2012-06-19T08:17:38-07:00 2011-12-31 990 2011-01-01 237120570 DAUGHTERS OF SARAH NURSING HOME COMPANY INC DAUG 5184567831 180 WASHINGTON AVENUE EXTENSION ALBANY NY 12203 Courtney Mulson 5187243240 2012-05-31 2011 2016-02-24 21:20:13Z Daughters of Sarah Nursing Home Inc 180 Washington Ave Ext Albany NY 12203 18696659 0 X WWW.DAUGHTERSOFSARAH.ORG X 1942 NY THE MISSION OF THE DAUGHTERS OF SARAH NURSING CENTER, INC. IS TO ENHANCE THE QUALITY OF LIFE, ASSURE THE SAFETY AND DIGNITY, AND FOSTER THE INDEPENDENCE OF THOSE WE SERVE THROUGH RESIDENTIAL, PERSONAL CARE, HEALTH AND OTHER QUALITY SERVICES, CONSISTENT WITH JEWISH VALUES AND TRADITIONS BY OPERATING A SKILLED NURSING HOME FOR ELDERLY INFIRM AND DISABLED ADULTS IN NEED OF ASSISTANCE WITH THE ACTIVITIES OF DAILY LIVING. THE FACILITY IS LICENSED AS SUCH BY THE NEW YORK STATE DEPARTMENT OF HEALTH IN ACCORDANCE WITH THE NEW YORK STATE PUBLIC HEALTH LAW. 14 14 450 79 0 0 25000 1000 18476974 18312464 160303 234598 144862 148597 18807139 18696659 0 0 0 0 9302305 10285398 0 0 0 7715257 6924725 17017562 17210123 1789577 1486536 36495488 38685010 23036520 23712387 13458968 14972623 THE MISSION OF THE DAUGHTERS OF SARAH NURSING CENTER, INC. IS TO ENHANCE THE QUALITY OF LIFE, ASSURE THE SAFETY AND DIGNITY, AND FOSTER THE INDEPENDENCE OF THOSE WE SERVE THROUGH RESIDENTIAL, PERSONAL CARE, HEALTH AND OTHER QUALITY SERVICES, CONSISTENT WITH JEWISH VALUES AND TRADITIONS BY OPERATING A SKILLED NURSING HOME FOR ELDERLY INFIRM AND DISABLED ADULTS IN NEED OF ASSISTANCE WITH THE ACTIVITIES OF DAILY LIVING. THE FACILITY IS LICENSED AS SUCH BY THE NEW YORK STATE DEPARTMENT OF HEALTH IN ACCORDANCE WITH THE NEW YORK STATE PUBLIC HEALTH LAW. 0 0 16125320 0 18695659 DAUGHTERS OF SARAH NURSING CENTER'S ("DAUGHTERS") MISSION TO ENHANCE THE QUALITY OF LIFE, ASSURE THE SAFETY AND DIGNITY, AND FOSTER THE INDEPENDENCE OF THOSE WE SERVE THROUGH RESIDENTIAL, PERSONAL CARE, HEALTH AND OTHER QUALITY SERVICES, CONSISTENT WITH JEWISH VALUES AND TRADITIONS IS ACCOMPLISHED THROUGH THE OPERATION OF A SKILLED NURSING FACILITY LICENSED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. DAUGHTERS IS A 210 BED FACILITY PROVIDING 24-HOUR CARE FOR FRAIL AND DISABLED SENIORS, MOST OF WHOM ARE INDIGENT. (IT IS ESTIMATED THAT, ON AVERGE, 60-65% OF OUR RESIDENTS RECEIVE BENEFITS THROUGH THE MEDICAID PROGRAM.) BY MEETING ALL OF THE NURSING AND PERSONAL CARE NEEDS, RESIDENTS ARE ABLE TO LIVE AND AGE IN A DIGNIFIED, RESPECTFUL AND SELF-INDEPENDENT MANNER APPROPRPRIATE TO THEIR HEALTH CONDITION AND PERSONAL REQUIREMENTS. PROGRAMS THAT ALL MELD TO ACHIEVE OUR GOAL INCLUDE: ROUND THE CLOCK NURSING CARE, SOCIAL SERVICE COORDINATION, MEDICAL SERVICES APPROPRIATE TO NURSING FACILITIES, KOSHER MEALS PREPARED IN ACCORDANCE WITH JEWISH DIETARY LAWS, DAILY ACTIVITY PROGRAMMING FOR BOTH PHYSICAL AND MENTAL STIMULATION APPROPRIATE TO RESIDENT ACUITY LEVELS, REGULAR ENTERTAINMENT PROGRAMS, WEEKLY JEWISH SABBATH SERVICES, CHRISTIAN