2024-07-15T13:06:46-05:00 2023-08-31 910189318 MOSS ADAMS LLP 21700 OXNARD ST STE 300 WOODLAND HILLS CA 91367 990 2022-09-01 954407317 JHA GERIATRIC SERVICES INC JHAG 8187743372 7150 TAMPA AVE RESEDA CA 913353700 CRYSTAL RUDITSKY CFO 8187743372 2024-07-10 1 CRYSTAL RUDITSKY 999009999 1 LAUREN A HAVERLOCK P00545829 8185771900 2024-07-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DALE SUROWITZ 7150 TAMPA AVE RESEDA CA 913353700 14920761 0 X WWW.LAJHEALTH.ORG X 1993 CA CLINICAL AND HOSPICE SERVICES FOR THE ELDERLY 12 9 146 67 0 0 1978574 0 20618648 14794302 0 0 0 126459 22597222 14920761 0 0 0 0 12367059 11271786 0 0 0 5828702 4148591 18195761 15420377 4401461 -499616 12779598 15102669 1623740 4446427 11155858 10656242 X EXCELLENCE IN SENIOR CARE REFLECTIVE OF JEWISH VALUES. 0 0 11878375 5804255 PROVIDE HOSPICE SERVICES TO RESIDENTS OF THE LOS ANGELES JEWISH HOME FOR THE AGING AND THE SURROUNDING COMMUNITY. 2794250 7119616 PROVIDE PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY TO PATIENTS AT RELATED ORGANIZATIONS. 365144 1996890 PROVIDE OUTPATIENT MEDICAL SERVICES TO RESIDENTS OF THE LOS ANGELES JEWISH HOME FOR THE AGING AND THE SURROUNDING COMMUNITY. 5126 PROVIDE HOME HEALTH AND HOME CARE SERVICES TO SENIORS RESIDING IN THE COMMUNITY. 5126 15042895 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 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 1 X 0 0 146 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X CRYSTAL RUDITSKY 8187743000 7150 TAMPA AVE RESEDA CA 913353700 M RUBIN CHAIR 2.00 4.00 X X 0 0 0 C TIGERMAN SECRETARY 2.00 4.00 X X 0 0 0 D SUROWITZ CEO-PRESIDENT 2.00 41.00 X X 0 873102 28443 L STEPANIANS COO 2.00 40.00 X X 0 456010 12544 C RUDITSKY CFO/TREASURER 2.00 41.00 X X 0 344416 10710 DR J GERSON MEMBER 2.00 2.00 X 0 0 0 I HALPREN MEMBER 2.00 4.00 X 0 0 0 D ROSETT MEMBER 2.00 6.00 X 0 0 0 DR E SCHNEIDER MEMBER 2.00 5.00 X 0 0 0 DR P SINGER MEMBER 2.00 2.00 X 0 0 0 B BERGER MEMBER 2.00 2.00 X 0 0 0 J BRANDMAN MEMBER 2.00 6.00 X 0 0 0 A LOPO PHYSICIAN 40.00 0.00 X 247224 0 8420 B KAYONGO RN 40.00 0.00 X 217167 0 3629 H VU PHYSICIAN 40.00 0.00 X 240389 0 10625 O RAPHAEL PHYSICIAN 40.00 0.00 X 227274 0 6596 S MARTINEZ EXECUTIVE DIRECTOR CLINIC 40.00 2.00 X 216753 0 6661 A POSSICK FORMER CSO 0.00 0.00 X 0 133063 11243 M FORREST FORMER VP AND CEO 0.00 0.00 X 0 185387 17441 1148807 1991978 116312 33 1 1 0 0 HOSPICE SERVICES 623000 5790979 5790979 FUNDING FROM PARENT ORG 900099 4982673 4982673 REHAB SERVICES 623000 3102267 3102267 OUTPATIENT SERVICES 621400 642233 642233 MEDICAL DIRECTOR SERVICES TO RELA 541900 276150 276150 14794302 MISCELLANEOUS 900099 126459 126459 126459 14920761 14920761 0 0 9487034 9202423 284611 153132 148538 4594 940334 912124 28210 691286 670547 20739 173295 173295 182287 182287 2162 2162 155576 116682 38894 1735 1301 434 