2011-02-14T15:09:40-06:00 2010-09-30 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2009-10-01 060846991 JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INC JEWI 2033656400 175 JEFFERSON STREET FAIRFIELD CT 06432 Andrew H Banoff 2033749461 2011-02-03 1 8605614000 2009 2016-02-24 21:20:13Z Andrew H Banoff 175 Jefferson Street Fairfield CT 06825 44696653 0 X www.jhe.org X 1967 CT NON-PROFIT HEALTH CARE FACILITY PROVIDING REST HOME AND SKILLED NURSING CARE TO THE AGED AND INFIRM. 38 38 929 200 0 0 1695555 1564189 40404757 41995879 2755 2538 322185 1134047 42425252 44696653 0 0 30310625 32011389 0 0 15080555 12884671 45391180 44896060 -2965928 -199407 36214354 36566615 11420014 10846540 24794340 25720075 Consistent with Jewish values and traditions, the Mission of The Jewish Home is to assure Jewish seniors the health care, housing and geriatric services required to achieve the highest possible quality of life reasonably attainable for them. Admission to these services will be available to Jewish seniors on a priority basis. 0 0 35165246 38113469 Skilled nursing facility: A modern 360 bed skilled nursing facility providing short term post acute care, long term care, special care for memory, and cognitive disorders. 2002536 1874964 Non-medical Home Care Services, also known as Compassionate Care Companions, provides caregivers offering services tailored to individual needs in client's home. Services include: companionship and socialization; meal preparation; light housekeeping; transportation; errand and grocery shopping; assistance with personal care; supervision of dressing and grooming; and recreational activities. 24 hour live-in care services are available. 1072819 906108 Adult Day Health Services, also known as Grasmere by the Sea, is a medical model adult day service providing social, health and rehabiliation services to maximize the independence and dignity of participants. These services provide a respite for family caregivers during day time hours. Individual plans of care address unique needs of the client. Located in a beautiful secure water front setting, nursing care, medication, personal care management, meals and snacks are provided. Counseling, support groups, rehabilitative therapy and therapeutic recreation activities are also offered. 1145693 1101338 Includes the Institute on Aging Geriatric Assessment service, the Center for Elder Abuse Prevention and the new Medicare certified Home Care Agency. 1145693 1101338 39386294 1 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 89 0 1 929 1 0 0 0 0 0 0 0 0 1 0 0 38 38 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X Roger Sliby 2033656400 175 Jefferson Street Fairfield CT 06825 William Sims 0.50 X X 0 0 0 Jeff Radler 0.50 X X 0 0 0 RICHARD S SECLOW 0.50 X X 0 0 0 Jon ANGEL 0.50 X X 0 0 0 Alan Berk 0.50 X 0 0 0 ROBERT J ASHKINS 0.50 X 0 0 0 RUSSELL BEITMAN 0.50 X 0 0 0 CARL BENNETT 0.50 X 0 0 0 ELIOT BLACK 0.50 X 0 0 0 JUDY SKIER BROWN 0.50 X 0 0 0 RICHARD J DUBOW 0.50 X 0 0 0 DIANE MANGANO-COHEN 0.50 X 0 0 0 DOROTHY N FREEDMAN 0.50 X 0 0 0 RUSSELL FUCHS 0.50 X 0 0 0 LYDIA GERARD 0.50 X 0 0 0 CARL GLICKMAN 0.50 X 0 0 0 ROSLYN GOLDSTEIN 0.50 X 0 0 0 BUNNY KASPER 0.50 X 0 0 0 Martin F WOLF 