2011-11-14T11:00:06-06:00 2010-12-31 PLANTE & MORAN PLLC 65 EAST STATE ST STE 600 COLUMBUS OH 43215 990 2010-01-01 311345871 JEWISH HOME OF CINCINNATI INC JEWI 5137543100 5467 CEDAR VILLAGE DRIVE MASON OH 45040 CAROL SILVER ELLIOTT 5137543100 2011-11-11 1 BERNIE OSTROWSKI 6148493000 2010 2016-03-07 17:11:31Z CEDAR VILLAGE CAROL SILVER-ELLIOTT 5467 CEDAR VILLAGE DRIVE MASON OH 45040 21071780 0 X WWW.CEDARVILLAGE.ORG X 1997 OH CEDAR VILLAGE PROVIDES RESIDENTS OF THE GREATER CINCINNATI COMMUNITY WITH THE HIGHEST QUALITY HEALTHCARE, SENIOR RESIDENTIAL AND COMMUNITY SERVICES, IN KEEPING WITH JEWISH VALUES. 27 27 442 162 13501 0 1188129 729751 18898399 19488784 -804715 756950 163892 31777 19445705 21007262 0 0 0 0 11553645 11516952 0 0 79189 8803014 8890430 20356659 20407382 -910954 599880 44571932 47217497 14873685 15462153 29698247 31755344 CEDAR VILLAGE PROVIDES RESIDENTS OF THE GREATER CINCINNATI COMMUNITY WITH THE HIGHEST QUALITY HEALTHCARE, SENIOR RESIDENTIAL AND COMMUNITY SERVICES, IN KEEPING WITH JEWISH VALUES. 0 0 15869445 0 18716066 OPERATION OF A 162 BED MEDICARE/MEDICAID LICENSED NURSING FACILITY AND A 172 BED LICENSED RESIDENTIAL FACILITY 635364 0 772718 OPERATION OF CEDAR VILLAGE HOME CARE, A NON-MEDICAL PRIVATE DUTY AIDE SERVICE. 87785 0 0 OPERATION OF CEDAR VILLAGE COMFORT CARE, A PALLIATIVE CARE PROGRAM OPENING IN MAY 2011. 16592594 1 1 0 1 1 0 0 0 1 1 1 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 46 0 1 442 1 1 1 0 0 0 0 1 1 0 0 0 0 X 27 27 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 1 0 OH X VICKIE BRASHEAR 5137543100 5467 CEDAR VILLAGE DRIVE MASON OH 45040 JAY PRICE 1.00 X X 0 0 0 RABBI RUTH ALPERS 1.00 X X 0 0 0 GLORIA LIPSON 1.00 X X 0 0 0 CHARLES BISSINGER JR 1.00 X X 0 0 0 RACHEL SCHILD 1.00 X X 0 0 0 BARB REED 1.00 X X 0 0 0 GLORIA LIPSON 1.00 X X 0 0 0 BOB ROSEN 1.00 X X 0 0 0 MARK MAYER 1.00 X X 0 0 0 ROBIN HARVEY 1.00 X 0 0 0 LAURIE BURMAN 1.00 X 0 0 0 WILBUR COHEN 1.00 X 0 0 0 LEIGH FAULK 1.00 X 0 0 0 JAN FRANKEL 1.00 X 0 0 0 STEVE GUTTER 1.00 X 0 0 0 LOUIS GUTTMAN 1.00 X X 0 0 0 DR RICHARD GOLDFARB 1.00 X 0 0 0 ROZ HARKAVY 1.00 X 0 0 0 DONALD KAPLAN 1.00 X 0 0 0 MARK MOSKOWITZ 1.00 X 0 0 0 LARRY NEUMAN 1.00 X 0 0 0 MARVIN SCHWARTZ 1.00 X 0 0 0 MIRIAM WARSHAUER 1.00 X 0 0 0 MR MARVIN YOUKILIS 1.00 X 0 0 0 BILL ZIV 1.00 X 0 0 0 LESHA GREENGUS 1.00 X 0 0 0 PAUL HEIMAN 1.00 X 0 0 0 ANDREW SHOTT 1.00 X 0 0 0 H JEROME LERNER 1.00 X 0 0 0 JEROME TELLER 1.00 X 0 0 0 KEN COHEN 1.00 X 0 0 0 CAROL SILVER-ELLIOTT 40.00 X 287901 0 11477 VICKIE L BRASHEAR 40.00 X 141493 0 8132 ROBERT BURNS 40.00 X 72235 0 2947 501629 0 22556 2 0 1 0 MORRISON SENIOR DINING PO BOX 102289 ATLANTA GA 30342 DIETARY 1711290 PERKINS