2013-11-07T13:24:57-06:00 2012-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2012-01-01 112785201 THE ROSALIND & JOSEPH GURWIN JEWISH GERIATRIC CENTER OF LONG ISLAND INC ROSA 6317152510 68 HAUPPAUGE ROAD COMMACK NY 11725 HERBERT FRIEDMAN 6317152510 2013-10-29 1 FREDERICK H ROTHMAN P01275277 2128674000 2012 2016-02-25 16:41:14Z GURWIN JEWISH NURSING AND REHABILITATION CENTER HERBERT FRIEDMAN 68 HAUPPAUGE ROAD COMMACK NY 11725 80024557 0 X WWW.GURWIN.ORG X 1985 NY OPERATION OF A NURSING HOME AND SUBCHAPTER C DAYCARE PROGRAM. 22 22 894 556 839014 -1750 386091 2070145 75850419 76501787 53889 102138 1114686 1153234 77405085 79827304 0 0 0 0 48949353 50838170 0 0 0 30590207 28257921 79539560 79096091 -2134475 731213 82591487 79852267 54485566 51015133 28105921 28837134 X THE GURWIN JEWISH NURSING & REHABILITATION CENTER IS COMMITTED TO EXCELLENCE AND THE HIGHEST STANDARDS OF QUALITY HEALTHCARE. THE CENTER WILL DEVELOP AND MAINTAIN A COMPREHENSIVE ARRAY OF PROGRAMS FOR THE ELDERLY AND PROVIDE LEADERSHIP IN GERIATRICS, LONG TERM CARE, HEALTH EDUCATION, RESEARCH AND PUBLIC POLICY DEVELOPMENT. IN ALL ENDEAVORS, THE CENTER SEEKS TO BUILD UPON A FOUNDATION OF JEWISH ETHICS, TRADITIONS AND LIFE-STYLES. THE CENTER SHALL DEVELOP AND SUSTAIN A CONTINIUM OF CARE FOR SENIORS, AS WELL AS PROVIDE SHORT-OR LONG-TERM SERVICES TO ALL ADULTS IN NEED OF CARE. THIS SHALL INCLUDE LONG AND SHORT-TERM INPATIENT CARE, AN ADULT DAY CARE PROGRAM, SUBACUTE CARE, HOME CARE,AS WELL AS ADDITIONAL PROGRAMS AND SERVICES AS THE NEEDS ARE DEFINED. 0 0 64890561 65746197 THE CENTER OPERATES NURSING FACILITIES FOR 460 ELDERLY RESIDENTS WHICH PROVIDED 163,834 DAYS OF NURSING FACILITY CARE FOR THE YEAR ENDED 12/31/2012. EXPENSES ABOVE DO NOT INCLUDE FRINGE BENEFITS ON THE RELATED SALARIES THEREIN REPORTED, WHICH ARE LOCATED IN MANAGEMENT AND GENERAL EXPENSES. 3244596 3865595 LONG TERM HOME HEALTH CARE PROGRAM HAD 141,331 HOURS IN 2012. EXPENSES ABOVE DO NOT INCLUDE FRINGE BENEFITS ON THE RELATED SALARIES THEREIN REPORTED, WHICH ARE LOCATED IN MANAGEMENT AND GENERAL EXPENSES. 3884232 6889995 ADULT DAY CARE PROGRAM HAD 34,966 VISITS FOR THE YEAR 2012. EXPENSES ABOVE DO NOT INCLUDE FRINGE BENEFITS ON THE RELATED SALARIES THEREIN REPORTED, WHICH ARE LOCATED IN MANAGEMENT AND GENERAL EXPENSES. 72019389 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 109 0 894 1 1 1 0 0 0 0 0 0 0 0 0 X 22 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MR PATRICK DONNELLAN CPA 6317152510 68 HAUPPAUGE ROAD COMMACK NY 11725 BERT E BRODSKY 0.50 X X 0 0 0 LAWRENCE J SIMON 0.50 X X 0 0 0 DAVID I SCHACHNE 0.50 X X 0 0 0 FRED SLOAN 0.50 X X 0 0 0 PHYLLIS CHARASH 0.50 X X 0 0 0 LAURA GURWIN FLUG 0.50 X X 0 0 0 ROSALYN C GORDON 0.50 X X 0 0 0 FREDERIC Z KONIGSBERG 0.50 X X 0 0 0 HOWARD L PHILLIPS 0.50 X X 0 0 0 CARY WOLF 0.50 X X 0 0 0 MIRIAM CASLOW MD 0.50 X X 0 0 0 GERALD I ANGOWITZ 0.50 X 0 0 0 MATTHEWS CALVIN 0.50 X 0 0 0 GERALD FURST 0.50 X 0 0 0 HOWARD GERSHOWITZ 0.50 X 0 0 0 MARTIN EGLOW 0.50 X 0 0 0 TEDDY SELINGER 0.50 X 0 0 0 EDITH G MARKEL 0.50 X 0 0 0 JOSEPH B ROSENBERG 0.50 X 0 0 0 ELLIOT WALDMAN 0.50 X 0 0 0 JACOB WASSERMAN 0.50 X 0 0 0 SANFORD H ZUCKERBROT 0.50 X 0 0 0 HERBERT H FRIEDMAN 37.50 X 798009 0 172861 PATRICK DONNELLAN 37.50 X 295196 0 43731 DIANE MERTZ-HART 37.50 X 269101 0 59821 DR DAVID SISKIND 37.50 X 282194 0 21272 MARJORIE THERMIDOR-DAOUD 37.50 X 165973 0 21763 FLORENCE OLDACRE 37.50 X 182340 0 33515 DR ELIZABETH STURM 37.50 X 186512 0 35141 DR MOHAMMED