RUTLAND NURSING HOME INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- RUTLAND NURSING HOME INC (EIN 11-2164674)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-13
- IRS object ID
- 202403189349310325
- Schema version
- 2023v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-13T16:25:40-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 132781641 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MITCHELL & TITUS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 80 PINE STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112164674 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RUTLAND NURSING HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RUTL | BusinessNameControlTxt |
| Phone | 7186045532 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 SCHENECTADY AVENUE | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11203 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE FIGUEROA | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7182407931 | PhoneNum |
| Signature | 2024-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | FREDERICK E DAVIS JR | PreparerPersonNm |
| PTIN | P00446023 | PTIN |
| Phone | 2127094500 | PhoneNum |
| Preparation | 2024-11-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAUL ROSENFELD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 SCHENECTADY AVENUE | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $85,957,751 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://ONEBROOKLYNHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | ONE BROOKLYN HEALTH SYSTEM, INC. PROVIDES GREATER ACCESS TO HIGH QUALITY MEDICAL CARE AND KEEPS OUR COMMUNITIES HEALTHY THROUGH AN INTEGRATED CARE SYSTEM THAT RESPECTS THE DIVERSITY OF OUR COMMUNITIES AND ADDRESSES BOTH THE HEALTH NEEDS AND UNIQUE FACTORS THAT SHAPE THEM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 720 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,515,521 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,367,252 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $77,557,419 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $76,590,499 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $79,072,940 | PYTotalRevenueAmt |
| CY Total Revenue | $85,957,751 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $68,218,724 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $68,886,868 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $50,141,451 | PYOtherExpensesAmt |
| CY Other Expenses | $53,021,918 | CYOtherExpensesAmt |
| PY Total Expenses | $118,360,175 | PYTotalExpensesAmt |
| CY Total Expenses | $121,908,786 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$39,287,235 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$35,951,035 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,825,247 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,378,113 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $91,564,422 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $116,068,323 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$69,739,175 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$105,690,210 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ONE BROOKLYN HEALTH SYSTEM, INC. PROVIDES GREATER ACCESS TO HIGH QUALITY MEDICAL CARE AND KEEPS OUR COMMUNITIES HEALTHY THROUGH AN INTEGRATED CARE SYSTEM THAT RESPECTS THE DIVERSITY OF OUR COMMUNITIES AND ADDRESSES BOTH THE HEALTH NEEDS AND UNIQUE FACTORS THAT SHAPE THEM. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $84,210,047 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $76,590,499 | RevenueAmt |
| Desc | RUTLAND NURSING HOME, INC., LOCATED ON THE CAMPUS OF KINGSBROOK JEWISH MEDICAL CENTER, IS A 466-BED, LONG AND SHORT-TERM CARE FACILITY OFFERING SKILLED NURSING, PHYSICAL REHABILITATION, A SPECIALTY UNIT FOR VENTILATOR DEPENDENT RESIDENTS AS WELL AS HAVING A DEDICATED 32-BED PEDIATRIC LONG-TERM CARE UNIT FOR CHILDREN WITH SEVERE DEVELOPMENTAL AND METABOLIC DISORDERS. IN 2023, RUTLAND HAD 687 ADMISSIONS, 682 DISCHARGES AND A TOTAL OF 161,699 PATIENT DAYS. | Desc |
| Total Program Service Expenses | $84,210,047 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 15 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 720 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE FIGUEROA | PersonNm |
| Phone | 7182407931 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101-01 AVENUE D | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11236 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ALEX ROVT | |||||||||
| CHAIRPERSON | 0.05 | 0.95 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY CLEMENZA SR | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| BISHOP HUGH NELSON | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| DR JOSEPH CUIFFO | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| EDNA WELLS-HANDY | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| HENNA WHITE | |||||||||
| SECRETARY/TREASURER | 0.05 | 0.95 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HOPE MASON | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| MARK SHELTON | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| MAURICE A REID | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL IRWIN | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL L NAIRNE | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL SCAGNELLI | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| NUSIN SHTERN | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| RABBI ARYEH KATZIN | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| REV ROBERT WATERMAN | |||||||||
