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ELDERSERVE HEALTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ELDERSERVE HEALTH INC (EIN 80-0517818)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-23
IRS object ID
201342969349300129
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-10-23T14:12:01-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN131517563EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN800517818EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ELDERSERVE HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlELDENameControl
Phone7185811000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15901 PALISADE AVENUEAddressLine1
CityBRONXCity
StateNYState
ZIP Code10471ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDANIEL REINGOLDName
TitlePRESIDENT & CEOTitle
Phone7185811000Phone
Date Signed2013-10-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFREDERICK H ROTHMANName
PTINP01275277PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDANIEL REINGOLDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15901 PALISADE AVENUEAddressLine1
CityBRONXCity
StateNYState
ZIP Code10471ZIPCode
FieldValueIRS element (for citing)
Gross Receipts275777840GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2009YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionMANAGED LONG TERM CAREActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees140TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year49471387ProgramServiceRevenuePriorYear
Program Service Revenue CY259076154ProgramServiceRevenueCY
Investment Income Prior Year176122InvestmentIncomePriorYear
Investment Income Current Year651250InvestmentIncomeCurrentYear
Other Revenue Prior Year42337OtherRevenuePriorYear
Other Revenue Current Year496595OtherRevenueCurrentYear
Total Revenue Prior Year49689846TotalRevenuePriorYear
Total Revenue Current Year260223999TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4339917SalariesEtcPriorYear
Salaries Etc Current Year10948981SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year42036172OtherExpensePriorYear
Other Expenses Current Year239135791OtherExpensesCurrentYear
Total Expenses Prior Year46376089TotalExpensesPriorYear
Total Expenses Current Year250084772TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3313757RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10139227RevenuesLessExpensesCY
Total Assets BOY28153184TotalAssetsBOY
Total Assets EOY72080831TotalAssetsEOY
Total Liabilities BOY21809238TotalLiabilitiesBOY
Total Liabilities EOY55447982TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6343946NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16632849NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE O.TO SERVE FRAIL ELDERLY AND DISABLED INDIVIDUALS WITH HIGH QUALITY SERVICES TO HELP THEM MAINTAIN MAXIMUM INDEPENDENCE AND QUALITY OF LIFE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense237496898Expense
Revenue259076154Revenue
DescriptionMANAGED LONG TERM CARE FOR 6519 FRAIL ELDERLY AND DISABLED INDIVIDUALS WITH HIGH QUALITY SERVICES TO HELP THEM MAINTAIN MAXIMUM INDEPENDENCE AND QUALITY OF LIFE.Description
Total Program Service Expense237496898TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109689NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees140NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LUZ LIEBESKINDBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7185811317TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15901 PALISADE AVENUEAddressLine1
CityBRONXCity
StateNYState
ZIP Code10471ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DANIEL REINGOLD
CHAIRMAN AND CEO1.0034.00XX0720799256163
DAVID POMERANZ
VICE CHAIRMAN AND SECRETARY25.0010.00XX044904173587
JOSEPH WYGODA
TREASURER1.008.00XX000
ISADORE KREEL MD
DIRECTOR1.003.00X000
JAMES SHIFREN
DIRECTOR1.003.00X000
SUSAN ALDRICH
EXECUTIVE VICE PRESIDENT35.001.00X420513032653
LUZ LIEBESKIND
CFO5.0030.00X032351830080
DAVID WEINSTEIN
COO1.0034.00X034829057812
JOHN MCKEON
VICE PRESIDENT OF FINANCE40.00224024030833X
ANNA MARIA ETIENNE
SENIOR VICE PRESIDENT40.00312747019268X
IRINA VAINRIB
DIRECTOR OF OUTREACH AND E35.00177202029113X
SHELLEY EISENBERG
REGIONAL CLINICAL DIRECTOR35.0018574709795X
CAMILLE SANDS
REGIONAL CLINICAL DIRECTOR35.00182258028883X
JENNY LING
DIRECTOR OF REGULATORY AFF35.00213466010217X
PAMELA BRYANT
ASSISTANT VP OF NURSING35.00172214017104X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1888171TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1841648TotalReportableCompFrmRltdOrgs
Total Other Compensation595508TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
RELAY HEALTH
1564 NORTHEAST EXPRESSWAYATLANTAGA30329PROVIDER CONSULTING635224
ROPES & GRAY LLP
1211 AVENUE OF THE AMERICASNEW YORKNY10036LEGAL318886
CYRUSXP
PO BOX 393WYNNEWOODPA19096IT CONSULTING297156
ROLF KARL
245 HENRY STREETBROOKLYNNY11201ARCHITECT122415
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID CAPITATION623000259044463259044463
OTHER MEDICAID6230003169131691
FieldValueIRS element (for citing)
Total Program Service Revenue259076154TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column528624TotalRevenueColumn
Exclusion$528,624ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities15676467Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities15553841Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities122626Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column122626TotalRevenueColumn
Exclusion$122,626ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column496595TotalRevenueColumn
Exclusion$496,595ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue496595TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column260223999TotalRevenueColumn
Related Or Exempt Function Income259076154RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,147,845ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total708023Total
Management And General708023ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8672675Total
Program Services7338239ProgramServices
Management And General1334436ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total176794Total
Program Services170488ProgramServices
Management And General6306ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total711790Total
Program Services578136ProgramServices
Management And General133654ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total679699Total
Program Services534455ProgramServices
Management And General145244ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total4822785Total
Management And General4822785ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total372854Total
Management And General372854ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total104610Total
