2020-11-11T17:30:11-06:00 2019-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2019-01-01 273960910 JEWISH HOME LIFECARE UNIVERSITY AVENUE ASSISTED LIVING INC JEWI 2128705000 120 WEST 106TH ST NEW YORK NY 10025 MARK WEISS CFO 2128705000 2020-11-11 1 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2020-11-10 209.59.242.36 2020-11-11 14:23:47 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F9BA0E82A6D947CC92540FBC56E8B73643681DA5 2019 2021-01-29 14:40:06Z THE NEW JEWISH HOME UNIVERSITY AVENUE ASSISTED LIVING JEFFREY FARBER MD 120 WEST 106TH ST NEW YORK NY 10025 4024773 0 X WWW.JEWISHHOME.ORG X 2010 DE JEWISH HOME LIFECARE, UNIVERSITY AVENUE ASSISTED LIVING, INC , WAS FORMED FOR THE PURPOSE OF OPERATION OF A MEDICAID ASSISTED LIVING FACILITY ON THE BRONX CAMPUS UNDER THE SUPERVISION OF THE NEW YORK STATE DEPARTMENT OF HEALTH THE BUILDING WAS COMPLETED AND RESIDENTS BEGAN TO MOVE-IN IN 2014. 31 30 9 0 0 0 37725 707813 3189939 3231036 0 0 0 85924 3227664 4024773 0 0 0 0 768196 894894 0 0 0 3196076 3156791 3964272 4051685 -736608 -26912 24664537 24057331 2179498 1599781 22485039 22457550 X JEWISH HOME LIFECARE, UNIVERSITY AVENUE ASSISTED LIVING, INC (D/B/A THE NEW JEWISH HOME, UNIVERSITY AVENUE ASSISTED LIVING) ("UNIVERSITY AVENUE ASSISTED LIVING"), WAS FORMED FOR THE PURPOSE OF OPERATING A MEDICAID ASSISTED LIVING FACILITY IN THE BRONX UNDER THE SUPERVISION OF THE NEW YORK STATE DEPARTMENT OF HEALTH THE BUILDING WAS COMPLETED IN 2014. 0 0 3492166 3316960 UNIVERSITY AVENUE ASSISTED LIVING IS A HIGH-QUALITY LIVING OPTION FOR MEDICALLY AND INCOME ELIGIBLE BRONX SENIORS AGED 65 AND OLDER WHO ARE INDEPENDENT YET REQUIRE SUPPORT SERVICES THE BUILDING IS LOCATED AT 2553 UNIVERSITY AVENUE, BRONX, NY 10468 COMPLETED IN FALL OF 2013, THE 72-BED FACILITY FEATURES HANDICAPPED ACCESSIBLE STUDIO APARTMENTS, EACH WITH A KITCHENETTE AND PRIVATE BATHROOM. THE BUILDING HAS DINING AND PROGRAM SPACES RESIDENTS RECEIVE THREE MEALS DAILY, WEEKLY HOUSEKEEPING, PERSONAL CARE AND MEDICATION ASSISTANCE, ON-SITE NURSING SERVICES AND PHYSICIAN VISITS, SOCIAL WORK SERVICES AND 24-HOUR SECURITY INDIVIDUALS CONTINUE TO ENIOY THEIR INDEPENDENT LIFESTYLE WHILE RECEIVING THE CARE AND SUPPORT THEY NEED FOR MORE INFORMATION, VISIT: WWW JEWISHHOME ORG 3492166 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 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 9 0 1 9 1 0 0 0 0 0 0 0 0 0 0 0 0 X 31 30 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JEFFREY FARBER MD 2128705000 120 WEST 106TH ST NEW YORK NY 10025 BRUCE J EVANS TREASURER 0.20 3.20 X X 0 0 0 CAROL BECKER DIRECTOR 0.20 3.20 X 0 0 0 DANIEL S BERNSTEIN DIRECTOR 0.20 3.20 X 0 0 0 DAVID HAAS DIRECTOR 0.20 3.20 X 0 0 0 DAVID J FREEMAN DIRECTOR 0.20 3.20 X 0 0 0 DAVID ORELOWITZ DIRECTOR 0.20 3.20 X 0 0 0 ELIZABETH PAGEL SEREBRANSKY SECRETARY 0.20 3.20 X X 0 0 0 ELLEN REINHEIMER DIRECTOR 0.20 3.20 X 0 0 0 FREDERIC L BLOCH DIRECTOR 0.20 3.20 X 0 0 0 JAYNE SIBERMAN DIRECTOR 0.20 3.20 X 0 0 0 JEFFREY I FARBER MD PRESIDENT AND CEO 0.11 37.39 X X 0 843801 78537 JOHN P ENGEL DIRECTOR 0.20 3.20 X 0 0 0 JONATHAN HOCHBERG DIRECTOR 0.20 3.20 X 0 0 0 JOY HENSHEL DIRECTOR 0.20 