2021-06-24T09:12:40-07:00 2020-12-31 990 2020-01-01 237120570 DAUGHTERS OF SARAH NURSING CENTER INC DAUG 5184567831 180 WASHINGTON AVENUE EXTENSION ALBANY NY 12203 Courtney Mulson CFO 5187243240 2021-06-23 1 11 0 AAL2 2020 2022-09-23 18:48:47Z Courtney Mulson 180 Washington Ave Ext Albany NY 12203 23481487 0 X WWW.DAUGHTERSOFSARAH.ORG X 1942 NY THE MISSION OF THE DAUGHTERS OF SARAH NURSING CENTER, INC. IS TO ENHANCE THE QUALITY OF LIFE, ASSURE THE SAFETY AND DIGNITY, AND FOSTER THE INDEPENDENCE OF THOSE WE SERVE THROUGH RESIDENTIAL, PERSONAL CARE, HEALTH AND SUB-ACUTE REHABILITATION CENTER AND OTHER QUALITY SERVICES, CONSISTENT WITH JEWISH VALUES AND TRADITIONS BY OPERATING A SKILLED NURSING HOME FOR ELDERLY INFIRM AND DISABLED ADULTS IN NEED OF ASSISTANCE WITH THE ACTIVITIES OF DAILY LIVING. THE FACILITY IS LICENSED AS SUCH BY THE NEW YORK STATE DEPARTMENT OF HEALTH IN ACCORDANCE WITH THE NEW YORK STATE PUBLIC HEALTH LAW. 15 15 413 80 0 0 113800 1763624 21431184 21112181 1167345 605682 0 0 22712329 23481487 0 0 0 0 17506094 18390451 0 0 0 4550953 4598049 22057047 22988500 655282 492987 46517601 48442742 11311885 12717284 35205716 35725458 THE MISSION OF THE DAUGHTERS OF SARAH NURSING CENTER, INC. IS TO ENHANCE THE QUALITY OF LIFE, ASSURE THE SAFETY AND DIGNITY, AND FOSTER THE INDEPENDENCE OF THOSE WE SERVE THROUGH RESIDENTIAL, PERSONAL CARE, HEALTH AND OTHER QUALITY SERVICES, CONSISTENT WITH JEWISH VALUES AND TRADITIONS BY OPERATING A SKILLED NURSING HOME AND SUB-ACUTE REHABILITATION CENTER FOR ELDERLY INFIRM AND DISABLED ADULTS IN NEED OF ASSISTANCE WITH THE ACTIVITIES OF DAILY LIVING. THE FACILITY IS LICENSED AS SUCH BY THE NEW YORK STATE DEPARTMENT OF HEALTH IN ACCORDANCE WITH THE NEW YORK STATE PUBLIC HEALTH LAW. 0 0 19599889 0 23481487 DAUGHTERS OF SARAH NURSING CENTER'S ("DAUGHTERS") MISSION TO ENHANCE THE QUALITY OF LIFE, ASSURE THE SAFETY AND DIGNITY, AND FOSTER THE INDEPENDENCE OF THOSE WE SERVE THROUGH RESIDENTIAL, PERSONAL CARE, HEALTH AND OTHER SERVICES, CONSISTENT WITH JEWISH VALUES AND TRADITIONS IS ACCOMPLISHED THROUGH THE OPERATION OF A SKILLED NURSING FACILITY LICENSED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. DAUGHTERS IS A 210 BED FACILITY PROVIDING 24-HOUR CARE FOR FRAIL AND DISABLED SENIORS, MOST OF WHOM ARE INDIGENT. (IT IS ESTIMATED THAT, ON AVERAGE, 61% OF OUR RESIDENTS RECEIVE BENEFITS THROUGH THE MEDICAID PROGRAM.) BY MEETING ALL OF THEIR NURSING AND PERSONAL CARE NEEDS, RESIDENTS ARE ABLE TO LIVE AND AGE IN A DIGNIFIED, RESPECTFUL