370404 370404 126375 126375 161014 161014 3534 3534 SKILLED NURSING BED FEE 1790955 1790955 BAD DEBTS 562733 562733 ANCILLARY SERVICES, DME 314957 314957 NURSING SUPPLIES 162949 162949 140615 140615 15420377 15042895 377482 0 514711 150478 788369 743476 1598 124270 121872 5932 2398 11468988 14206317 12779598 15102669 741689 880464 882051 3565963 1623740 4446427 X 11155858 10656242 11155858 10656242 12779598 15102669 -499616 0 X 0 1 X 1 0 X 314106 1978574 0 2292680 17396853 21812058 23173858 20618648 14794302 97795719 17396853 21812058 23487964 22597222 14794302 100088399 0 2966352 2409065 4697436 5432752 4833465 20339070 2966352 2409065 4697436 5432752 4833465 20339070 79749329 17396853 21812058 23487964 22597222 14794302 100088399 0.79680 0.82580 0.00000 X 86299 86299 0 37971 35573 2398 2398 DUE FROM RELATED PARTY 14170188 OTHER RECEIVABLE 16185 OPERATING LEASE RIGHTS 19944 14206317 PAYABLE TO THIRD PARTY PAYER 119684 DUE TO RELATED PARTY 3424017 OPERATING LEASE LIABILITY 21296 OTHER LIABILITIES 966 3565963 X PART X, LINE 2: WITH THE EXCEPTION OF THE IPA, LAJH IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701D OF THE CALIFORNIA REVENUE AND TAXATION CODE AND IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, LAJH IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, AND NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED AS THE NET INCOME, IF ANY, FROM ANY UNRELATED TRADE OR BUSINESS, IN THE OPINION OF MANAGEMENT, IS NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS TAKEN AS A WHOLE. LAJH RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF AUGUST 31, 2023 OR 2022. 1 0 0 0 0 0 0 0 0 D SUROWITZ CEO-PRESIDENT 0 728101 0 145001 0 0 0 9150 0 19293 0 901545 0 0 L STEPANIANS COO 0 380053 0 75957 0 0 0 9150 0 3394 0 468554 0 0 C RUDITSKY CFO/TREASURER 0 286413 0 58003 0 0 0 3761 0 6949 0 355126 0 0 A LOPO PHYSICIAN 247224 0 0 0 0 0 0 0 8420 0 255644 0 0 0 H VU PHYSICIAN 240389 0 0 0 0 0 7055 0 3570 0 251014 0 0 0 O RAPHAEL PHYSICIAN 227274 0 0 0 0 0 0 0 6596 0 233870 0 0 0 S MARTINEZ EXECUTIVE DIRECTOR CLINIC 216753 0 0 0 0 0 0 0 6661 0 223414 0 0 0 B KAYONGO RN 217167 0 0 0 0 0 3514 0 115 0 220796 0 0 0 M FORREST FORMER VP AND CEO 0 185387 0 0 0 0 0 4875 0 12566 0 202828 0 0 A POSSICK FORMER CSO 0 0 0 0 0 133063 0 0 0 11243 0 144306 0 0 PART I, LINE 3 COMPENSATION FOR THE CEO WAS DETERMINED BY THE LOS ANGELES JEWISH HOMES FOR THE AGING, A RELATED ORGANIZATION, BY COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4A A POSSICK RECEIVED A SEVERANCE PAYMENT DURING 2022 IN THE AMOUNT OF $133,063. FORM 990, PART V, LINE 1 THE ORGANIZATION USES A COMMON PAYMASTER TO SUBMIT INFORMATION RETURNS (FORM 1099) ON ITS BEHALF. FORM 990, PART VI, SECTION A, LINE 6 THE PARENT ORGANIZATION, LOS ANGELES JEWISH HOME FOR THE AGING, IS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE PARENT ORGANIZATION, LOS ANGELES JEWISH HOME FOR THE AGING, HAS THE RIGHT TO APPOINT THE JHA GERIATRIC SERVICES INC. DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE PARENT ORGANIZATION, LOS ANGELES JEWISH HOME FOR THE AGING, HAS THE RIGHT TO APPROVE CERTAIN ACTIONS TAKEN BY JHA GERIATRIC SERVICES, INC. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE REVIEWED BY THE VOTING MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ANNUALLY RECEIVES A SIGNED CONFLICT OF INTEREST DISCLOSURE STATEMENT FROM EACH ACTIVE BOARD MEMBER AND OFFICERS. THE DISCLOSURES ARE REVIEWED BY THE BOARD, AND IF NECESSARY, ARE FURTHER DISCUSSED UNTIL A DETERMINATION IS MADE AS TO WHETHER A CONFLICT OF INTEREST EXISTS. THE ORGANIZATION WILL TAKE APPROPRIATE ACTION, DEPENDENT ON THE OUTCOME OF THE ABOVE REFERENCED DISCUSSION, AND IF NECESSARY, THE INTERESTED PERSON WILL RECUSE THEMSELVES FROM THE DELIBERATIONS AND DECISIONS. FORM 990, PART VI, SECTION B, LINE 15 POLICY FOR DETERMINATION OF EXECUTIVE COMPENSATION, OFFICERS AND TOP MANAGEMENT INCLUDES REVIEWING COMPARABILITY DATA FROM NUMEROUS SALARY AND COMPENSATION SURVEYS AND THE FORM 990 DATA OF SIMILAR ORGANIZATIONS. THE COMPENSATION FOR TOP MANAGEMENT IS DETERMINED BY THE EXECUTIVE REVIEW COMMITTEE AND APPROVED BY THE FULL EXECUTIVE COMMITTEE OF THE BOARD. COMPENSATION IS REVIEWED FOR OFFICERS AND TOP MANAGEMENT ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. LOS ANGELES JEWISH HOME FOR THE AGING 7150 TAMPA AVE RESEDA CA 91335 953510024 NURSING, RESIDENTIAL AND CLINICAL CARE FOR THE ELDERLY CA 501(C)(3) 7 N/A 0 EISENBERG VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING 7150 TAMPA AVE RESEDA CA 91335 951691015 RESIDENTIAL CARE AND SKILLED NURSING FACILITY CA 501(C)(3) 10 LOS ANGELES JEWISH HOME FOR THE AGING 0 ANNENBERG SCHOOL OF NURSING 7150 TAMPA AVE RESEDA CA 91335 208449705 VOCATIONAL NURSE EDUCATION CA 501(C)(3) 2 LOS ANGELES JEWISH HOME FOR THE AGING 0 GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING 7150 TAMPA AVE RESEDA CA 91335 951831045 RESIDENTIAL CARE AND SKILLED NURSING FACILITY CA 501(C)(3) 10 LOS ANGELES JEWISH HOME FOR THE AGING 0 BRANDMAN CENTERS FOR SENIOR CARE INC 7150 TAMPA AVE RESEDA CA 91335 264023159 PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY CA 501(C)(3) 10 LOS ANGELES JEWISH HOME FOR THE AGING 0 JEWISH HOME FOUNDATION 7150 TAMPA AVE RESEDA CA 91335 800927200 FUNDRAISING CA 501(C)(3) LINE 12A, I LOS ANGELES JEWISH HOME FOR THE AGING 0 BRANDMAN HEALTH PLAN 7150 TAMPA AVE RESEDA CA 91335 844235030 HEALTH CARE SERVICE PLAN CA 501(C)(4) LOS ANGELES JEWISH HOME FOR THE AGING 0 BRANDMAN RESEARCH INSTITUTE 7150 TAMPA AVE RESEDA CA 91335 954414031 GERONTOLOGICAL RESEARCH CA 501(C)(3) LINE 12A, I LOS ANGELES JEWISH HOME FOR THE AGING 0 0 0 0 1 1 0 0 0 0 0 0 1 1 1 1 0 1 1 1