3.20 X 0 0 0 LISA FEINER DIRECTOR 0.20 3.20 X 0 0 0 LISA LIPPMAN DIRECTOR 0.20 3.20 X 0 0 0 LYNN OBERLANDER DIRECTOR 0.20 3.20 X 0 0 0 MARGOT FREEDMAN DIRECTOR 0.20 3.20 X 0 0 0 MARILYN MARGON DIRECTOR 0.20 3.20 X 0 0 0 MEL BARKAN DIRECTOR 0.20 3.20 X 0 0 0 MICHAEL LUSKIN CHAIR 0.20 3.20 X X 0 0 0 PETER HESS DIRECTOR 0.20 3.20 X 0 0 0 RICHARD BRODY DIRECTOR 0.20 3.20 X 0 0 0 SCOTT HANSEN DIRECTOR 0.20 3.20 X 0 0 0 SOFIA SEGAL DIRECTOR 0.20 3.20 X 0 0 0 SUSAN GLICKMAN DIRECTOR 0.20 3.20 X 0 0 0 TAMI J SCHNEIDER DIRECTOR 0.20 3.20 X 0 0 0 WALTER PRIMOFF DIRECTOR 0.20 38.00 X 0 0 0 WILLIAM A BLUMSTEIN DIRECTOR 0.20 3.20 X 0 0 0 WILLIAM KLINGENSTEIN DIRECTOR 0.20 3.20 X 0 0 0 WILLIAM KUMMEL DIRECTOR 0.20 3.20 X 0 0 0 JACOB VICTORY COO 0.11 37.39 X 0 319422 30085 MARK WEISS CFO 0.11 37.39 X 0 223933 6396 AUDREY WEINER FORMER PRESIDENT & CEO 0.00 0.00 X 0 141557 0 0 1528713 115018 0 1 1 0 TCPRNC LLC 100 W KINGSBRIDGE RD BRONX NY 10468 NURSING SERVICES 711736 ALLIED UNIVERSAL SECURITY 161 WASHINGTON ST STE 600 CONSHOHOCKEN PA 19428 SECURITY SERVICES 301538 2 18508 689305 707813 RESIDENT FEES 623000 3231036 3231036 3231036 BAD DEBT RECOVERY 900099 85924 85924 85924 4024773 3316960 0 0 X 669428 423132 246296 107617 14078 93539 82969 82969 34880 34880 77912 77912 52003 52003 1529898 1529898 330193 330193 112423 112423 17530 17530 16002 16002 746386 746386 OVERHEAD 219684 219684 REPAIRS AND MAINTENANCE 45371 45371 MISC EXPENSE 9389 9389 4051685 3492166 559519 0 56517 77406 443086 232023 27418258 3901525 24152577 23516733 12357 231169 24664537 24057331 681587 525284 740936 469497 756975 605000 2179498 1599781 X 22452127 22439045 32912 18505 22485039 22457550 24664537 24057331 X -26912 -577 X X 0 1 X 1 0 X 51796 73035 32000 37725 707813 902369 2531728 2875902 3106477 3189939 3231036 14935082 2583524 2948937 3138477 3227664 3938849 15837451 0 0 0 15837451 2583524 2948937 3138477 3227664 3938849 15837451 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 27231509 3829503 23402006 186749 72022 114727 23516733 ESTIMATED LIABILITIES TO THIRD PARTIES 605000 605000 X 196247264 192308415 192308415 3938849 85924 85924 4024773 251410262 247358577 247358577 4051685 0 4051685 PART X, LINE 2: THE ORGANIZATION HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2016 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF APPLICABLE, THE ORGANIZATIONS WOULD RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS PART OF GENERAL AND ADMINISTRATIVE EXPENSES IN THE CONSOLIDATED STATEMENT OF ACTIVITIES AND INCLUDE ACCRUED INTEREST AND PENALTIES IN ACCRUED EXPENSES IN THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN RELATED ORGANIZATION -577. INTERCOMPANY ELIMINATIONS -27,133,264. RELATED ORGANIZATION REVENUE 219,442,256. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSED BAD DEBTS 85,924. PART XII, LINE 2D - OTHER ADJUSTMENTS: INTERCOMPANY ELIMINATIONS -27,182,012. RECLASSED BAD DEBTS -85,924. RELATED ORGANIZATION EXPENSE 274,626,513. 