917 383917 23830 24461 -631 -631 -631 90337 -90337 -90337 -90337 33904437 33511223 0 292949 929123 929123 16185565 14773584 1411981 1041148 1022397 18751 5260792 4660929 599863 1333558 1166447 167111 45147 45147 43977 43977 3824 3365 459 4546205 4017686 528519 47847 47847 2119040 1875351 235888 7801 954285 834908 119377 8053 1994 4462 1597 23638 12440 11198 1493288 1306478 186810 248488 217398 31090 CASH RECEIPTS ASSESSMT. 1357451 1357451 352374 194094 158280 35993803 31444522 4539883 9398 2609 2862 33056811 31576431 141670 97170 5108680 7537999 33943 33943 174202 116739 28821570 18424969 11173719 10396601 672633 792372 50364267 50554117 3926698 5007892 1027399 2225421 4954097 7233313 X 43829627 41740261 1580543 1580543 45410170 43320804 50364267 50554117 -2089366 0 X X 0 1 1 X 0 X 726101 760625 217106 231769 100265 2035866 31343357 31674102 32915659 34019512 33511223 163463853 32069458 32434727 33132765 34251281 33611488 165499719 0 0 0 165499719 1078411 1272916 897967 434761 407747 4091802 1078411 1272916 897967 434761 407747 4091802 131100 56785 83700 40630 312215 33278969 33764428 34114432 34726672 34019235 169903736 0.97410 0.96960 0.02410 0.02790 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3824 3824 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE ORGANIZATION HOLDS MEMBERSHIP IN NYAHSA AND CCLC ORGANIZATIONS AND HAS ENGAGED IN LOBBYING ACTIVITIES CARRIED ON BY THOSE ORGANIZATIONS. 1580543 21761 21761 1580543 1580543 59959 59959 1580543 1580543 59959 59959 1580543 1.00000 0 0 506140 506140 15190207 10380506 4809701 12487028 7686441 4800587 638195 358022 280173 10396601 DUE TO THIRD PARTY PAYORS 1680059 RESIDENT PERSONAL FUNDS 545362 2225421 33904437 35993803 -2089366 0 -2089366 33928898 24461 24461 33904437 0 33904437 36018264 24461 24461 35993803 0 35993803 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE INTENDED USE IS TO SUPPORT ACTIVITIES RELATED TO HEALTH CARE SERVICES- MEDICAL RESEARCH AND EDUCATIONAL PROGRAMS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOME HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2007 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 24,461. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 24,461. X X X 0 0 0 0 0 0 0 0 0 MICHAEL NEW 294160 0 0 0 2386 0 36395 0 47817 0 380758 0 0 0 JAY MOSTEL 197767 0 0 0 2222 0 43809 0 37481 0 281279 0 0 0 NORMAN COHEN 200072 0 0 0 1305 0 31292 0 29903 0 262572 0 0 0 GERTRUDES DE GUZMAN 140400 0 0 0 0 0 7020 0 23347 0 170767 0 0 0 NEIL SCHLISSEL 128000 0 0 0 0 0 6400 0 23347 0 157747 0 0 0 ARLENE KAKOULAS 129744 0 0 0 0 0 6500 0 16375 0 152619 0 0 0 LINDA HUNTER 127727 0 0 0 0 0 6386 0 16347 0 150460 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 LOUIS ROUSSO AND IRA ROUSSO HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. THE BOARD OF DIRECTORS REVIEWS THE FORM 990 AND APPROVES IT FOR SUBMISSION. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE SALARIES AND BENEFITS ARE SUBJECT TO APPROVAL BY THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE. IN 2009 THE EXECUTIVE COMPENSATION COMMITTEE GATHERED COMPARATIVE SALARY AND BENEFITS INFORMATION FROM AN INDEPENDENT SOURCE AS PART ITS REVIEW AND APPROVAL OF EXECUTIVE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. AUDIT OVERSIGHT FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.