0.50 X 0 0 0 MARK A LAPINE 0.50 X 0 0 0 JOEL COLEMAN 0.50 X 0 0 0 MICHAEL L MARCUS 0.50 X 0 0 0 JANICE MILLIMAN 0.50 X 0 0 0 SUSAN GREENWALD 0.50 X 0 0 0 HON ALAN H NEVAS 0.50 X 0 0 0 DENNIS B POSTER 0.50 X 0 0 0 ROBERT NEGELE 0.50 X 0 0 0 Kenneth Wirfel 0.50 X 0 0 0 DEAN RATICK 0.50 X 0 0 0 WILLIAM G SELDEN 0.50 X 0 0 0 HARRY M SHEKETOFF 0.50 X 0 0 0 LEONARD SREBNICK 0.50 X 0 0 0 MILTON SUTIN 0.50 X 0 0 0 ROBERT H TEMKIN 0.50 X 0 0 0 DR JOSHUA TWERSKY 0.50 X 0 0 0 DR GERALD WINTER 0.50 X 0 0 0 ANDREW H BANOFF 40.00 X X X 365909 0 24518 AUDREY STEIN 40.00 X X X 152153 0 13055 Janet Nevas 0.50 X 0 0 0 Bill Kanter 0.50 X 0 0 0 ROGER SLIBY 40.00 X X 111835 0 19233 William Kowalewski 40.00 X 144871 0 862 LINDA CISZKOWSKI 40.00 X 125716 0 6247 Robert Trojanowski 40.00 X 11540 0 5280 900484 0 63915 5 0 1 0 PAUL HASTINGS 75 E 55TH STREET FIRST FLOOR NEW YORK NY 10022 LEGAL SERVICES 367324 MORRISON MANAGEMENT SPECIALISTS INC 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 DINING SERVICES MANAGEMENT 137586 RED OAK CONTRACTORS PO BOX 217 MONROE CT 06468 INTERIOR BUILDING CONSTRUCTION 113290 BLUM SHAPIRO 29 S MAIN STREET WEST HARTFORD CT 06107 ACCOUNTING SERVICES 106331 4 1116521 30142 417526 1564189 NURSING HOME FEES 623000 38113469 38113469 COMPASSIONATE CARE 621610 1874964 1874964 ADULT DAY CARE 623000 906108 906108 RESIDENT WORK 623000 723421 723421 PHYSICIANS CARE 623000 76007 76007 301910 301910 41995879 2538 2538 150913 150913 150913 150913 CHILD CARE CENTER 900099 495710 495710 Miscellaneous 900099 487424 487424 983134 44696653 41995879 0 1136585 1322667 925867 396800 24411507 21482126 2929381 458919 403849 55070 3951822 3477603 474219 1866474 1642497 223977 170670 85335 85335 89104 89104 58000 58000 657609 578696 78913 38316 33718 4598 422966 372210 50756 334168 294068 40100 2253894 1983427 270467 193465 170249 23216 99050 87164 11886 1438214 1265628 172586 333730 293682 40048 PATIENT SERVICES 2300968 2024852 276116 FOOD 2265166 1993346 271820 NURSING HOME TAX 1419189 1419189 0 BAD DEBTS 739797 739797 0 Dues, License & Subscri 35799 31503 4296 34566 23488 11078 44896060 39386294 5509766 0 540713 727845 23040 4112604 4205607 66404 54988 133894 156962 38872900 26710870 13276121 12162030 18061578 19259183 36214354 36566615 4223815 3308110 4400969 4835678 2795230 2702752 11420014 10846540 X 8441715 8560141 2226237 2595377 14126388 14564557 24794340 25720075 36214354 36566615 X 0 1 1 X 0 X 1388762 1282724 1341438 1695555 1564189 7272668 36727837 38861049 40339839 40404757 41995879 198329361 38116599 40143773 41681277 42100312 43560068 205602029 0 0 0 205602029 207900 228610 119858 158418 153451 868237 207900 228610 119858 158418 153451 868237 202282 189697 120107 166522 983134 1661742 38526781 40562080 41921242 42425252 44696653 208132008 0.98780 0.99180 0.00420 0.00450 X 0 0 0 0 0 0 1 0 0 1 58000 58000 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: The Jewish Home engages a lobbyist to maintain contact with State legislation on issues affecting the Home. 1131517 1131517 28126932 19407265 8719667 7807653 6010850 1796803 1806798 1292755 514043 12162030 DUE FROM FOUNDATION 143451 Resident funds held in trust 172386 CSV - LIFE INSURANCE AND ANNUITIES 675980 