AND SELF-INDEPENDENT MANNER APPROPRPRIATE TO THEIR HEALTH CONDITION AND PERSONAL REQUIREMENTS. PROGRAMS THAT ALL MELD TO ACHIEVE OUR GOAL INCLUDE: ROUND THE CLOCK NURSING CARE, SOCIAL SERVICE COORDINATION, MEDICAL SERVICES APPROPRIATE TO THEIR CARE NEEDS, KOSHER MEALS PREPARED IN ACCORDANCE WITH JEWISH DIETARY LAWS, DAILY ACTIVITY PROGRAMMING FOR BOTH PHYSICAL AND MENTAL STIMULATION APPROPRIATE TO RESIDENT ACUITY LEVELS (INCLUDING SPECIALIZED DEMENTIA / MEMORY LOSS CARE DESIGNED FOR EACH RESIDENT'S INDIVIDUAL NEEDS), REGULAR ENTERTAINMENT PROGRAMS, WEEKLY JEWISH SABBATH SERVICES, CHRISTIAN SERVICES, RELIGIOUS CHAPLAINACY SERVICES, CELEBRATION OF ALL JEWISH HOLIDAYS (AND COORDINATION OF ACTIVITIES AROUND THE HOLIDAY THEMES), AND OTHER SCHEDULED EVENTS CALCULATED TO BRING HAPPINESS TO THE LIVES OF OUR RESIDENTS. FURTHER, DAUGHTERS SPECIALIZES IN OFFERING A SHORT-TERM REHABILITATION PROGRAM FOR PERSONS IN NEED OF IN-HOUSE REHABILITATION AND, ON A LIMITED BASIS, OUTPATIENT THERAPY FOR A SHORT PERIOD OF TIME AFTER A HEALTH INCIDENT, WITH THE EXPECTATION THAT THEY CAN RETURN HOME TO THEIR REGULAR LIVES. DAUGHTERS ALSO OFFERS RESPITE CARE TO ADULTS IN THE COMMUNITY. THIS SHORT-TERM RESPITE SERVICE PROVIDES ONE TO THIRTY NIGHTS OF LOVING, SAFE, MEDICALLY SUPERVISED CARE FOR THE SENIOR OR DISABLED ADULT WHO CANNOT BE ALONE, AND WHOSE CAREGIVER NEEDS TO TEMPORARILY BE AWAY FROM HOME. RESPITE CARE IS A COMMUNITY BASED ALTERNATIVE TO PREVENT OR DELAY ADMISSION TO A NURSING HOME. DAUGHTERS IS COMMITTED TO CARE FOR RESIDENTS DURING THE FINAL PHASES OF LIFE THROUGH A PALLIATIVE CARE PROGRAM OFFERED TO RESIDENTS AND FAMILIES. THIS PROGRAM ENABLES RESIDENTS AND FAMILIES TO LIVE WITH DIGNITY AND HONOR DURING THE TIME OF TERMINAL ILLNESS AND LOSS. 0 0 0 19599889 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 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 1 32 0 1 413 1 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X COURTNEY MULSON 5184567831 180 WASHINGTON AVENUE EXTENSION ALBANY NY 12203 X MARK KOBLENZ CEO 12.00 26 X X 313226 0 43118 COURTNEY MULSON CFO 32.00 6 X X 205061 0 40064 SANDRA STEWART LPN / NURSE SUPERVISOR 38 0 X 171241 0 15150 NADINE WASHINGTON CLINICAL CARE COORDINATOR / SUPERVISOR 38 0 X 163079 0 22984 LISA MARRELLO ADMINISTRATOR 38 0 X 163497 0 0 DEL SALMON PRESIDENT 2 0 X X 0 0 0 EDWARD JACOBS VICE PRESIDENT 2 0 X X 0 0 0 JEFFREY GROSSMAN TREASURER 2 0 X X 0 0 0 SHALOM KIEVAL SECRETARY 2 0 X X 0 0 0 LINDA CAROTHERS BOARD MEMBER 1 0 X 0 0 0 