2018-11-07T08:40:57-06:00 2017-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2017-01-01 223466678 JEWISH HOME AT ROCKLEIGH JEWI 2017841414 10 LINK DRIVE ROCKLEIGH NJ 07647 SUNNI HERMAN EXECUTIVE VP 2017841414 2018-10-31 1 BERNIE OSTROWSKI P00366367 6148493000 2018-10-25 67.59.56.30 2018-10-31 13:31:14 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0E91126D0FB3B5231D35CFCADBE487908A76FDB7 2017 2019-02-21 02:37:17Z SUNNI HERMAN 10 LINK DRIVE ROCKLEIGH NJ 07647 28750152 0 X WWW.JEWISHHOMEROCKLEIGH.ORG X 1996 NJ TO PROVIDE NURSING CARE TO THE ELDERLY. 45 45 355 373 0 0 153702 70790 27374801 27747898 278753 889863 42485 41601 27849741 28750152 0 0 0 0 15913405 15700269 0 0 0 11882896 12857665 27796301 28557934 53440 192218 58769523 58757932 18749487 18057829 40020036 40700103 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 25007196 0 27755927 TO PROVIDE NURSING CARE TO THE ELDERLY REGARDLESS OF THEIR FINANCIAL STATUS. 25007196 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 101 0 1 355 1 0 0 0 0 0 0 0 0 0 0 X 45 45 1 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 GAYLE GERSTEIN PRESIDENT 0.69 0.46 X X 0 0 0 HOWARD BLATT VICE PRESIDENT 1.00 0.15 X X 0 0 0 STEVEN GREENBERG VICE PRESIDENT 0.23 0.53 X X 0 0 0 LISA MACTAS VICE PRESIDENT 0.23 0.15 X X 0 0 0 JOANN PERLMAN VICE PRESIDENT 0.15 0.23 X X 0 0 0 ELLEN SOKOLOFF VICE PRESIDENT 0.54 0.00 X X 0 0 0 ROBIN JAFFIN VICE PRESIDENT 0.23 0.00 X X 0 0 0 WARREN FELDMAN VICE PRESIDENT 0.15 0.31 X X 0 0 0 JOSEPH KLYDE TREASURER 0.23 0.15 X X 0 0 0 LEON SOKOL SECRETARY 0.15 0.15 X X 0 0 0 LUCILLE AMSTER BOARD MEMBER 0.08 0.00 X 0 0 0 RONNIE AROESTY BOARD MEMBER 0.15 1.00 X 0 0 0 MARTY BERNSTEIN BOARD MEMBER 1.00 1.00 X 0 0 0 MYRNA BLOCK BOARD MEMBER 0.15 0.31 X 0 0 0 JUDY COOK BOARD MEMBER 0.15 0.00 X 0 0 0 MARVIN EISEMAN BOARD MEMBER 0.08 0.20 X 0 0 0 CARL EPSTEIN BOARD MEMBER 0.38 0.72 X 0 0 0 ELEANOR EPSTEIN BOARD MEMBER 0.15 0.23 X 0 0 0 NANCY EPSTEIN BOARD MEMBER 1.00 0.00 X 0 0 0 WENDY FELDSTEIN BOARD MEMBER 0.54 0.00 X 0 0 0 ARY FREILICH BOARD MEMBER 0.08 0.38 X 0 0 0 WARREN GELLER BOARD MEMBER 0.15 0.00 X 0 0 0 SANDRA GOLD BOARD MEMBER 0.15 0.30 X 0 0 0 RICHARD GOLDSTEIN BOARD MEMBER 1.00 0.00 X 0 0 0 DENNIS GRALLA BOARD MEMBER 0.15 0.00 X 0 0 0 EVA HOLZER BOARD MEMBER 0.38 0.00 X 0 0 0 HENRY KAUFMAN BOARD MEMBER 1.00 0.00 X 0 0 0 ROSALEE KEECH BOARD MEMBER 0.23 0.00 X 0 0 0 DONNA KISSLER BOARD MEMBER 0.23 0.00 X 0 0 0 BERNIE KOSTER BOARD MEMBER 0.31 0.15 X 0 0 0 MARIE ADLER-KRAVECAS BOARD MEMBER 0.08 0.00 X 0 0 0 NATE LEBOWITZ BOARD MEMBER 0.23 0.00 X 0 0 0 RICHARD LEVENTHAL BOARD MEMBER 1.00 0.00 X 0 0 0 RAFAEL LEVIN BOARD MEMBER 1.00 0.00 X 0 0 0 RITA MERENDINO BOARD MEMBER 0.31 0.00 X 0 0 0 DEANE PENN BOARD MEMBER 0.08 0.00 X 0 0 0 IRVING PLUTZER BOARD MEMBER 0.15 0.00 X 0 0 0 LIESA ROSNER BOARD MEMBER 0.15 0.00 X 0 0 0 GABE SCHLISSER BOARD MEMBER 0.15 0.00 X 0 0 0 PEARL SEIDEN BOARD MEMBER 1.00 0.00 X 0 0 0 MARILYN TAUB BOARD MEMBER 0.08 0.08 X 0 0 0 LOUIS TEKEL BOARD MEMBER 0.08 0.00 X 0 0 0 SCOTT WEINSTEIN BOARD MEMBER 1.00 0.00 X 0 0 0 BARRY WIEN BOARD MEMBER 1.00 0.00 X 0 0 0 FRAN ZIEGELHEIM BOARD MEMBER 0.15 0.00 X 0 0 0 SUNNI HERMAN EXECUTIVE VICE PRESIDENT 40.00 0.00 X 263493 0 33187 CAROL SILVER ELLIOTT PRESIDENT & CEO 0.00 40.00 X 0 564427 54727 BRANDY M STEFANCO CFO 0.00 40.00 X 0 245531 33196 ERICSON A RIGUERRA DIR OF NURSES 40.00 0.00 X 143987 