2011-11-07T20:06:51-06:00 2010-12-31 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2010-01-01 112625096 ELDERPLAN INC ELDE 7189217742 6323 SEVENTH AVENUE BROOKLYN NY 11220 ALEX BALKO 7189217742 2011-11-04 1 FREDERICK H ROTHMAN 2128674000 2010 2016-03-07 17:11:31Z ALEX BALKO 6323 SEVENTH AVENUE BROOKLYN NY 11220 357551196 0 X WWW.MJHS.ORG X 1982 NY A MEDICARE MANAGED CARE PROGRAM. 10 9 252 0 0 0 0 0 239006743 227569986 3296602 6292755 323 5040 242303668 233867781 2800000 0 0 0 20570083 21221212 0 0 0 227707202 223313528 251077285 244534740 -8773617 -10666959 108056339 88330497 46478614 41290854 61577725 47039643 X ELDERPLAN, A MEDICARE ADVANTAGE ORGANIZATION WITH A MEDICARE CONTRACT, SERVES OVER 15,000 SENIORS AND ADULTS WITH DISABILITIES IN THE BRONX, BROOKLYN, MANHATTAN, QUEENS AND STATEN ISLAND. A NOT-FOR-PROFIT ORGANIZATION, ELDERPLAN OFFERS A VARIETY OF HEALTH PLANS FOR MEDICARE AND MEDICAID BENEFICIARIES. 0 0 205896882 227569986 ELDERPLAN STARTED AS ONE OF THE FOUR ORIGINAL SOCIAL HEALTH MAINTENANCE ORGANIZATIONS (SHMOS) IN THE COUNTRY. NEARLY 30 YEARS LATER, ELDERPLAN, A MEDICARE ADVANTAGE ORGANIZATION WITH A MEDICARE CONTRACT, SERVES OVER 15,000 SENIORS AND ADULTS WITH DISABILITIES IN THE BRONX, BROOKLYN, QUEENS, MANHATTAN AND STATEN ISLAND. ELDERPLAN OFFERS A VARIETY OF PLANS THAT ARE DESIGNED TO ADDRESS THE HEALTH CARE NEEDS OF SENIORS AND PEOPLE WITH DISABILITIES. AS A NOT-FOR-PROFIT ORGANIZATION, WE REINVEST EARNINGS TO BRING OUR MEMBERS IMPROVED BENEFITS AND SERVICES. AS A RESULT, EACH YEAR NEW PLANS ARE DEVELOPED TO BETTER SERVE THE NEEDS OF THIS COMMUNITY. 205896882 1 0 0 0 0 0 0 0 0 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 1 0 0 0 0 1 4512 0 1 252 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X PEGGY GUNDERMAN 7189217742 6323 SEVENTH AVENUE BROOKLYN NY 11220 ELI S FELDMAN 7.00 X X 302319 1101307 78185 ARTHUR GOSHIN MD 0.50 X X 0 0 0 RONALD B MILCH 0.50 X X 0 0 0 ISAAC ASSAEL 0.50 X 0 0 0 ROSALIE DIPIETRO 0.50 X 0 0 0 PETER POST 0.50 X 0 0 0 TRACI ENTEL 0.50 X 0 0 0 CLARA WILLIAMS 0.50 X 0 0 0 HOWARD GREENBERG 0.50 X 0 0 0 DIANE P POLLARD 0.50 X 0 0 0 ALEX BALKO 7.00 X 150314 547573 70940 ROBERT LEAMER 7.00 X 92035 335270 69640 ELLIOT BROOKS 3.00 X 38622 379779 53551 RONALD CHAFFIN 17.00 X 278080 286259 191790 HANY ABDELAAL 17.50 X 144646 144646 37092 RANDALL KLEIN 17.50 X 124452 124452 30478 SAIFUL KHAN 35.00 X 414211 0 31263 GERALD ANELLO 35.00 X 196772 0 33158 GEORGE INGRAM 35.00 X 190083 0 34017 FRANCISCO POLANCO 35.00 X 265790 0 27162 LYNDA MONTELLA 35.00 X 200243 0 25561 2397567 2919286 682837 24 0 1 0 ENVISION PHARMACEUTICAL SERVICES 2181 E AURORA ROAD TWINSBURG OH 44087 PHARMACEUTICAL 30481465 MAIMONIDIES MEDICAL CENTER 4802 TENTH AVENUE BROOKLYN NY 11219 HOSPITAL 12327724 NEW YORK METHODIST HOSPITAL 506 SIXTH STREET BROOKLYN NY 11215 HOSPITAL 7349516 BETH ISRAEL MEDICAL CENTER 1ST AVENUE AND 16TH STREET NEW YORK NY 10003 HOSPITAL 6660518 STATEN ISLAND UNIVERSITY HOSPITAL 1 EDGEWATER PLAZA STATEN ISLAND NY 10305 HOSPITAL 6558923 197 MEDICARE PAYMENTS 524114 225676036 225676036 REINSURANCE RECOVERY 524298 1567027 1567027 PERSONAL CARE SERVICES 524114 326923 326923 227569986 1411422 1411422 128564748 123683415 4881333 