Management And General104610ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total82652Total
Management And General82652ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total213016887Total
Program Services212526804ProgramServices
Management And General490083ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total355334Total
Program Services22894ProgramServices
Management And General332440ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4577309Total
Program Services3537709ProgramServices
Management And General1039600ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1142828Total
Management And General1142828ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total388619Total
Management And General388619ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total12860106Total
Program Services12772859ProgramServices
Management And General87247ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total249584Total
Management And General249584ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total513747Total
Program Services15314ProgramServices
Management And General498433ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionBAD DEBTDescription
Total648476Total
Management And General648476ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total250084772Total
Program Services237496898ProgramServices
Management And General12587874ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY18926899BOY
EOY32505365EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2186086BOY
EOY481063EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY133007BOY
EOY47472EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1615073LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec353956LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY771537BOY
EOY1261117EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5595027BOY
EOY36718558EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY540628BOY
EOY1067256EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY28153184BOY
EOY72080831EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19402637BOY
EOY52312102EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY77602BOY
EOY109683EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY102700BOY
EOY91880EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2226299BOY
EOY2934317EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21809238BOY
EOY55447982EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6343946BOY
EOY16632849EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6343946BOY
EOY16632849EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28153184BOY
EOY72080831EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses10139227ReconcilationRevenueExpenses
Reconciliation Unrealized Invest149676ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1602448CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49471387CurrentTaxYearMinus1Year
Current Tax Year259076154CurrentTaxYear
Total310149989Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1602448CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49471387CurrentTaxYearMinus1Year
Current Tax Year259076154CurrentTaxYear
Total310149989Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509310149989PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years70373CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year119752CurrentTaxYearMinus1Year
Current Tax Year528624CurrentTaxYear
Total718749Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years70373CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year119752CurrentTaxYearMinus1Year
Current Tax Year528624CurrentTaxYear
Total718749Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year42337CurrentTaxYearMinus1Year
Current Tax Year496595CurrentTaxYear
Total538932Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1672821CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49633476CurrentTaxYearMinus1Year
Current Tax Year260101373CurrentTaxYear
Total311407670Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUSGeneralExplanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis375125OtherCostOrOtherBasis
Depreciation78987Depreciation
Book Value296138BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1134948OtherCostOrOtherBasis
Depreciation252657Depreciation
Book Value882291BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis105000OtherCostOrOtherBasis
Depreciation22312Depreciation
Book Value82688BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1261117TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO THE HEBREW HOME FOR THE AGED AT RIVERDALE$2,752,720
DUE TO THIRD PARTIES$181,597
FieldValueIRS element (for citing)
Total Of Amounts2934317TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt260291023TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments149676NetUnrealizedGainsInvestments
Revenue Not Rptd F990149676RevenueNotRptdF990
Revenue Subtotal260141347RevenueSubtotal
Investment Expenses Not Included82652InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt82652RevenueNotRptdOnFinStmt
Total Revenue Per Form990260223999TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt250002120TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal250002120ExpensesSubtotal
Investment Expenses Not Included282652InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt82652ExpensesNotRptdOnFinStmt
Total Expenses Per Form990250084772TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationEHI HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2010 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DANIEL REINGOLD
CHAIRMAN AND CEO06470360618500119130223918032245097696200
DAVID POMERANZ
VICE CHAIRMAN AND SECRETARY041342602805007565042750030837052262800
SUSAN ALDRICH
EXECUTIVE VICE PRESIDENT4141770006336030825018280453166000
LUZ LIEBESKIND
CFO03064450155000157302530004780035359800
DAVID WEINSTEIN
COO032249201650009298028750029062040610200
JOHN MCKEON
VICE PRESIDENT OF FINANCE20466801500004356092010216320254857000
ANNA MARIA ETIENNE
SENIOR VICE PRESIDENT29568301500002064010000092680332015000
IRINA VAINRIB
DIRECTOR OF OUTREACH AND E1772020000071720219410206315000
SHELLEY EISENBERG
REGIONAL CLINICAL DIRECTOR185747000007335024600195542000
CAMILLE SANDS
REGIONAL CLINICAL DIRECTOR1822580000073620215210211141000
JENNY LING
DIRECTOR OF REGULATORY AFF213466000008595016220223683000
PAMELA BRYANT
ASSISTANT VP OF NURSING1722140000069560101480189318000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationDANIEL REINGOLD - 220,668 LUZ LIEBESKIND - $15,500 DAVID POMERANZ - $28,050 DAVID WEINSTEIN - $16,500Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6HEBREW HOME HOLDING CORP. IS THE SOLE MEMBER OF ELDERSERVE HEALTH, INC..