0 4707 CORAZON RIVERA RN 40.00 0.00 X 133726 0 23758 EDWIN MANIAGO RN 40.00 0.00 X 110858 0 3195 SIMON FELD DIR CHAPLANCY 40.00 0.00 X 109233 0 22962 JOANNE HERZOG RN 40.00 0.00 X 108884 0 20840 870181 809958 196572 6 0 1 0 FUNCTIONAL PATHWAYS 10133 SHERRILL BLVD SUITE 200 KNOXVILLE TN 37932 REHAB SERVICES 2327320 PHARMSCRIPT LLC 150 PIERCE STREET SOMERSET NJ 08817 PHARMACEUTICALS 762629 EMS LLC 245 MAIN STREET CHESTER NJ 07930 HOUSEKEEPING SERVICES 240689 EAGLE AIR SYSTEMS INC ONE PARKWAY UPPER SADDLE RIVER NJ 07458 AIR SYSTEM SERVICES 145760 NETWORK DOCTOR 600 SYLVAN AVE ENGLEWOOD CLIFFS NJ 07632 COMPUTER SUPPORT / SERVER MAINT 133497 6 2100 66140 2550 70790 INPATIENT REVENUE 623000 26377561 26377561 OUTPATIENT REVENUE 623000 1080929 1080929 OTHER OPERATING REVENUE 623000 289408 289408 27747898 429437 429437 460426 0 460426 460426 460426 CAFETERIA 623000 33572 33572 VERTIV - PROMPT PAY DISCOUNT 623000 3150 3150 PAYROLL CREDITS & RETURNS 623000 1089 1089 3790 3790 41601 28750152 27755927 0 923435 296680 296680 12249945 11884897 365048 285314 276812 8502 1877945 1821982 55963 990385 939677 50708 1604161 1604161 55441 55441 8370 8370 42749 42749 2462883 2462883 3853 3853 208527 197801 10726 221947 195313 26634 908252 861533 46719 16763 16763 11159 11159 108564 108564 1636706 1552516 84190 172460 163589 8871 MAINTENANCE, REPAIRS 1119275 959229 160046 FOOD 1001000 1001000 MEDICAL SUPPLIES 942208 942208 CONTRACTED SERVICES 414142 366401 47741 1919205 1381355 537850 28557934 25007196 3550738 0 1100 1100 3250007 3541288 130939 104559 5004524 4260061 28314 23560 116246 141843 61616466 25471628 37099135 36144838 11454745 12781389 0 79500 1684513 1679794 58769523 58757932 3497770 3711864 197520 58168 14290000 13670000 666690 610324 97507 7473 18749487 18057829 X 39889097 40598094 130939 102009 40020036 40700103 58769523 58757932 192218 487849 0 X X 0 1 X 1 0 X 303974 489939 237565 153702 70790 1255970 25416420 26442458 26918858 27384355 27755927 133918018 25720394 26932397 27156423 27538057 27826717 135173988 0 0 0 135173988 220516 350629 347517 342419 429437 1690518 220516 350629 347517 342419 429437 1690518 32931 33572 66503 25940910 27283026 27503940 27913407 28289726 136931009 0.98720 0.98970 0.01230 0.01010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA REVENUE - 2016 AMOUNT: $ 32,931. 2017 AMOUNT: $ 33,572. 164500 X 0 0 1 X 6640000 6640000 49237859 20803452 28434407 5574107 4668176 905931 164500 164500 36144838 DUE TO AFFILIATES 7473 7473 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. X X X X 0 0 0 0 0 0 0 0 0 SUNNI HERMAN EXECUTIVE VICE PRESIDENT 263493 0 0 0 0 0 7297 0 25890 0 296680 0 0 0 CAROL SILVER ELLIOTT PRESIDENT & CEO 0 564427 0 0 0 0 0 32200 0 22527 0 619154 0 0 BRANDY M STEFANCO CFO 0 245531 0 0 0 0 0 7306 0 25890 0 278727 0 0 CORAZON RIVERA RN 133726 0 0 0 0 0 3985 0 19773 0 157484 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. FORM 990, PART VI, SECTION A, LINE 2 ELEANOR EPSTEIN IS THE MOTHER-IN-LAW OF NANCY EPSTEIN. 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 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 0 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 0 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 0 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 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 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0