JOANNA GOLDBERG BOARD MEMBER 1 0 X 0 0 0 VICTORIA GOLDBERG BOARD MEMBER 1 0 X 0 0 0 WALTER GREENBERG BOARD MEMBER 1 0 X 0 0 0 STEVEN HUZ BOARD MEMBER 1 0 X 0 0 0 KAREN LOBEL BOARD MEMBER 1 0 X 0 0 0 RICHARD RUBIN BOARD MEMBER 1 0 X 0 0 0 DIANE TENENBAUM BOARD MEMBER 1 0 X 0 0 0 RUTH YORKER BOARD MEMBER 1 0 X 0 0 0 SHARI PIPER BOARD MEMBER 1 0 X 0 0 0 STEPHEN LEVY BOARD MEMBER 1 0 X 0 0 0 1016104 0 121316 12 0 1 0 SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 606809056 REHABIILITATION 1317115 UNIDINE CORPORATION PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE CONTRACTOR 863520 OMNICARE PO BOX 715268 COLUMBUS OH 43271 PHARMACY 311113 MEDICAL STAFFING NETWORK 1881 Western Ave ALBANY NY 12203 Staffing of LPN'S & CNA'S 224048 NURSE CONNECTION STAFFING 1 COMPUTER DRIVE SOUTH ALBANY NY 12205 Staffing of LPN's & CNA's 419732 7 45000 0 0 268337 1397904 52383 0 1763624 21112181 21112181 0 0 21112181 605682 605682 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23481487 21717863 0 0 0 0 0 0 0 0 0 0 309099 0 309099 0 0 0 0 0 15833736 14912798 920938 0 261443 241521 19922 1027591 949291 78300 958582 885541 73041 9764 9764 60551 60551 58827 58827 413802 413802 10885 10885 218060 218060 1157624 1157624 224125 224125 SUPPLIES 1882669 1864788 17881 0 RENTALS 40403 39889 514 0 PURCHASED SERVICES 491097 276667 214430 OTHER DIRECT EXPENSE 30242 4707 25535 22988500 19599889 3388611 0 21705124 22671784 1260150 1554882 19670 18846 324002 931056 36601003 25543531 11685919 11057472 11522736 12208702 46517601 48442742 4886481 6779435 0 0 0 0 0 0 0 0 0 0 6119194 5610205 0 0 306210 327644 11311885 12717284 X 34834254 35341146 371462 384312 35205716 35725458 46517601 48442742 X 492987 0 0 0 0 26755 X 0 1 1 1 1 X 58800 71049 40133 113800 1563624 1847406 21381016 21511527 21643797 21431182 21112181 107079703 21439816 21582576 21683930 21544982 22675805 108927109 108927109 281718 267462 203396 1167345 605682 2525603 281718 267462 203396 1167345 605682 2525603 21721534 21850038 21887326 22712327 23281487 111452712 0.97734 0.98068 0.02266 0.01932 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 833636 833636 0 26287361 17589609 8697752 0 0 0 0 0 9302194 7953922 1348272 0 177812 0 177812 11057472 DUE FROM RELATED PARTIES 67108 ASSETS WHOSE USE IS LIMITED 12141594 12208702 0 ASSET RETIREMENT OBLIGATION 327644 327644 23281487 0 0 0 0 0 23281487 0 200000 200000 23481487 22988500 0 0 0 0 0 22988500 0 0 0 22988500 Schedule D, Part XI, Line 2d Restricted Grant from Foundation