EASTMAN ARCHITECTS 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECTURAL SERVICES 299793 US SECURITY ASSOCIATES PO BOX 931703 ATLANTA GA 30336 SECURITY GUARD 116420 ENGINEERING EXCELLENCE 10 KNOLLCREST DRIVE CINCINNATI OH 45237 ENGINEERING SERVICES 102696 4 124414 605337 729751 RESIDENT REVENUE 623000 19488784 19488784 19488784 705070 705070 51780 100 51780 100 51880 51880 51400 124414 61424 -10024 -10024 12685 3094 9591 9591 PASSTHROUGH INCOME 523000 32210 13501 18709 32210 21007262 19488784 13501 775226 578133 578133 8331980 7165503 1166477 107055 83503 23552 1438287 1165012 273275 1061497 881043 180454 50131 50131 63215 63215 54985 54985 2764396 2405025 359371 73602 63298 10304 2279546 1672271 528086 79189 773338 665071 108267 80242 80242 464772 399704 65068 1213909 1043962 169947 157017 141315 15702 FRANCHISE FEES 710590 710590 BAD DEBTS 187907 187907 MISCELLANEOUS 16780 8390 8390 20407382 16592594 3735599 79189 1451 1450 634066 1202007 507725 304723 1912911 2425807 580 2475 83056 100030 113457 106053 35861309 12434882 23543251 23426427 14306083 14604773 3251236 4760076 218116 283676 44571932 47217497 1909036 2105666 12085000 13188526 879649 167961 14873685 15462153 X 22480005 24764089 2111198 1884211 5107044 5107044 29698247 31755344 44571932 47217497 X 599880 1457217 X X 0 1 1 X 0 X 1604704 697979 1414914 1188129 729751 5635477 1604704 697979 1414914 1188129 729751 5635477 2109226 3526251 331836 493185 -69499 435993 705070 1896585 276 3476 -26303 6875 13501 -2175 144210 68786 29600 20520 82794 345910 7875797 88449400 0.44770 0.42300 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: SPECIAL EVENTS PASSTHROUGH INCOME GAMING RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 994 994 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: $16,035.12 OF DUES WERE PAID TO AOPHA, 6.2 PERCENT OF WHICH ARE RELATED TO LOBBYING ACTIVITIES. 1 6939 149780 1 1 5357001 94022 1070977 2800 6519200 3900392 1377429 1194647 1105354 10113 5357001 4647949 -476879 255485 15193 3900392 0.00000 0.81000 0.19000 0 0 490667 490667 30816335 10013198 20803137 3240271 2239136 1001135 1314036 182548 1131488 23426427 CD'S AND MONEY MARKET 1291822 F ALTERNATIVE INVESTMENTS 3468254 F 4760076 INTEREST RATE SWAP 167961 167961 21007262 20407382 599880 1753825 -296608 1457217 2057097 22186931 1753825 -296608 1457217 20729714 277548 277548 21007262 20429834 22452 22452 20407382 0 20407382 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE INTENDED USE OF THE BERG, WEINBERG, AND MAY-DRURY ENDOWMENT FUNDS IS TO PROVIDE FOR RESIDENT ACTIVITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN MARKET VALUE OF SWAP AGREEMENT -296,608. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN MARKET VALUE OF SWAP AGREEMENT -296,608. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS SPECIAL EVENT EXPENSES -48,302. TEMPORARILY RESTRICTED CONTRIBUTIONS 300,000. GAIN ON DISPOSAL OF ASSETS 100. RECLASS OF CONTRIBUTIONS 25,750. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RECLASS SPECIAL EVENT EXPENSES 48,302. GAIN ON DISPOSAL OF ASSETS -100. RECLASS OF CONTRIBUTIONS -25,750. GOLF OUTING 125571 102171 23400 300 5167 10975 82 18976 EIGHT OVER EIGHTY DINNER 50243 22243 28000 712 1540 10850 2225 10777 175814 124414 51400 300 5879 12515 10932 2225 29753 61604 -10204 X X X X 0 0 0 0 0 0 0 0 0 CAROL SILVER-ELLIOTT 269901 0 18000 0 0 0 8054 0 3423 0 299378 0 0 0 CITY OF MASON 316001070 2010-07-23 12325000 ECONOMIC DEVELOPMENT REVENUE AND REFUNDING REVENUE BONDS 1 0 0 12325000 12085000 240000 1 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 1 PNC BANK 10.000000000000 0 0 0 0 1 FORM 990, PART VI, SECTION A, LINE 2 THERE IS A FAMILY RELATIONSHIP BETWEEN BOARD MEMBERS KEN COHEN AND WILBUR COHEN. FORM 990, PART VI, SECTION A, LINE 2 THERE IS A FAMILY RELATIONSHIP BETWEEN BOARD MEMBERS MIRIAM WARSHAUER AND WILBUR COHEN. FORM 990, PART VI, SECTION A, LINE 4 SEE ATTACHMENT FOR UPDATED CODE OF REGULATIONS. FORM 990, PART VI, SECTION B, LINE 11 THE CFO REVIEWS THE 990 AND DISTRIBUTES AN ELECTRONIC COPY OF THE FORM TO ALL BOARD MEMBERS VIA EMAIL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL MEMBERS OF THE GOVERNING BODY, ALL MEDICAL STAFF, AND ALL HOSPICE PERSONNEL. THE CEO ROUTINELY REVIEWS RELATIONSHIPS FOR CONFLICTS OF INTEREST AND RESEARCHES AND ADDRESSES ANY POTENTIAL CONFLICTS. POTENTIAL CONFLICTS MUST BE DISCLOSED TO THE CEO. PROTECTIVE STEPS TAKEN IN THE CASE OF A CONFLICT OF INTEREST INCLUDE REQUIRING THE EMPLOYEE TO REFRAIN FROM BEING INVOLVED IN ANY RELATED DECISIONS MADE BY CEDAR VILLAGE OR TO ELIMINATE THE CONFLICT OF INTEREST BY DISPOSING OF THEIR INTEREST IN THE OTHER PARTY. BOARD MEMBERS ARE REQUIRED TO SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 CEO COMPENSATION IS SET BY THE COMPENSATION COMMITTEE OF THE BOARD. THE PROCESS IS COMPLETED AND DOCUMENTED ANNUALLY AND WAS LAST UNDERTAKEN IN 2010. OTHER OFFICERS AND KEY EMPLOYEES' SALARIES ARE SET BY THE CEO WITH APPROVAL BY THE BOARD CHAIR. FORM 990, PART VI, SECTION C, LINE 18 FORMS 990, 990-T, AND 1023 ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,753,825. CHANGE IN MARKET VALUE OF SWAP AGREEMENT -296,608. TOTAL TO FORM 990, PART XI, LINE 5: 1,457,217. OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT: FORM 990, PART XI, LINE 2C: AS IN PRIOR YEARS, THE FINANCE COMMITTEE PERFORMED THE FUNCTIONS OF AN AUDIT COMMITTEE.