0 0 0 0 0 0 0 0 0 JEFFREY I FARBER MD PRESIDENT AND CEO 0 702991 0 140000 0 810 0 19938 0 58599 0 922338 0 0 JACOB VICTORY COO 0 318861 0 0 0 561 0 19938 0 10147 0 349507 0 0 MARK WEISS CFO 0 223408 0 0 0 525 0 0 0 6396 0 230329 0 0 AUDREY WEINER FORMER PRESIDENT & CEO 0 0 0 100000 0 41557 0 0 0 0 0 141557 0 0 FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT RESPONSIBILITIES ARE FULFILLED BY ADMINISTRATIVE PERSONNEL EMPLOYED BY A RELATED ENTITY, JHL CORPORATE SERVICES, INC. IN 2018, COSTS INCURRED BY JHL CORPORATE SERVICES, INC WERE ALLOCATED TO INDIVIDUAL JEWISH HOME LIFECARE'S ENTITIES IN ACCORDANCE WITH EXPENSE-BASED METHODOLOGY. THE ORGANIZATION PERIODICALLY REVIEWS THE METHOD BY WHICH ADMINISTRATIVE OVERHEAD EXPENSES ARE ALLOCATED. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS JEWISH HOME LIFECARE, A NEW YORK NOT-FOR-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A JEWISH HOME LIFECARE MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE COMPLETED RETURN IS REVIEWED BY MANAGEMENT. ANY COMMENTS ARISING FROM THE REVIEW ARE DISCUSSED AND IF REQUIRED, CHANGES ARE MADE. THE DRAFT IS SUBMITTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE NEW JEWISH HOME AND SUBSIDIARIES FOR ITS REVIEW AND APPROVAL. ONCE THE AUDIT AND COMPLIANCE COMMITTEE HAS COMPLETED ITS REVIEW, A COPY OF THE DRAFT RETURN WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY AND ARE ASKED TO REVIEW THE POLICY AND TO DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY HAVE OCCURRED SINCE THE LAST DISCLOSURE THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD REVIEWS THE DISCLOSURES AS SUMMARIZED BY THE COMPLIANCE DEPARTMENT. ALL IDENTIFIED CONFLICTS OF INTEREST ARE DISCUSSED AND EITHER APPROVED OR REJECTED BY THE BOARD. IF THE BOARD OF DIRECTORS OR THE GOVERNANCE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE DIRECTOR WITH THE CONFLICT MAY NOT TAKE PART IN THE DECISION PROCESS TO WHICH THE CONFLICT RELATES SUCH DISCLOSURE AND THE FACT THAT THE DIRECTOR DID NOT VOTE OR PARTICIPATE IN THE DELIBERATIONS IS RECORDED IN THE RELEVANT MINUTES. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, THE CHAIRMAN OF THE BOARD OF JEWISH HOME LIFECARE, IN CONSULTATION WITH THE COMPENSATION COMMITTEE, REVIEWS AND EVALUATES THE PRESIDENT/CEO, OFFICERS AND KEY EMPLOYEES' PERFORMANCE AGAINST A SERIES OF GOALS AND OBJECTIVES FOR THE YEAR IN ESTABLISHING COMPENSATION LEVELS FOR THE CEO/PRESIDENT, OFFICERS AND KEY EMPLOYEES, THE BOARD CHAIR AND THE COMPENSATION COMMITTEE OF THE BOARD USE PERFORMANCE AND PERIODIC COMPENSATION SURVEYS OF OTHER SIMILAR TYPE ORGANIZATIONS, COMPLETED BY AN EXTERNAL CONSULTANT, TO INFORM THEIR DECISIONS MINUTES OF THE MEETING ARE MAINTAINED IN A CONFIDENTIAL FILE THE MEETING OF THE COMPENSATION COMMITTEE AT WHICH THIS TOOK PLACE WAS HELD IN JUNE 2018. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 1,529,898. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,529,898. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN RELATED ORGANIZATION -577. FORM 990, PART XII, LINE 2C: THE AUDIT AND COMPLIANCE COMMITTEE OF THE ORGANIZATION HAS THE OVERSIGHT RESPONSIBILITY FOR THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AS PART OF THE FINANCIAL STATEMENT AUDIT PROCESS, THE AUDIT AND COMPLIANCE COMMITTEE IS RESPONSIBLE TO 1 SELECT THE INDEPENDENT AUDIT FIRM 2 REVIEW AND APPROVE AUDIT SCOPE AND FEES 3 OVERSEE THE FINANCIAL REPORTING PROCESS 4 ENSURE OPEN COMMUNICATIONS BETWEEN MANAGEMENT, AUDIT FIRM, AND THE AUDIT AND COMPLIANCE COMMITTEE 5 REVIEW OF INDEPENDENT AUDIT FIRM'S ANNUAL PERFORMANCE 6 MEET IN EXECUTIVE SESSION (ABSENT MANAGEMENT) WITH THE AUDIT FIRM TO DISCUSS ANY POTENTIAL CONCERNS WITH MANAGEMENT'S PERFORMANCE. 