Schedule D, Part XI, Line 4b Restricted Grant from DOSJF X X X X X X 0 0 0 0 0 0 0 0 0 MARK KOBLENZ CEO 313226 0 0 0 0 0 14673 0 28445 0 356344 0 0 0 COURTNEY MULSON CFO 205861 0 0 0 0 0 14502 0 25562 0 245925 0 0 0 Form 990, Part VI, Section B, Line 11b THE ORGANIZATION'S BOARD OF DIRECTORS (ITS GOVERNING BODY) HAS DELEGATED REVIEW OF THE FORM 990 TO ITS FINANCE/AUDIT COMMITTEE, WHICH COMMITTEE HAS REVIEWED THE FORM IN ITS ENTIRETY PRIOR TO ITS FILING. THE FINANCE/AUDIT COMMITTEE HAS REVIEWED THIS FORM WITH THE BOARD OF DIRECTORS PRIOR TO ITS FILING AND HAS MADE COPIES OF THE FORM AVAILABLE TO BOARD MEMBERS. Form 990, Part VI, Section B, Line 12c THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS EXPLAINED AND DISCUSSED DURING ORIENTATION FOR ALL NEW BOARD MEMBERS. COPIES OF THE POLICY ARE PROVIDED TO ALL BOARD MEMBERS. THE POLICY IS ALSO REVIEWED WITH ALL BOARD MEMBERS AT THE FIRST BOARD MEETING OF EACH YEAR. ANNUALLY, BOARD MEMBERS ARE REQUIRED TO COMPLETE A DISCLOSURE FORM, DISCLOSING PERSONAL AND FINANCIAL BUSINESS INTERESTS AND ANY DEALINGS THEY OR FAMILY MEMBERS HAVE WITH THE ORGANIZATION OR WITH EACH OTHER. IN ADDITION, ALL NOMINEES FOR BOARD POSITIONS ARE REQUIRED TO COMPLETE A DISCLOSURE FORM PRIOR TO THEIR ELECTION. A COMPILATION OF THE DISCLOSED INFORMATION FOR THE ENTIRE BOARD IS SHARED WITH ALL BOARD MEMBERS TO ALERT THEM TO POSSIBLE CONFLICT SITUATIONS. THE COMPILATION IS UPDATED AND RE-CIRCULATED PERIODICALLY THROUGHOUT THE YEAR, WHEN WARRANTED. BOARD MEMBERS ARE EXPECTED TO DISCLOSE KNOWN OR POTENTIAL CONFLICTS, AS WELL AS PERCEIVED CONFLICTS INVOLVING OTHERS. PERCEIVED CONFLICTS ARE REVIEWED BY THE FINANCE/AUDIT COMMITTEE AND EXECUTIVE COMMITTEE, ADDRESSED WITH THE MEMBER(S) INVOLVED, AND REPORTED TO THE BOARD. Form 990, Part VI, Section B, Line 15 CEO COMPENSATION IS REVIEWED BY A SPECIAL COMMITTEE ON CEO PERFORMANCE REVIEW, COMPRISING OF THE PRESIDENTS OF EACH OF THE THREE ORGANIZATIONS COMPRISING THE DAUGHTERS OF SARAH SENIOR COMMUNITY (ONE OF WHICH IS THIS ORGANIZATION), WHICH COMMITTEE IS CHAIRED BY AN INDIVIDUAL JOINTLY SELECTED BY THE THREE PRESIDENTS. UPON CONTRACT RENEWAL, THE COMMITTEE EVALUATES THE CEO PERFORMANCE, COLLECTS COMPARATIVE DATA ON CEO COMPENSATION FROM INDUSTRY SOURCES AND FORMS 990 OF SIMILAR ORGANIZATIONS, AND FORMULATES A COMPENSATION AND EMPLOYMENT CONTRACT RECOMMENDATION THAT IS FAIR AND EQUITABLE IN LIGHT OF THE CIRCUMSTANCES OF THE CEO PERFORMANCE, FACILITY BUDGETS, AND THE COMPARABLE INFORMATION. THE COMMITTEE