FORM 990, PART VI, SECTION B, LINE 11THE AUDIT COMMITTEE REVIEWS THE 990 WITH THE CHIEF FINANCIAL OFFICER AND THE PREPARER, AND REPORTS THEIR FINDINGS TO THE FULL BOARD OF DIRECTORS. THE COMPLETE 990 IS ALSO MADE AVAILABLE FOR THE ENTIRE BOARD OF DIRECTORS TO REVIEW AND COMMENT.
FORM 990, PART VI, SECTION B, LINE 12CON A YEARLY BASIS, THE COMPLIANCE OFFICER, WORKING WITH ADMINISTRATION, DISTRIBUTES CONFLICT OF INTEREST QUESTIONNAIRES TO BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES WITH INSTRUCTIONS TO COMPLETE THE FORMS AND RETURN THEM TO THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER REVIEWS ALL SUBMITTED FORMS AND IDENTIFIES ANY CONFLICTS WHICH NEED TO BE REPORTED, CONSULTING WITH LEGAL COUNSEL, IF NECESSARY. THE COMPLIANCE OFFICER NOTIFIES THE CHAIRMAN OF THE BOARD AND THE CEO OF ANY CONFLICTS SO THAT CONFLICTED INDIVIDUALS APPROPRIATELY RECUSE THEMSELVES FROM DISCUSSIONS AND VOTING ON MATTERS ON WHICH THEY HAVE A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION C, LINE 18THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, LINE 15THE CEO AND OFFICERS AND KEY EMPLOYEES COMPENSATION IS PAID THROUGH A RELATED COMPANY, HEBREW HOME FOR THE AGED AT RIVERDALE. DETERMINATION OF THE COMPENSATION IS BASED ON INDEPENDENT COMPARATIVE ANALYSIS OF COMPENSATION LEVELS FOR OTHER CEO'S AND OFFICERS IN ORGANIZATIONS OF SIMILAR SIZE IN THE LONG-TERM CARE INDUSTRY IN THE NY METROPOLITAN AREA. THIS IS DONE BY AN INDEPENDENT COMPENSATION CONSULTANT AND THE INFORMATION IS THEN REVIEWED BY A COMPENSATION COMMITTEE AND APPROVED BY THE FULL BOARD OF THE RELATED ENTITIES PAYING THE COMPENSATION. THIS PROCESS WAS LAST DONE IN 2012.COMPENSATION DETERMINATION
FORM 990, PART IX, LINE 11GNURSING: PROGRAM SERVICE EXPENSES 18,603,414. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,603,414. PERSONAL CARE WORKERS: PROGRAM SERVICE EXPENSES 175,133,123. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 175,133,123. OTHER: PROGRAM SERVICE EXPENSES 10,441,245. MANAGEMENT AND GENERAL EXPENSES 490,083. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,931,328. SOCIAL DAY CARE FEES: PROGRAM SERVICE EXPENSES 8,349,022. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,349,022.OTHER FEES
FORM 990, PART XII, LINE 2CPROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
PALISADE NURSING HOME COMPANY INC
5901 PALISADE AVENUERIVERDALENY10471132668331NURSING HOMENY501(C)(3)3HEBREW HOME HOLDING CORP0
HEBREW HOME HOUSING DEVELOPMENT FUND CO INC
5901 PALISADE AVENUERIVERDALENY10471132956755HOUSINGNY501(C)(3)9HEBREW HOME HOLDING CORP0
ELDERSERVE LICENSED HOME CARE SERVICE AGENCY INC
3547 JOHNSON AVENUEBRONXNY10463133900644SERVICE AGENCYNY501(C)(3)9HEBREW HOME HOLDING CORP0
RIVERDALE TERRACE HOUSING DEVELOPMENT FUND CO INC
5901 PALISADE AVENUERIVERDALENY10471133900256HOUSINGNY501(C)(3)9HEBREW HOME HOLDING CORP0
HEBREW HOME FOR THE AGED AT RIVERDALE FOUNDATION INC
5901 PALISADE AVENUERIVERDALENY10471204352212FOUNDATION FOR HHARNY501(C)(3)70N/A
HEBREW HOME FOR THE AGED AT RIVERDALE INC
5901 PALISADE AVENUERIVERDALENY10471131739971NURSING HOMENY501(C)(3)9HEBREW HOME HOLDING CORP0
HEBREW HOME HOLDING CORP
5901 PALISADE AVENUERIVERDALENY10471270996795TO SUPPORT HEALTHCARE SERVICESNY501(C)(3)11 TYPE 10N/A
NATIONAL ALZHEIMER'S CENTER INC
5901 PALISADE AVENUERIVERDALENY10471133403753TO PROMOTE ALZHEIMER'S CARENY501(C)(3)11 TYPE 1HEBREW HOME HOLDING CORP0
HUDSON HOUSE HOUSING DEVELOPMENT FUND CO INC
5901 PALISADE AVENUERIVERDALENY10471275547643HOUSINGNY501(C)(3)9HEBREW HOME HOLDING CORP0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg