2020-11-09T10:33:45-06:00 2019-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2019-01-01 223466678 JEWISH HOME AT ROCKLEIGH JEWI 2017841414 10 LINK DRIVE ROCKLEIGH NJ 07647 SUNNI HERMAN EXECUTIVE VP 2017841414 2020-10-27 1 AMY CIMINELLO P00796388 6148493000 2020-10-15 75.179.191.131 2020-10-27 08:03:23 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BE0BF3D48CAC781AF045E2319CD74115191215D0 2019 2021-01-29 14:40:06Z SUNNI HERMAN 10 LINK DRIVE ROCKLEIGH NJ 07647 30712868 0 X WWW.JEWISHHOMEROCKLEIGH.ORG X 1996 NJ TO PROVIDE NURSING CARE TO THE ELDERLY. 39 39 503 405 0 0 143333 257686 27624301 27718950 526727 691807 33858 32099 28328219 28700542 0 6500 0 0 16146906 16501441 0 0 0 13968600 12993907 30115506 29501848 -1787287 -801306 55980018 65483823 18004494 17266329 37975524 48217494 X WE MUST STRIVE TO BE PROACTIVE - TO BE AWARE OF AND READY TO SERVE, THE NEEDS OF THE INCREASING NUMBERS OF OUR ELDERLY (GIVEN THE IMPROVEMENT OF LONGEVITY) WITH THE NEWEST METHODS AND PROGRAMS WE MUST INSURE THE CONTINUITY AND VITALITY OF OUR SERVICES TO ALL IN THE MOST CARING AND PROFESSIONAL MANNER. 0 0 26296460 6500 27723207 TO PROVIDE NURSING CARE TO THE ELDERLY REGARDLESS OF THEIR FINANCIAL STATUS. 0 26296460 1 1 0 0 0 0 0 1 1 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 101 0 1 503 1 0 0 0 0 0 0 0 0 0 0 0 0 X 39 39 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X BRANDY STEFANCO 2017841414 10 LINK DRIVE ROCKLEIGH NJ 07647 CAROL SILVER ELLIOTT PRESIDENT & CEO 0.00 40.00 X 0 655871 55473 SUNNI HERMAN EXECUTIVE VICE PRESIDENT 40.00 0.00 X 280668 0 33214 BRANDY M STEFANCO CFO 0.00 40.00 X 0 262354 35386 MARCELINO SALVANERA RN 40.00 0.00 X 140696 0 25990 ERICSON A RIGUERRA DIRECTOR OF NURSES 40.00 0.00 X 155000 0 5344 BEVERLY TURNER RN 40.00 0.00 X 130766 0 12723 CORAZON RIVERA RN 40.00 0.00 X 119607 0 18604 EDWIN MANIAGO RN 40.00 0.00 X 120824 0 3676 HOWARD BLATT BOARD MEMBER 0.02 0.02 X 0 0 0 WARREN FELDMAN BOARD MEMBER 0.08 0.27 X 0 0 0 JOSEPH KLYDE BOARD MEMBER 0.08 0.00 X 0 0 0 RONNIE AROESTY BOARD MEMBER 0.15 0.00 X 0 0 0 GAYLE GERSTEIN BOARD MEMBER 0.23 0.10 X 0 0 0 MYRNA BLOCK BOARD MEMBER 0.13 0.23 X 0 0 0 JUDY COOK BOARD MEMBER 0.08 0.00 X 0 0 0 ELEANOR EPSTEIN BOARD MEMBER 0.04 0.08 X 0 0 0 WENDY FELDSTEIN BOARD MEMBER 0.15 0.00 X 0 0 0 WARREN GELLER BOARD MEMBER 0.06 0.00 X 0 0 0 SANDRA GOLD BOARD MEMBER 0.15 0.19 X 0 0 0 RICHARD GOLDSTEIN BOARD MEMBER 0.06 0.00 X 0 0 0 DENNIS GRALLA BOARD MEMBER 0.13 0.00 X 0 0 0 EVA HOLZER BOARD MEMBER 0.12 0.00 X 0 0 0 MARGI HIRSHBERG BOARD MEMBER 0.13 0.00 X 0 0 0 ROSALEE KEECH BOARD MEMBER 0.15 0.00 X 0 0 0 DONNA KISSLER BOARD MEMBER 0.02 0.08 X 0 0 0 BERNIE KOSTER BOARD MEMBER 0.04 0.04 X 0 0 0 MARIE ADLER-KRAVECAS BOARD MEMBER 0.02 0.00 X 0 0 0 NATE LEBOWITZ BOARD MEMBER 0.04 0.00 X 0 0 0 RICHARD LEVENTHAL BOARD MEMBER 0.02 0.00 X 0 0 0 RAFAEL LEVIN BOARD MEMBER 0.02 0.00 X 0 0 0 RITA MERENDINO BOARD MEMBER 0.04 0.00 X 0 0 0 DEANE PENN BOARD MEMBER 0.02 0.00 X 0 0 0 LIESA ROSNER BOARD MEMBER 0.02 0.00 X 0 0 0 GABE SCHLISSER BOARD MEMBER 0.15 0.00 X 0 0 0 MARILYN TAUB BOARD MEMBER 0.02 0.00 X 0 0 0 LOUIS TEKEL BOARD MEMBER 0.02 0.00 X 0 0 0 SCOTT WEINSTEIN BOARD MEMBER 0.02 0.00 X 0 0 0 BARRY WIEN BOARD MEMBER 0.02 0.00 X 0 0 0 FRAN ZIEGELHEIM BOARD MEMBER 0.02 0.00 X 0 0 0 MILTON KAHN BOARD MEMBER 0.10 0.00 X 0 0 0 ALAN LIEBER BOARD MEMBER 0.04 0.15 X 0 0 0 JOANN PERLMAN PRESIDENT 0.27 0.27 