MAINTAINS CONTEMPORANEOUS SUBSTANTIATION OF ITS DELIBERATION AND DECISIONS, WHICH ARE REPORTED TO EACH OF THE BOARDS OF DIRECTORS FOR APPROVAL AND IMPLEMENTATION. THE BOARDS REVIEW AND RATIFY THE COMMITTEE'S RECOMMENDATIONS ON EMPLOYMENT CONTRACT DURATION, COMPENSATION, AND RELATED TERMS. THIS PROCESS WAS LAST DONE IN 2019. COMPENSATION AND PERFORMANCE EVALUATIONS FOR OTHER TOP MANAGEMENT STAFF ARE PERFORMED BY THE CEO, AND THEN REVIEWED BY THE CEO WITH REPRESENTATIVES OF THE ORGANIZATIONS SELECTED BY THE PRESIDENTS. COMPARATIVE DATA ON COMPENSATION IS COLLECTED FROM INDUSTRY SOURCES AND FORMS 990 OF SIMILAR ORGANIZATIONS, AND A FAIR AND EQUITABLE DECISION IS FORMULATED IN LIGHT OF THE CIRCUMSTANCES OF JOB PERFORMANCE, FACILITY BUDGETS AND THE COMPARABLE INFORMATION. CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATIONS AND DECISIONS IS MAINTAINED. THE CEO REPORTS THE DELIBERATIONS, DECISIONS AND THE BASIS THEREFORE TO THE ORGANIZATION'S BOARD OF DIRECTORS. IF THE RECOMMENDED COMPENSATION LEVEL EXCEEDS THE LIMITS BUDGETED BY THE BOARD, FURTHER BOARD OF DIRECTOR APPROVAL OF THE COMPENSATION IS REQUIRED. Form 990, Part VI, Section C, Line 19 DISCLOSURE OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part VII, Section A, Line 1a MARK KOBLENZ, CEO, DEVOTES 15 HOURS PER WEEK TO DAUGHTERS OF SARAH JEWISH FOUNDATION AND 11 HOURS PER WEEK TO DAUGHTERS OF SARAH HOUSING COMPANY, BOTH RELATED ORGANIZATIONS. COURTNEY MULSON, CFO, DEVOTES 5 HOURS PER WEEK TO DAUGHTERS OF SARAH HOUSING COMPANY AND 2 HOUR TO DAUGHTERS OF SARAH JEWISH FOUNDATION, BOTH RELATED PARTIES. THE DAUGHTERS OF SARAH NURSING HOME FILES ALL EMPLOYMENT TAX FORMS WITH RESPECT TO THESE INDIVIDUALS. THE SALARY COST ASSOCIATED WITH THE HOURS ALLOCATED TO THE NURSING HOME COMPANY IS AS FOLLOWS: MARK KOBLENZ - $133,228, COURTNEY MULSON - $175,871 Form 990, Part XI, Line 9 NET RESTRICTED DONATIONS DAUGHTERS OF SARAH HOUSING COMPANY 182 WASHINGTON AVENUE EXTENSION ALBANY NY 12203 141805236 ASSISTED LIVING NY 501 (C) (3) 9 N/A 0 DAUGHTERS OF SARAH JEWISH FOUNDATION 180 WASHINGTON AVENUE EXTENSION ALBANY NY 12203 141344803 FUNDRAISING NY 501 (C) (3) 7 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 DAUGHTERS OF SARAH JEWISH FOUNDATION o 207399 CASH DAUGHTERS OF SARAH JEWISH FOUNDATION c 268337 CASH DAUGHTERS OF SARAH JEWISH FOUNDATION n 0 AMOUNT NOT QUANTIFIED DAUGHTERS OF SARAH HOUSING COMPANY o 390192 CASH DAUGHTERS OF SARAH HOUSING COMPANY q 155713 CASH DAUGHTERS OF SARAH JEWISH FOUNDATION q 11870 CASH