SERVICES, RELIGIOUS CHAPLAINACY SERVICES, CELEBRATION OF ALL JEWISH HOLIDAYS (AND COORDINATION OF ACTIVITIES AROUND THE HOLIDAY THEMES), AND OTHER SCHEDULED EVENTS CALCULATED TO BRING HAPPINESS TO THE LIVES OF OUR RESIDENTS. ADDITIONALLY, DAUGHTERS OPERATES A MEDICAL ADULT DAYCARE PROGRAM, OFFERING ALL OF THE SAME PROGRAMMING, BUT AVAILABLE SOLELY DURING THE DAY FOR SENIORS WHO HAVE AN ADEQUATE SUPPORT PROGRAM IN PLACE AT HOME DURING THE EVENINGS AND NIGHTS. FURTHER, DAUGHTERS SPECIALIZES IN OFFERING A SHORT-TERM REHABILITATION PROGRAM FOR SENIORS IN NEED OF IN-HOUSE REHABILITATION THERAPY FOR A SHORT PERIOD OF TIME AFTER A HEALTH INCIDENT, WITH THE EXPECTATION THAT THEY CAN RETURN HOME TO THEIR REGULAR LIVES. DAUGHTERS ALSO OFFERS RESPITE CARE TO ADULTS IN THE COMMUNITY. THIS SHORT TERM RESPITE SERVICE PROVIDES ONE TO THIRTY NIGHTS OF LOVING, SAFE, MEDICALLY SUPERVISED CARE FOR THE SENIOR OR DISABLED ADULT WHO CANNOT BE ALONE, AND WHOSE CAREGIVER NEEDS TO TEMPORARILY BE AWAY FROM HOME. RESPITE CARE IS A COMMUNITY BASED ALTERNATIVE TO PREVENT OR DELAY ADMISSION TO A NURSING HOME. DAUGHTERS IS COMMITTED TO CARE FOR RESIDENTS DURING THE FINAL PHASES OF LIFE. PALLIATIVE AND HOSPICE CARE ARE PROGRAMS THAT ARE OFFERED TO RESIDENTS AND FAMILIES. THESE PROGRAMS ENABLE RESIDENTS AND FAMILIES TO LIVE WITH DIGNITY AND HOME DURING THE TIME OF TERMINAL ILLNESS AND LOSS. 0 0 0 16125320 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 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 0 1 31 0 1 450 1 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X COURTNEY MULSON 5184567831 180 WASHINGTON AVENUE EXTENSION ALBANY NY 12203 X DAVID WOLLNER 2 X X 0 0 0 PAUL SHATSOFF 1 X X 0 0 0 DANIEL TYSON 2 X X 0 0 0 JEFFERY PERKINS MD 1 X X 0 0 0 MATTHEW CUTLER 1 X X 0 0 0 JOY DAVIDOFF 1 X X 0 0 0 SELMA GOLDBERG 1 X X 0 0 0 JEFFREY GROSSMAN 1 X X 0 0 0 BRUCE HYMAN 1 X X 0 0 0 FRANKLIN LAUFER 1 X X 0 0 0 GLENN LIEBMAN 1 X X 0 0 0 IRA LOBEL 1 X X 0 0 0 GAVIN SETZEN 1 X X 0 0 0 LYNDA SHRAGER 1 X X 0 0 0 MARK KOBLENZ 19 X 246547 0 26428 JOAN HEALEY 28 X 171077 0 30000 COURTNEY MULSON 21 X 118831 0 25014 SHARON LAURENT 37.5 X 117718 0 16550 MIKE REGAN 37.5 X 103433 0 4103 SANDRA STEWART 37.5 X 110178 0 4615 867784 0 106710 6 0 1 1 MORRISON MANAGEMENT PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE CONTRACTOR 637775 1 0 0 0 1000 0 0 0 1000 18312464 18312464 0 0 18312464 234598 234598 74317 74317 0 74317 74317 0 0 0 74280 74280 74280 18696659 18695659 0 0 0 0 0 0 0 0 0 0 322305 322305 0 0 0 0 0 8366221 7772186 594035 0 192639 172322 20317 0 781243 698822 82421 0 622990 557265 65725 0 13481 13481 0 0 74325 74325 0 0 2225183 2225183 37280 37280 30454 30454 642061 642061 9195 9195 1050957 1050957 1213485 1213485 101295 101295 Bad debt expense 103186 103186 0 0 Repairs & Maintenance 158875 158875 0 0 Supplies & Other 1264948 1264948 0 0 17210123 16125320 1084803 0 6297227 5671504 1419981 1177517 91020 88693 556822 480268 35352405 16933492 18888496 