X X 0 0 0 ROBIN JAFFIN VICE PRESIDENT 0.17 0.00 X X 0 0 0 LISA MACTAS VICE PRESIDENT 0.15 0.23 X X 0 0 0 ELLEN SOKOLOFF VICE PRESIDENT 0.25 0.00 X X 0 0 0 STEVEN GREENBERG TREASURER 0.27 0.88 X X 0 0 0 LEON SOKOL SECRETARY 0.17 0.08 X X 0 0 0 947561 918225 190410 14 0 1 0 FUNCTIONAL PATHWAYS 10133 SHERRILL BLVD SUITE 200 KNOXVILLE TN 37932 REHAB SERVICES 2599423 PHARMSCRIPT LLC 150 PIERCE STREET SOMERSET NJ 08817 PHARMACEUTICALS 791500 SECURITAS ELECTRONIC SECURITY INC PO BOX 643731 PITTSBURGH PA 15264 NURSING CALL BELL SYSTEM 570195 EMS LLC 245 MAIN STREET CHESTER NJ 07930 HOUSEKEEPING SERVICES 275513 NETWORK DOCTOR 600 SYLVAN AVE ENGLEWOOD CLIFFS NJ 07632 COMPUTER SUPPORT / SERVER MAINT 128629 6 250000 7686 257686 ROOM AND BOARD REVENUE 623000 26310969 26310969 ANCILLARY AND PART B REVENUE 623000 1119704 1119704 OTHER OPERATING REVENUE 623000 288277 288277 27718950 416549 416549 2287584 1988522 23804 299062 -23804 275258 275258 CAFETERIA 623000 27842 27842 RESIDENT SERVICE REVENUE 623000 1700 1700 REIMBURSEMENTS 623000 1255 1255 1302 1302 32099 28700542 27723207 0 719649 6500 6500 313882 313882 12526052 12152035 374017 314109 304717 9392 2366534 2295775 70759 980864 931036 49828 1701735 1701735 19986 19986 9518 9518 4410 4410 2750786 2750786 18052 18052 223856 212484 11372 254110 143054 111056 1010065 975468 34597 13905 13905 10426 10426 147053 147053 1730524 1671249 59275 262341 248797 13544 MEDICAL SUPPLIES 1616305 1616305 FOOD 894580 894580 MAINTENANCE, REPAIRS 560147 531692 28455 BAD DEBT EXPENSE 338000 338000 1428108 1223982 204126 29501848 26296460 3205388 0 1100 5342537 3385547 2679836 16470 13150 3065710 3215084 19062 23644 261290 386973 66327852 28794293 35185091 37533559 12315919 14704450 79500 79500 1650329 1505090 55980018 65483823 3682019 3335517 130497 74276 13670000 13050617 515595 639410 6383 166509 18004494 17266329 X 37959054 48204344 16470 13150 37975524 48217494 55980018 65483823 X -801306 1724207 9319069 X X 0 1 X 1 0 X 237565 153702 70790 143333 257686 863076 26918858 27384355 27755927 27629735 27723207 137412082 27156423 27538057 27826717 27773068 27980893 138275158 0 0 0 138275158 347517 342419 429437 440919 416549 1976841 347517 342419 429437 440919 416549 1976841 32931 33572 28424 27842 122769 27503940 27913407 28289726 28242411 28425284 140374768 0.98500 0.98560 0.01410 0.01370 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA REVENUE - 2016 AMOUNT: $ 32,931. 2017 AMOUNT: $ 33,572. 2018 AMOUNT: $ 28,424. 2019 AMOUNT: $ 27,842. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 164500 X 0 0 1 X 6640000 6640000 50200366 23792717 26407649 5887039 4987890 899149 3600447 13686 3586761 37533559 DUE TO AFFILIATES 97230 OPERATING LEASE PAYABLE 69279 166509 PART IV, LINE 2B: THE ORGANIZATION IS THE CUSTODIAN FOR RESIDENT FUNDS AS WELL AS REFUNDABLE SECURITY DEPOSITS COLLECTED. PART III, LINE 4: WORKS OF ART ARE ON DISPLAY FOR RESIDENT ENJOYMENT. 