DEFERRED FINANCING COSTS 31068 BENEFICIAL INTEREST IN NET ASSETS 18236298 19259183 DEFERRED REVENUE 357565 DEFERRED COMPENSATION OBLIGATION 581382 FUNDS HELD FOR RESIDENTS 172386 Accrued pension cost 1591419 2702752 44696653 44896060 -199407 1125142 1125142 925735 45821795 1125142 1125142 44696653 0 44696653 44896060 0 44896060 0 44896060 Part XI, Line 8 - Other Adjustments: Decrease in beneficial interest in net assets of JHE Foundation,Inc.: 1125142. Part XII, Line 2d - Other Adjustments: DECREASE IN BENEFICIAL INTEREST IN NET ASSETS OF JHE, FOUNDATION, INC.: 1125142. X X 0 0 0 0 0 0 0 0 0 ANDREW H BANOFF 314999 0 47250 0 3660 0 0 0 24518 0 390427 0 0 0 AUDREY STEIN 147264 0 4889 0 0 0 0 0 13055 0 165208 0 0 0 Michael Marcus Director 0 Michael Marcus is principal shareholder of Marcus Dairy, Inc. Dairy products were purchased by Morrison Senior Dining for use in the Jewish Home. The Home paid Morrison for all food items. 0 Dean Ratick Director 32891 Dean Ratick is president of Ratick Combustion, Inc., which provided HVAC and duct cleaning services to the Jewish Home. 0 William Sims Director 0 William Sims is owner of Herbert J. Sims & Company, which provided financing to the Jewish Home. 0 Martin Wolf director 23246 Martin Wolf is counsel at Cohen & Wolf, which provided legal services to the Jewish Home. 0 Mark A Lapine Director 0 Mark Lapine is owner of Lapine Associates, Inc. which provided consumer electronics to the Jewish Home. 0 Susan R Greenwald Director 71325 Susan Greenwald is a principal of Options for Elders, Inc. which provided financial consultation services to the Jewish Home. 0 Form 990, Part VI, Section A, line 2 Board members Alan Nevas and Dorothy Freedman are brother and sister. Board members Jon Angel and Russell Beitman are brother-in-laws. Form 990, Part VI, Section B, line 11 Form 990 is reviewed by the Audit Committee and provided to the full Board. Form 990, Part VI, Section B, line 12c FORMS/CONFLICTS ARE REVIEWED BY THE CEO AND EXECUTIVE COMMITTEE. Form 990, Part VI, Section B, line 15 SENIOR MANAGEMENT COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE (WITH DATA FROM HR ADVANTAGE) AND REVIEWED BY THE EXECUTIVE COMMITTEE. Form 990, Part VI, Section C, line 19 THE JEWISH HOMES DOES NOT MAKE ITS GOVERNING DOCUMENTS AND OTHER DOCUMENTS AVAILABLE TO THE PUBLIC. JHE Foundation INC 175 Jefferson Street Fairfield CT 06825 061349388 Fundraising activites to support Jewish Home for the Elderly of FFLD County CT 501(C)(3) 509(A)(2) Men's Club of JHE of Fairfield County 175 Jefferson Street fairfield CT 06825 222522138 Fundraising activites to support Jewish Home for the Elderly of FFLD County CT 501(C)(3) 509(A)(2) The Woman's Auxiliary of JHE of Fairfield County 175 Jefferson Street fairfield CT 06825 061055236 fundraising activites to support Jewish Home for the Elderly of FFLD County CT 501(C)(3) 509(A)(2) TJH Holding LLC 175 Jefferson Street Fairfield CT 06825 270367120 Holding company for development purposes CT 0 1 TJH Senior Living LLC 175 Jefferson Street fairfield CT 06825 264497741 holding company for development purposes CT 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 JHE Foundation Inc C 1350407 jhE Foundation Inc P 439000