ALAM 37.50 X 164991 0 36472 DR KAREN BLAU 37.50 X 180673 0 21733 2524989 0 446309 30 0 1 0 MORRISON MANAGEMENT PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 5290368 CARE & COMFORT ASSOCIATES INC 1580 OCEAN ACENUE BOHEMIA NY 11716 TRANSPORTATION 1324563 AFFINITY REHAB 10600 YORK ROAD COCKEYSVILLE MD 21030 PHYSICAL & OCCUPATIONAL THERAPY 330375 LOEB AND TROPER 655 THIRD AVE NEW YORK NY 10017 AUDIT 178296 NASSAU QUEENS PULMONARY 3003 NEW HYDE PARK RD LAKE SUCCESS NY 11042 MEDICAL 160000 18 158212 1911933 2070145 MEDICAID/MEDICARE 623000 66943626 66943626 PRIVATE AND OTHER 623000 9526001 9526001 MEALS ON WHEELS 623000 32160 32160 76501787 102138 102138 165328 164136 1192 1192 1192 42521 33117 9404 9404 SHARED SERVICES 900099 839014 839014 CAFETERIA 900099 212333 212333 TELEPHONE COMMISSIONS 900099 25910 25910 65381 65381 1142638 79827304 76501787 839014 416358 X 1942185 1942185 36167249 33805877 2361372 1677740 1648714 29026 8193869 7443651 750218 2857127 2554557 302570 114298 114298 108450 108450 7035 7035 8572078 8067810 504268 82581 10680 71901 1900891 1387475 513416 1213492 1170759 42733 1403477 1403477 75559 56384 19175 2143454 2040568 102886 3218764 3062009 156755 1196860 1139411 57449 PRESCRIPTION DRUGS & SU 3920311 3920311 NYS CASH RECEIPT ASSESS 3468295 3468295 LAUNDRY & LINEN 823758 823758 8618 8618 79096091 72019389 7076702 0 29560008 5341572 80853 23512670 1734638 1744178 11348288 12020674 376822 245478 257883 275710 91115809 63225847 30579257 27889962 2605 2605 8651133 8819418 82591487 79852267 6901948 7387278 42667040 41162940 1729016 1725687 3187562 739228 54485566 51015133 X 21080860 21810071 6847061 6849063 178000 178000 28105921 28837134 82591487 79852267 731213 0 X X 0 1 X 1 1 1 X 1053569 618677 560368 386091 2070145 4688850 76891708 74349856 77025948 75850419 77098721 381216652 77945277 74968533 77586316 76236510 79168866 385905502 0 0 0 385905502 646975 304234 235574 212012 267261 1666056 646975 304234 235574 212012 267261 1666056 843 843 357108 350036 289751 302328 303624 1602847 78949360 75623646 78111641 76750850 79739751 389175248 0.99160 0.98870 0.00430 0.00680 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA AUXILIARY MEDICAL RECORDS TELEPHONE COMMISSIONS MEALS ON WHEELS MISCELLANEOUS GROSS SALES OF INVENTORY RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7035 7035 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO LONG TERM CARE ASSOCIATIONS WHO HAVE INDICATED THAT A PERCENTAGE OF SUCH DUES ARE FOR LOBBYING ACTIVITIES. THE AMOUNT WAS DETERMINED USING THOSE PERCENTAGES. 0 1 X 178000 178000 178000 178000 178000 178000 178000 178000 178000 178000 1.00000 0 0 1939430 1939430 43829686 25939255 17890431 6861 6515 346 42977528 35235017 7742511 2362304 2045060 317244 27889962 OTHER RECEIVABLES - GURWIN FAY J. LINDNER RESIDENCES 2432401 OTHER RECEIVABLES 1711283 ESTIMATED RETROACTIVE RATE ADJUSTMENT RECEIVABLE 3945709 DEFERRED EXPENSES - NET 730025 8819418 ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYORS 736623 DEFERRED COMPENSATION PAYABLE 2605 739228 X 80024557 197253 197253 79827304 0 79827304 79293344 197253 197253 79096091 0 79096091 PART IV, LINE 2B: FUNDS AND DEPOSITS HELD IN TRUST FOR RESIDENTS. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE OBJECTIVE OF THE CENTER IS TO MAINTAIN THE PRINCIPAL ENDOWMENT FUNDS AT THE ORIGINAL AMOUNT DESIGNATED BY THE DONOR. THE INVESTMENT POLICY TO ACHIEVE THIS OBJECTIVE IS TO INVEST IN LOW-RISK SECURITIES. INTEREST EARNED IN RELATION TO THE ENDOWMENT FUNDS IS RESTORED AS TEMPORARILY RESTRICTED INCOME AND REALIZED FROM RESTRICTION UPON EXPENDITURE FOR THE PROGRAM FOR WHICH THE ENDOWMENT FUND WAS ESTABLISHED (MUSIC PROGRAM AND CENTER ACTIVITIES). DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE CENTER HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. TAX RETURNS FOR THE YEARS DECEMBER 31, 2009 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: GIFT SHOP EXPENSE 33,117. RENTAL EXPENSE 164,136. PART XII, LINE 2D - OTHER ADJUSTMENTS: GIFT SHOP EXPENSE 33,117. RENTAL EXPENSE 164,136. X X X X X X 1 1 0 0 0 0 0 1 0 HERBERT H FRIEDMAN 710774 0 69389 0 17846 0 143616 0 29245 0 970870 0 0 0 PATRICK DONNELLAN 285812 0 5820 0 3564 0 18616 0 25115 0 338927 0 0 0 DIANE MERTZ-HART 113146 0 0 0 155955 0 4021 0 55800 0 328922 0 0 0 DR DAVID SISKIND 276037 0 5640 0 517 0 0 0 21272 0 303466 0 0 0 MARJORIE THERMIDOR-DAOUD 162575 0 3200 0 198 0 5063 0 16700 0 187736 0 0 0 FLORENCE OLDACRE 54229 0 0 0 128111 0 0 0 33515 0 215855 0 0 0 DR ELIZABETH STURM 182266 0 3575 0 671 0 13930 0 21211 0 221653 0 0 0 DR MOHAMMED ALAM 161547 0 3241 0 203 0 12556 0 23916 0 201463 0 0 0 DR KAREN BLAU 176608 0 3720 0 345 0 13449 0 8284 0 202406 0 0 0 PART I, LINES 4A-B THE ORGANIZATION PROVIDED SEVERANCE PAYMENTS TO DIANE MERTZ-HART FOR THE AMOUNT OF $149,479 AND TO FLORENCE OLDACRE FOR THE AMOUNT OF $106,567. PART I, LINE 7 THE ORGANIZATION PROVIDED DEFERRED COMPENSATION PLAN TO HERBERT FRIEDMAN OF $125,000. SUPPLEMENTAL INFORMATION PART III THERE WAS A 2% ACROSS THE BOARD BONUS IN 2012. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983QDP1 2005-04-12 25715000 TO CURRENTLY REFUND A PRIOR ISSUE & TO RENOVATE A SKILLED NURSING FACILITY. 0 0 0 A 25715000 1376500 14677000 632320 9029180 2007 1 0 0 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 AN ELECTRONIC COPY OF THE FORM 990 IS PROVIDED TO THE FULL BOARD FOR REVIEW AND COMMENTS. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL SIGNED CONFLICT OF INTEREST FORMS ARE REQUIRED OF ALL BOARD MEMBERS AND DEPARTMENT HEADS. THE STATEMENTS ARE REVIEWED BY A COMMITTEE AND IF CONFLICT EXIST A DETERMINATION WILL BE MADE BY THE COMMITTEE WHETHER GURWIN CENTER CAN PROCEED WITH A TRANSACTION BASED ON THE UNDERLYING FACTS AND CIRCUMSTANCES. IF A CONFLICT EXISTS THE PERSON IS RECUSED FROM VOTING ON SAID MOTION. FORM 990, PART VI, SECTION B, LINE 15 THERE IS A FORMAL COMPENSATION COMMITTEE. A CONSULTANT WITH EXPERIENCE IN HEALTH CARE IS RETAINED TO GATHER COMPARABLE INFORMATION AND REPORT TO THE COMMITTEE, WHICH UTILIZES THE REPORT TO EVALUATE AND APPROVE COMPENSATION FOR THE ORGANIZATION'S OFFICERS. THE PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2012. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.HOWEVER, FINANCIAL STATEMENTS ARE INCLUDED IN ANNUAL COST REPORTS FILED WITH MEDICARE AND MEDICAID. SUCH REPORTS MAY BE OBTAINED BY ANYONE UNDER THE FREEDOM OF INFORMATION ACT. OTHER FEES FORM 990, PART IX, LINE 11G PROFESSIONAL AND CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,485,531. MANAGEMENT AND GENERAL EXPENSES 504,268. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,989,799. DIETARY PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,031,317. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,031,317. HOME HEALTH AIDE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,550,962. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,550,962. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.