0 BOROUGH OF ROCKLEIGH 26 ROCKLEIGH ROAD ROCKLEIGH NJ 07647 221921976 GOV'T 6000 DONATION FOR VOLUNTEER AMBULANCE SERVICE 0 1 X X X X 0 0 0 0 0 0 0 0 0 CAROL SILVER ELLIOTT PRESIDENT & CEO 0 655871 0 0 0 0 0 36645 0 18828 0 711344 0 0 SUNNI HERMAN EXECUTIVE VICE PRESIDENT 280668 0 0 0 0 0 5600 0 27614 0 313882 0 0 0 BRANDY M STEFANCO CFO 0 262354 0 0 0 0 0 7772 0 27614 0 297740 0 0 MARCELINO SALVANERA RN 140696 0 0 0 0 0 4184 0 21806 0 166686 0 0 0 ERICSON A RIGUERRA DIRECTOR OF NURSES 155000 0 0 0 0 0 4650 0 694 0 160344 0 0 0 PART I, LINE 3 COMPENSATION REVIEW PROCEDURES ARE PERFORMED FOR THE CEO AND CFO BY A RELATED ORGANIZATION, THE JEWISH HOME FAMILY INC. THE JEWISH HOME FAMILY INC. USES A COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY/STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE. A NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY SERIES 2019A BOND 222045817 2019-12-20 13700000 SEE PART V 0 0 0 B PUBLIC FINANCE AUTHORITY SERIES 2019B BOND 273866124 2019-12-20 15000000 SEE PART V 0 0 0 C PUBLIC FINANCE AUTHORITY SERIES 2019C BOND 273866124 2019-12-20 8580897 SEE PART V 0 0 0 A 13700000 2034 1 0 1 1 B 51000 2026 1 0 0 1 C 51000 2029 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 SCHEDULE K SUPPLENTAL INFORMATION IN 2019 JEWISH HOME AT ROCKLEIGH ISSUED NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY SERIES 2019A BOND TO REFUND THE SERIES 1998A AND 1998B BONDS. IN 2019 JEWISH HOME AT ROCKLEIGH ISSUED PUBLIC FINANCE AUTHORITY SERIES 2019B AND C BONDS TO FINANCE THE CONSTRUCTION AND EXPANSION OF ITS EXISTING FACILITY AND FUND ISSUANCE COSTS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THIS ORGANIZATION IS THE JEWISH HOME FAMILY, INC., A NEW JERSEY NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE RIGHT TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY, WHETHER PERIODICALLY, OR AS VACANCIES ARISE, OR OTHERWISE. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY AND HAS THE RIGHT TO RECEIVE ANY EXCESS FUNDS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE GOVERNING BODY FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION DISTRIBUTES THE CONFLICT OF INTEREST FORMS ON AN ANNUAL BASIS AND REQUIRES ALL BOARD MEMBERS TO DISCLOSE ANY CONFLICTS OF INTEREST. IN ADDITION, THERE ARE BOARD DISCUSSIONS REGARDING CONFLICTS OF INTEREST AS NEEDED. IF A CONFLICT OF INTEREST IS PRESENT, AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION OBTAINS SALARY SURVEYS AND A SALARY STUDY IS CONDUCTED FOR THE PURPOSES OF COMPARING THE SALARIES THE ORGANIZATION PAYS ITS KEY EMPLOYEES WITH THE SALARIES FROM THOSE POSITIONS OF OTHER SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE REPORTED IN THE RELATED PARTY'S JOURNAL AS WELL AS BEING POSTED ON DUN & BRADSTREET. FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFERS TO AFFILIATES 9,319,069. FORM 990, PART XII, LINE 2C: THE OVERSIGHT PROCESS/SELECTION PROCESS FOR THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR. JEWISH HOME FOUNDATION OF NORTH JERSEY INC 10 LINK DRIVE ROCKLEIGH NJ 07647 521720580 SUPPORT VARIOUS PROGRAMS AT RELATED ORGANIZATIONS NJ 501(C)(3) 7 THE JEWISH HOME FAMILY INC 1 JEWISH HOME ASSISTED LIVING 685 WESTWOOD AVENUE RIVER VALE NJ 07675 450501306 PROVIDE ASSISTED LIVING TO THE ELDERLY NJ 501(C)(3) 10 THE JEWISH HOME FAMILY INC 1 JEWISH HOME AND REHABILITATION CENTER 10 LINK DRIVE ROCKLEIGH NJ 07647 221500528 PROVIDE NURSING CARE TO THE ELDERLY NJ 501(C)(3) 3 THE JEWISH HOME FAMILY INC 1 THE JEWISH HOME FAMILY INC 10 LINK DRIVE ROCKLEIGH NJ 07647 260493240 OVERSEE THE ACTIVITIES, FINANCIAL HEALTH, AND PERFORMANCE OF RELATED ORG NJ 501(C)(3) 11B, TYPE II N/A 0 JEWISH HOME AT HOME 10 LINK DRIVE ROCKLEIGH NJ 07647 271101121 PROVIDE SERVICES TO THE ELDERLY OR ASSIST THEM IN THEIR HOME ENVIRONMENT NJ 501(C)(3) 7 THE JEWISH HOME FAMILY INC 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0