Attach to Form 990 or Form 990-EZ.
See separate instructions.| (i) Name of supported organization |
(ii) EIN |
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) |
(iv) Is the organization in col. (i) listed in your governing document? |
(v) Did you notify the organization in col. (i) of your support? |
(vi) Is the organization in col. (i) organized in the U.S.? |
(vii) Amount of support? |
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| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 2,329,151 | 1,647,192 | 1,448,891 | 1,176,275 | 1,997,168 | 8,598,677 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3.. | 2,329,151 | 1,647,192 | 1,448,891 | 1,176,275 | 1,997,168 | 8,598,677 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 1,969,995 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 6,628,682 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 2,329,151 | 1,647,192 | 1,448,891 | 1,176,275 | 1,997,168 | 8,598,677 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 483,288 | 303,982 | 73,233 | 191,423 | 214,064 | 1,265,990 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | 6,831 | 6,831 | ||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | ||||||
| 11 | Total support (Add lines 7 through 10). | 9,871,498 | |||||






| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public Support (Subtract line 7c from line 6.) | 6,628,682 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | ||||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | ||||||




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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| Attachment #1 - Page 1 Line F Principal Officer: Steven Raichilson Address: 27100 Cedar Rd., Beachwood, OH 44122 Part I, Line 1 and Part III, Line 1 Menorah Park Center for Senior Living provides a full spectrum of direct health care services to senior adults in the Greater Cleveland, Ohio area. Services are provided to approximately one thousand frail seniors per day in services such as skilled nursing, assisted living, independent living, home health, hospice, adult day care, outpatient physical therapy and meals-on-wheels. Services are provided to many indigent clients due to our mission of being a religious sponsored agency which provides care and health care programming to all clients in an atmosphere of respect, dignity and caring within a framework of traditional Jewish values. Our organization also provides many educational programs to seniors and health care professionals in the general community. Attachment #2, Part III, Line 4a Skilled Nursing Facility Our nursing home has 360 beds and offers post hospital rehabilitation services and long term nursing care. Specific services include medical care, nursing care, physical and occupational therapy, social work and recreational therapy. Over 75% of our long term care beds are occupied by indigent clients. Services are offered regardless of an individual's ability to pay. Assisted Living Ourt charitable organization provides two assisted living residences, which care for 250 clients. Specific services include apartment style living, nursing assistance with taking and dispensing medications, providing help to dress and bathe, providing meals, housekeeping, activities and security. Independent Living Menorah Park also provides independent living services for 200 clients in a separate residence organized for this purpose. Specific services include apartment style living, meals, housekeeping, activities, wellness nurse checks, recreational therapy, transportation and security. Indigent care is offered to tenants with the assistance of HUD Section 8. Part VI, Section A, Line 2 Nora Krasney Berman and Roz Krasney, both trustees of Menorah Park have a family relationship. Sara Hurand and Judith Wiess, both trustees of Menorah Park have a family relationship. Peter Meisel and Stanley Meisel, both trustees of Menorah Park have a family relationship. Edwin Singer and Harry Singer, both trustees of Menorah Park have a family relationship. Part VI, Section B, Line 11a A sub-committee of the Menorah Park Center for Senior Living Audit Committee and an independent CPA firm, as the board designees, review the Form 990 prior to submission. Senior management reviews and approves the form while completing and overseeing the process for completion. Part VI, Section B, Line 12c Annually, Menorah Park sends a copy of its conflict of interest policy to all trustees, officers, committee members and key employees. These Key Individuals are required to disclose any transactions where the interests of Menorah Park and the Key Individual (or spouse or other family member of a Key Individual) could potentially be in conflict. The Conflict of Interest Policy is reviewed annually at the initial meeting of the Board of Trustees following Menorah Park's annual meeting, and each new Key Individual is provided with a copy of the Policy upon commencement of his or her position as such Key Individual. Non compliance with the conflict of interest policy could result in disciplinary action including removal from association with Menorah Park. Part VI, Section B, Line 15a & b The Menorah Park Board of Directors appoints a Compensation Committee to annually review and approve salaries of the CEO and top level, key management staff of the organization. The Compensation Committee uses published surveys and purchased healthcare compensation comparison information to review and study the reasonableness and competitiveness of Menorah Park executive salaries with similar healthcare organizations. Part VI, Section C, Line 19 Menorah Park maintains copies of all governing documents and financial reports at its main offices in Beachwood, OH. Copies of these documents are available to the public upon request. Attachment #3 - Part VI, Line 20 Books In Care of: Robert Matitia, CFO Address: 27100 Cedar Rd., Beachwood, OH 44122 Phone: (216) 831-6500 Attachment #4 - Part VII, Section B, Line 1 Independent Contractors Dinsmore & Shohl, LLP P.O. Box 640635, Cincinnati, OH 45264 Legal services - $182,120 Attachment #5 - Part IX, Line 22 - Depreciation This Year Land & Land Improvements - $317,446 Buildings - $2,563,891 Furniture, Fixtures & Equipment - $628,670 Leased Equipment - $14,275 Other Assets - $112,962 Part XI, Line 5 Other Changes in Net Assets or Fund Balances: Change in Fair Value of Interest Rate Swap $10,684 Capital Contribution From Menorah Park Women's & Men's Assoc. $27,344 Return of Temporarily Restricted Assets $(49,484) Part XII, Line 2b Menorah Park Center for Senior Living's financial statements were audited as part of a consolidated financial statement audit including the Menorah Park Foundation and the Menorah Park Women's & Men's Association. Part XII, Line 2c Menorah Park Center for Senior Living has an audit committee responsible for oversight of the audit and auditor selection. This has not changed from the prior year. |
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