18418913 9241942 12848115 36495488 38685010 5667082 6836993 17202880 16697177 166558 178217 23036520 23712387 X 13433398 14934934 25570 37689 0 0 13458968 14972623 36495488 38685010 X 1486536 27119 X 0 1 1 X 1 1 X 292578 428964 280996 25000 1000 1028538 15509566 17961130 18291793 18621836 18461061 88845386 15802144 18390094 18572789 18646836 18462061 89873924 89873924 412835 296498 187351 160303 234598 1291585 412835 296498 187351 160303 234598 1291585 16214979 18686592 18760140 18807139 18696659 91165509 0.98583 0.98506 0.01417 0.01494 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 790883 790883 0 27309584 11988020 15321564 0 0 0 0 0 6905280 4945472 1959808 0 346658 0 346658 18418913 Assets whose use is limited 12773177 Due from related parties 74938 12848115 Asset Retirement Obligation 178217 178217 18696659 17210123 1486536 0 0 0 0 0 0 1486536 18696659 0 0 0 0 0 18696659 0 0 0 18696659 17210123 0 0 0 0 0 17210123 0 0 0 17210123 X X X X X 0 0 0 0 0 0 0 0 0 MARK KOBLENZ 246547 0 0 0 0 0 0 0 26428 0 272975 0 0 0 JOAN HEALEY 171077 0 0 0 0 0 0 0 30000 0 201077 0 0 0 F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b THE ORGANIZATION'S BOARD OF DIRECTORS (ITS GOVERNING BODY) HAS DELEGATED REVIEW OF THE FORM 990 TO its FINANCE COMMITTEE, WHICH COMMITTEE HAS REVIEWED THE FORM IN ITS ENTIRETY PRIOR TO IT'S FILING. THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWED THE FORM 990 WITH THE FINANCE COMMITTEE PRIOR TO ITS FILING. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c THE ORGANIZATION'S CONFLICT OR INTEREST POLICY IS EXPLAINED AND DISCUSSED DURING ORIENTATION FOR ALL NEW BOARD MEMBERS. COPIES OF THE POLICY ARE PROVIDED TO ALL BOARD MEMBERS. THE POLICY IS ALSO REVIEWED WITH ALL BOARD MEMBERS AT THE FIRST BOARD MEETING OF EACH YEAR. ANNUALLY, BOARD MEMBERS ARE REQUIRED TO COMPLETE A DISCLOSURE FORM, DISCLOSING PERSONAL AND FINANCIAL BUSINESS INTERESTS AND ANY DEALINGS THEY OR FAMILY MEMBERS HAVE WITH THE ORGANIZATION OR WITH EACH OTHER. A COMPILATION OF THE DISCLOSED INFORMATION FOR THE ENTIRE BOARD IS SHARED WITH ALL BOARD MEMBERS TO ALERT THEM TO POSSIBLE CONFLICT SITUATIONS. THE COMPILATION IS UPDATED AND RE-CIRCULATED PERIODICALLY THROUGHOUT THE YEAR, WHEN WARRANTED. BOARD MEMBERS ARE EXPECTED TO DISCLOSE KNOWN OR POTENTIAL CONFLICTS, AS WELL AS PERCEIVED CONFLICTS INVOLVING OTHERS. PERCEIVED CONFLICTS ARE REVIEWED BY THE EXECUTIVE COMMITTEE, ADDRESSED WITH THE MEMBER(S) INVOLVED, AND REPORTED TO THE BOARD. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 CEO COMPENSATION IS REVIEWED BY A SPECIAL COMMITTEE ON CEO PERFORMANCE REVIEW, COMPRISING OF THE PRESIDENTS OF EACH OF THE THREE ORGANIZATIONS COMPRISING THE DAUGHTERS OF SARAH SENIOR COMMUNITY (ONE OF WHICH IS THIS ORGANIZATION), WHICH COMMITTEE IS CHAIRED BY AN INDIVIDUAL JOINTLY SELECTED BY THE THREE PRESIDENTS. UPON CONTRACT RENEWAL, THE COMMITTEE EVALUATES THE CEO PERFORMANCE, COLLECTS COMPARATIVE DATA ON CEO COMPENSATION FROM INDUSTRY