4881333 4881333 MISCELLANEOUS 900099 5040 5040 5040 233867781 227569986 0 6297795 1310821 1310821 16300431 16300431 630653 630653 1895202 1895202 1084105 1084105 479803 479803 169050 169050 185725 185725 174523837 170964244 3559593 4371760 4371760 28137371 23515493 4621878 1857859 1857859 1139792 1139792 2582569 2478406 104163 113185 113185 504293 504293 135032 135032 LICS EXPENSE 7734197 7734197 STOP LOSS INSURANCE 1204542 1204542 PLAN DATA MANAGEMENT 148310 148310 MISCELLANEOUS 26203 26203 244534740 205896882 38637858 0 1000 1000 25840224 28916538 1044007 3392115 189694 434131 10563379 3608782 3301888 6954597 76977019 47434910 702507 1197206 108056339 88330497 43433129 35906829 245348 388707 2800137 4995318 46478614 41290854 X 61577725 47039643 61577725 47039643 108056339 88330497 X -10666959 -3871123 X X 0 1 1 X 0 X 267493338 269990586 250343676 239006743 227569986 1254404329 267493338 269990586 250343676 239006743 227569986 1254404329 0 0 0 1254404329 4280858 5353039 3727198 2244888 1411422 17017405 4280858 5353039 3727198 2244888 1411422 17017405 1076 1080 197 323 5040 7716 271775272 275344705 254071071 241251954 228986448 1271429450 0.98660 0.98620 0.01340 0.01380 X 10563379 3608782 6954597 6954597 DUE TO MEDICAID 1874268 UNCLAIMED DISBURSEMENTS 44195 DUE TO PARTICIPATING AGENCIES OF THE METROPOLITAN JEWISH HEALTH SYSTEM 3076855 4995318 233867781 244534740 -10666959 -3871123 -3871123 -14538082 233682056 0 233682056 185725 185725 233867781 244349015 0 244349015 185725 185725 244534740 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE COMPANY ADOPTED THE PROVISION PERTAINING TO UNCERTAIN TAX POSITIONS, ASC TOPIC 740, AND 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. X 1 1 X X X X X X 0 1 0 0 0 0 0 1 0 ELI S FELDMAN 214064 779806 0 0 88255 321501 9103 33160 7737 28185 319159 1162652 0 0 ALEX BALKO 130578 475678 11164 40670 8572 31225 9103 33160 6177 22500 165594 603233 0 0 ROBERT LEAMER 77597 282675 6905 25153 7533 27442 9103 33160 5897 21480 107035 389910 0 0 ELLIOT BROOKS 32930 323807 2671 26269 3021 29703 3901 38361 1042 10247 43565 428387 0 0 RONALD CHAFFIN 240762 247843 19710 20290 17608 18126 81015 83398 13490 13887 372585 383544 0 0 HANY ABDELAAL 138434 138434 0 0 6212 6212 8881 8881 9665 9665 163192 163192 0 0 RANDALL KLEIN 119478 119478 0 0 4974 4974 4622 4622 10617 10617 139691 139691 0 0 SAIFUL KHAN 143482 0 270161 0 568 0 10816 0 20447 0 445474 0 0 0 GERALD ANELLO 196772 0 0 0 0 0 14179 0 18979 0 229930 0 0 0 GEORGE INGRAM 189357 0 0 0 726 0 13822 0 20195 0 224100 0 0 0 FRANCISCO POLANCO 89183 0 176607 0 0 0 6309 0 20853 0 292952 0 0 0 LYNDA MONTELLA 193866 0 0 0 6377 0 13807 0 11754 0 225804 0 0 0 PART I, LINE 1A SENIOR EXECUTIVES SHALL BE REIMBURSED FOR BUSINESS/FIRST CLASS AIR TRAVEL FOR FLIGHTS OF FOUR AND ONE-HALF HOURS OR LONGER. THIS BENEFIT IS NONTAXABLE TO THE RECIPIENTS. PART I, LINE 4B PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: ELI FELDMAN- $378,183-THIS AMOUNT WAS PAID OUT IN 2010 AND HAD BEEN ACCRUED OVER THE PREVIOUS 3 YEARS. ALEXANDER BALKO - $17,426 ELLIOT BROOKS - $17,426 RON CHAFFIN - $17,426 ROBERT LEAMER - $17,426 PART I, LINE 7 BONUS ELIGIBILITY IS BASED ON THE EXTENT THAT EACH EXECUTIVE AND EMPLOYEE HAS ACHIEVED HIS/HER GOAL. FORM 990, PART VI, SECTION A, LINE 6 ALL MEMBERS HAVE THE SAME VOTING RIGHTS. THE MEMBERS HAVE THE RIGHT TO ELECT THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS SHALL BE ELECTED BY THE MEMBERS OF THE ORGANIZATION. ALL MEMBERS HAVE THE SAME VOTING RIGHTS. FORM 990, PART VI, SECTION B, LINE 11 DRAFTS 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 12C EACH 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 15 EACH YEAR, THE ORGANIZATION 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 2010. 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 18 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST TO THE OFFICE OF THE PRESIDENT. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST TO THE OFFICE OF THE PRESIDENT. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -3,871,123. FORM 990, PART XI, LINE 2C PROCESS HAS NOT CHANGED FROM PRIOR YEAR. HOURS WORKED FOR RELATED ORGANIZATIONS FORM 990, PART VII ELI S. FELDMAN - 26 ALEXANDER BALKO - 26 ROBERT LEAMER - 26 ELLIOT BROOKS - 30 ISSAC ASSAEL - 3 ROSALIE DIPIETRO - 0.5 CLARA WILLIAMS - 0.5 ARTHUR GOSHIN - 3 RONALD B. MILCH - 4.5 TRACI ENTEL - 1 DIANE POLLARD - 1 PETER POST - 1.5 HOWARD GREENBERG - 2.5 HANY ABDELAAL - 17.5 RON CHAFFIN - 18 RANDALL KLEIN - 17.5 METROPOLITAN JEWISH HEALTH SYSTEM INC 6323 7TH AVENUE BROOKLYN NY 11220 113538697 ADMINISTRATIVE SERVICES NY 501(C)(3) 7 N/A 0 MJG NURSING HOME CO INC 6323 7TH AVENUE BROOKLYN NY 11220 237123076 NURSING HOME, HOME CARE, ADULT DAY CARE NY 501(C)(3) 3 N/A 0 MENORAH HOME AND HOSPITAL FOR THE AGED AND INFIRM 6323 7TH AVENUE BROOKLYN NY 11220 111672777 NURSING HOME, ADULT DAY CARE NY 501(C)(3) 3 METROPOLITAN JEWISH HEALTH SYSTEM INC 0 SHOREFRONT JEWISH GERIATRIC CENTER INC 6323 7TH AVENUE BROOKLYN NY 11220 113072153 NURSING HOME NY 501(C)(3) 9 METROPOLITAN JEWISH HEALTH SYSTEM INC 0 METROPOLITAN JEWISH HOME CARE INC 6323 7TH AVENUE BROOKLYN NY 11220 320060822 HOME CARE, HOSPICE NY 501(C)(3) 9 METROPOLITAN JEWISH HEALTH SYSTEM INC 0 HOMEFIRST INC 6323 7TH AVENUE BROOKLYN NY 11220 113325280 MEDICAID MANAGED LONG TERM CARE PLAN NY 501(C)(3) 9 N/A 0 MENORAH FOUNDATION INC 6323 7TH AVENUE BROOKLYN NY 11220 113471173 FUNDRAISING NY 501(C)(3) 11 TYPE I METROPOLITAN JEWISH HEALTH SYSTEM FOUNDATION 0 HOMEFIRST LHCSA INC 6323 7TH AVENUE BROOKLYN NY 11220 611501623 HOME CARE NY 501(C)(3) 9 N/A 0 SHOREFRONT TOWERS HOUSING DEVELOPMENT FUND CORPORATION 6323 7TH AVENUE BROOKLYN NY 11220 113200785 HOUSING NY 501(C)(3) 9 N/A 0 METROPOLITAN JEWISH HEALTH SYSTEM FOUNDATION 6323 7TH AVENUE BROOKLYN NY 11220 111630753 FUNDRAISING NY 501(C)(3) 7 N/A 0 JACOB PERLOW HOSPICE CORPORATION 6323 7TH AVENUE BROOKLYN NY 11220 133438643 HOSPICE SERVICES NY 501(C)(3) 3 METROPOLITAN JEWISH HEALTH SYSTEM INC 0 0 1 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0 METROPOLITAN JEWISH HEALTH SYSTEM INC O 7987740 CASH METROPOLITAN JEWISH HOME CARE INC L 6274337 CASH SHOREFRONT JEWISH GERIATRIC CENTER INC L 1299134 CASH MENORAH HOME AND HOSPITAL FOR THE AGED AND INFIRM L 1134268 CASH MJG NURSING HOME CO INC L 1388202 CASH METROPOLITAN JEWISH HEALTH SYSTEM INC J 399728 CASH HOMEFIRST INC N 2104467 CASH METROPOLITAN JEWISH HOME CARE INC N 661661 CASH