156 WEST 106TH STREET 120 WEST 106TH ST NEW YORK NY 10025 270308650 HEALTH SERVICES NY 501(C)(3) LINE 10 JEWISH HOME LIFECARE 0 FUND FOR THE AGED 120 WEST 106TH ST NEW YORK NY 10025 133603516 FUNDRAISING NY 501(C)(3) LINE 7 JEWISH HOME LIFECARE 0 GERIATRIC CAREER DEVELOPMENT PROGRAM INC 120 WEST 106TH ST NEW YORK NY 10025 462452619 HEALTH SERVICES NY 501(C)(3) LINE 10 JEWISH HOME LIFECARE 0 HARRY & JEANETTE WEINBERG GARDENS HDFC 120 WEST 106TH ST NEW YORK NY 10025 204981328 AFFORDABLE HOUSING NY 501(C)(3) LINE 10 JEWISH HOME LIFECARE HARRY & JEANETTE WEINBERG BRONX 0 HARRY & JEANETTE WEINBERG RIVERDALE HDFC 120 WEST 106TH ST NEW YORK NY 10025 133865179 AFFORDABLE HOUSING NY 501(C)(3) LINE 10 JEWISH HOME LIFECARE HARRY & JEANETTE WEINBERG BRONX 0 JEWISH HOME LIFECARE 120 WEST 106TH ST NEW YORK NY 10025 133267073 HEALTH SERVICES NY 501(C)(3) LINE 10 N/A 0 JEWISH HOME LIFECARE COMMUNITY SERVICES 120 WEST 106TH ST NEW YORK NY 10025 270158524 HOME HEALTH AGENCY NY 501(C)(3) LINE 10 JEWISH HOME LIFECARE 0 JEWISH HOME LIFECARE HARRY & JEANETTE WEINBERG BRONX 120 WEST 106TH ST NEW YORK NY 10025 237071900 HEALTH SERVICES NY 501(C)(3) LINE 10 JEWISH HOME LIFECARE 0 JEWISH HOME LIFECARE MANHATTAN 120 WEST 106TH ST NEW YORK NY 10025 131624033 HEALTH SERVICES NY 501(C)(3) LINE 10 JEWISH HOME LIFECARE 0 JEWISH HOME LIFECARE CORPORATE SERVICES 120 WEST 106TH ST NEW YORK NY 10025 263385174 HEALTH SERVICES NY 501(C)(3) LINE 12A, I JEWISH HOME LIFECARE 0 JEWISH HOME LIFECARE SARAH NEUMAN CENTER WESTCHESTER 120 WEST 106TH ST NEW YORK NY 10025 133620568 HEALTH SERVICES NY 501(C)(3) LINE 10 JEWISH HOME LIFECARE HARRY & JEANETTE WEINBERG BRONX 0 KENNETH GLADSTONE BUILDING HDFC 120 WEST 106TH ST NEW YORK NY 10025 134078893 AFFORDABLE HOUSING NY 501(C)(3) LINE 10 JEWISH HOME LIFECARE HARRY & JEANETTE WEINBERG BRONX 0 KITTAY HOUSE 120 WEST 106TH ST NEW YORK NY 10025 132619576 AFFORDABLE HOUSING NY 501(C)(3) LINE 10 JEWISH HOME LIFECARE 0 W K DIAGNOSTIC & TREATMENT CENTER 120 WEST 106TH ST NEW YORK NY 10025 133527664 HEALTH SERVICES NY 501(C)(3) PF JEWISH HOME LIFECARE 0 JEWISH HOME LIFECARE HOME ASSISTANCE 120 WEST 106TH STREET NEW YORK NY 10025 133267068 PERSONAL CARE WORKER NY N/A C 0 JEWISH HOME LIFECARE SPECTRUM SERVICES 120 WEST 106TH STREET NEW YORK NY 10025 453563804 PERSONAL CARE WORKER NY N/A C 0 2614 KINGSBRIDGE CORP 120 WEST 106TH STREET NEW YORK NY 10025 132749776 PARKING GARAGE NY N/A C 0 102 WEST 107TH STREET CORPORATION 120 WEST 106TH STREET NEW YORK NY 10025 132760057 PARKING GARAGE NY N/A C 0 JEWISH HOME LIFECARE MANAGEMENT LLC 120 WEST 106TH STREET NEW YORK NY 10025 320359277 PERSONAL CARE WORKER NY N/A C 0 JHHA MEDICAL GROUP PC 120 WEST 106TH STREET NEW YORK NY 10025 133364558 HEALTH SERVICES NY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0