SOURCES AND FORMS 990 OF SIMILAR ORGANIZATIONS, AND FORMULATES A COMPENSATION AND EMPLOYMENT CONTRACT RECOMMENDATION THAT IS FAIR AND EQUITABLE IN LIGHT OF THE CIRCUMSTANCES OF THE CEO PERFORMANCE, FACILITY BUDGETS, AND THE COMPARABLE INFORMATION. THE COMMITTEE MAINTAINS CONTERMORANEOUS SUBSTANTIATION OF ITS DELIBERATION AND DECISIONS, WHICH ARE REPORTED TO EACH OF THE BOARDS OF DIRECTORS FOR APPROVAL AND IMPLEMENTATION. THE BOARDS REVIEW AND RATIFY THE COMMITTEE'S RECOMMENDATIONS ON EMPLOYMENT CONTRACT DURATION, COMPENSATION, AND RELATED TERMS. THIS PROCESS WAS LAST DONE IN 2010. COMPENSATION AND PERFORMANCE EVALUATIONS FOR OTHER TOP MANAGEMENT STAFF ARE PERFORMED BY THE CEO, AND THEN REVIEWED BY THE CEO WITH REPRESENTATIVES OF THE ORGANIZATIONS SELECTED BY THE PRESIDENTS. COMPARATIVE DATA ON COMPENSATION IS COLLECTED FROM INDUSTRY SOURCES AND FORMS 990 OF SIMILARY ORGANIZATIONS, AND A FAIR AND EQUITABLE DECISION IS FORUMULATED IN LIGHT OF THE CIRCUMSTANCES OF JOB PERFORMANCE, FACILITY BUDGETS AND THE COMPARABLE INFORMATION. CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATIONS AND DECISIONS IS MAINTAINED. THE CEO REPORTS THE DELIBERATIONS, DECISIONS AND THE BASIS THEREFORE TO THE ORGANIZATION'S BOARD OF DIRECTORS. IF THE RECOMMENDED COMPENSATION LEVEL EXCEEDS THE LIMITS BUDGETED BY THE BOARD, FURTHER BOARD OF DIRECTOR APPROVAL OF THE COMPENSATION IS REQUIRED. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Disclosure of governing documents, conflict of interest policies and financial statements are made available upon request. F990_P07_S0A_L01a Form 990, Part VII, Section A, Line 1a Mark Koblenz,CEO,devotes 13 hours per week to Daughters of Sarah Jewish Foundation and 6 hours per week to Daughters of Sarah Housing Company, both related organizations. Joan Healey,COO, devotes 10 hours per week to the Daughters of Sarah Housing Company, a related organization. Courtney Mulson, CFO, devotes 6 hours per weekto Daughters of Sarah Housing Company and 3 hours per week to Daughters of Sarah Jewish Foundation, both related organizations. The Daughters of Sarah Nursing Home files all employment tax forms with respect to these individuals. The salary cost associated with the hours allocated to the Nursing Home Company is as follows:Mark Koblenz -$121,634, Joan Healey - $127,350, Courtney Mulson - $81,840. F990_P11_S00_L05 Form 990, Part XI, Line 5 Restricted Donations $27,119 DAUGHTERS OF SARAH HOUSING COMPANY 182 WASHINGTON AVENUE EXTENSION ALBANY NY 12203 141805236 ASSISTED LIVING NY 501 (C) (3) 9 N/A DAUGHTERS OF SARAH JEWISH FOUNDATION 180 WASHINGTON AVENUE EXTENSION ALBANY NY 12203 141344803 FUNDRAISING NY 501 (C) (3) 7 N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 DAUGHTERS OF SARAH JEWISH FOUNDATION c 16000 cash DAUGHTERS OF SARAH JEWISH FOUNDATION n 113806 cash DAUGHTERS OF SARAH HOUSING COMPANY n 169305 cash DAUGHTERS OF SARAH HOUSING COMPANY p 209486 cash DAUGHTERS OF SARAH JEWISH FOUNDATION p 19851 Cash