| VICE-CHAIRPERSON | 0.05 | 0.95 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RICHARD E GREEN | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| VICTOR AYALA | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| DR SOFIA NOVAK | |||||||||
| TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| ALEXANDER LANZMAN | |||||||||
| TRUSTEE FROM 05/19/23 | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| JOHN SCHMITT | |||||||||
| INTERIM CFO - THROUGH 7/10/23 | 0.00 | 40.00 | Yes (X) | $0 | $705,999 | $63,512 | |||
| PAUL ROSENFELD | |||||||||
| EXE. DIR. - OBH & LONG TERM CARE | 15.00 | 25.00 | Yes (X) | $0 | $640,131 | $63,512 | |||
| MICHELLE FIGUEROA | |||||||||
| CFO - STARTED FROM 7/10/23 | 0.00 | 40.00 | Yes (X) | $0 | $300,222 | $1,154 | |||
| ANTHONY RENTERIA | |||||||||
| VP OF OPERATIONS | 40.00 | 0.00 | $226,695 | $0 | $39,367 | Yes (X) | |||
| AVNEET KAUR-ANAND | |||||||||
| DIRECTOR NURSING | 40.00 | 0.00 | $222,273 | $0 | $9,011 | Yes (X) | |||
| HAROLD FLAMER | |||||||||
| CHIEF OF GERIATRICS - UNTIL 8/31/23 | 40.00 | 0.00 | $234,969 | $0 | $7,644 | Yes (X) | |||
| IMMACULADA ESPIRITU | |||||||||
| SR ASST. MD - PEDIATRICS | 40.00 | 0.00 | $291,868 | $0 | $56,347 | Yes (X) | |||
| LISA GARCIA | |||||||||
| VP FOR LONG TERM CARE FIN. OPERATIONS | 20.00 | 20.00 | $349,210 | $0 | $12,279 | Yes (X) | |||
| NEIL POLLACK | |||||||||
| ADMINISTRATOR | 40.00 | 0.00 | $308,461 | $0 | $61,255 | Yes (X) | |||
| JEAN FLERIME | |||||||||
| PLANT WATCH ENGINEER | 40.00 | 0.00 | $277,276 | $0 | $57,724 | Yes (X) | |||
| JESSE FROMMER | |||||||||
| DIRECTOR OF FINANCE OPERATIONS | 40.00 | 0.00 | $310,086 | $0 | $12,015 | Yes (X) | |||
| KHAING MOE | |||||||||
| ASST. DIR. - ACUTE CARE SERVICES | 40.00 | 0.00 | $284,475 | $0 | $37,241 | Yes (X) | |||
| MARRA BLANK | |||||||||
| SR. ASST. DIRECTOR OF NURSING | 40.00 | 0.00 | $203,160 | $0 | $38,880 | Yes (X) | |||
| ROSELLE CRUZ | |||||||||
| DIR. OF CLINICAL REIMBURSMENT | 40.00 | 0.00 | $231,804 | $0 | $21,675 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,940,277 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,646,352 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $481,616 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 124 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CLOVER HEALTH SERVICES LLC | |||||
| 75 SOUTH BROADWAY 4TH FLOOR | WHITE PLAINS | NY | 10601 | PROF. SERVICES /NURSING AGENCY | $2,799,911 |
| SPECIALTY PROF SERVICES | |||||
| 17-20 WHITESTONE EXPRESSWAY SUITE | WHITESTONE | NY | 11357 | PROF. SERVICES /NURSING AGENCY | $1,786,943 |
| MITCHELL MARTIN HEALTHCARE LLC | |||||
| 550 7TH AVE 16TH FL | NEW YORK | NY | 10018 | PROF. SERVICES /NURSING AGENCY | $1,742,039 |
| ACCESS STAFFING LLC | |||||
| 25 MELVILLE PARK ROAD SUITE 115 | MELVILLE | NY | 11747 | PROF. SERVICES /NURSING AGENCY | $1,688,205 |
| FORVIS LLP | |||||
| 910 E ST LOUIS STREET SUITE 400 | SPRINGFIELD | MO | 65806 | PROFESSIONAL SERVICES / ACCOUTING | $434,984 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,367,252 | GovernmentGrantsAmt |
| Total Contributions | $9,367,252 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 623000 | $76,145,932 | $76,145,932 |
| PHARMACY BILLING | 623000 | $444,567 | $444,567 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $76,590,499 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,957,751 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,590,499 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,819,380 | TotalAmt |
| Management And General | $1,819,380 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,300,558 | TotalAmt |
| Program Services | $41,918,922 | ProgramServicesAmt |
| Management And General | $6,381,636 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,756,903 | TotalAmt |
| Program Services | $3,200,698 | ProgramServicesAmt |
| Management And General | $556,205 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,508,347 | TotalAmt |
| Program Services | $9,770,294 | ProgramServicesAmt |
| Management And General | $1,738,053 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,501,680 | TotalAmt |
| Program Services | $2,939,604 | ProgramServicesAmt |
| Management And General | $562,076 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,270 | TotalAmt |
| Management And General | $137,270 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,711 | TotalAmt |
| Management And General | $1,711 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,744,349 | TotalAmt |
| Program Services | $17,495,246 | ProgramServicesAmt |
| Management And General | $4,249,103 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,933 | TotalAmt |
| Program Services | $76,768 | ProgramServicesAmt |
| Management And General | $125,165 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,415,991 | TotalAmt |
| Management And General | $1,415,991 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,420 | TotalAmt |
| Program Services | $719 | ProgramServicesAmt |
| Management And General | $1,701 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,809 | TotalAmt |
| Management And General | $306,809 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,713 | TotalAmt |
| Management And General | $389,713 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,287,927 | TotalAmt |
| Management And General | $3,287,927 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| GENERAL AND ADMINISTRAT | $16,382,773 | $11,553 | $16,371,220 |
| MEDICAL SUPPLIES EXPENS | $8,050,578 | $8,042,750 | $7,828 |
| CLINICAL SERVICES | $414,000 | $414,000 | $0 |
| MAINTENANCE AND REPAIR | $234,349 | $128,239 | $106,110 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $452,095 | TotalAmt |
| Program Services | $211,254 | ProgramServicesAmt |
| Management And General | $240,841 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,908,786 | TotalAmt |
| Program Services | $84,210,047 | ProgramServicesAmt |
| Management And General | $37,698,739 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,824,142 | BOYAmt |
| EOY | $1,772,758 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $394,419 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,189,661 | BOYAmt |
| EOY | $3,850,758 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $20,564 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $45,678,393 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $41,346,136 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,417,025 | BOYAmt |
| EOY | $4,332,257 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $401,776 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,825,247 | BOYAmt |
| EOY | $10,378,113 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,270,849 | BOYAmt |
| EOY | $8,945,155 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $392,800 | BOYAmt |
| EOY | $108,117 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $323,862 | BOYAmt |
| EOY | $2,132,085 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,576,911 | BOYAmt |
| EOY | $104,882,966 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,564,422 | BOYAmt |
| EOY | $116,068,323 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$69,739,175 | BOYAmt |
| EOY | -$105,690,210 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$69,739,175 | BOYAmt |
| EOY | -$105,690,210 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,825,247 | BOYAmt |
| EOY | $10,378,113 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$35,951,035 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,750 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,523,486 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,902,534 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,515,521 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,367,252 | CurrentTaxYearAmt |
| Total | $19,327,543 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $62,442,502 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $60,930,835 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $58,008,586 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $79,072,940 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $76,590,499 | CurrentTaxYearAmt |
| Total | $337,045,362 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $62,461,252 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $67,454,321 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $59,911,120 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $80,588,461 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $85,957,751 | CurrentTaxYearAmt |
| Total | $356,372,905 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $356,372,905 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $116 | CurrentTaxYearMinus4YearsAmt |
| Total | $116 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $116 | CurrentTaxYearMinus4YearsAmt |
| Total | $116 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $62,461,368 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $67,454,321 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $59,911,120 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $80,588,461 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $85,957,751 | CurrentTaxYearAmt |
| Total | $356,373,021 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,711 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,711 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1, LOBBYING ACTIVITIES: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF AN ASSOCIATION OF WHICH SOME OF THEIR DUES ARE ALLOCATED TO GRASS ROOTS LOBBYING IN REGARD TO THEIR NEEDS IN SERVICING AND PROVIDING HEALTHCARE TO THE PUBLIC. COST SPENT ON LOBBY ACTIVITIES FOR THE YEAR: LEADING AGE $1,711 TOTAL COST $1,711 | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $825,000 | OtherCostOrOtherBasisAmt |
| Book Value | $825,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,005,538 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,998,923 | DepreciationAmt |
| Book Value | $3,006,615 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,847,855 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,347,213 | DepreciationAmt |
| Book Value | $500,642 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,332,257 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTIES | $18,271,647 |
| OTHER CURRENT LIABILITIES | $397,116 |
| DUE TO AFFILIATES | $81,236,924 |
| DEFFERED LEASING OBLIGATION | $4,977,279 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $104,882,966 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | AS PER NYS DOH REGULATIONS, THE NURSING HOME IS REQUIRED TO ESTABLISH AN IN-HOUSE PATIENT BANKING ACCOUNT FOR THE RESIDENTS TO USE WHILE THEY ARE LIVING AT THE NURSING HOME. THESE FUNDS ARE KEPT IN A SEPARATE CUSTODIAL ACCOUNT AT STERLING BANK. |
| PART X, LINE 2: | MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT OF BEING SUSTAINED. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL LIABILITIES THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2023. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN SCHMITT | ||||||||||||||
| INTERIM CFO - THROUGH 7/10/23 | $0 | $700,107 | $0 | $0 | $0 | $5,892 | $0 | $11,550 | $0 | $51,962 | $0 | $769,511 | $0 | $0 |
| PAUL ROSENFELD | ||||||||||||||
| EXE. DIR. - OBH & LONG TERM CARE | $0 | $634,350 | $0 | $0 | $0 | $5,781 | $0 | $11,550 | $0 | $51,962 | $0 | $703,643 | $0 | $0 |
| NEIL POLLACK | ||||||||||||||
| ADMINISTRATOR | $308,062 | $0 | $0 | $0 | $399 | $0 | $11,118 | $0 | $50,137 | $0 | $369,716 | $0 | $0 | $0 |
| LISA GARCIA | ||||||||||||||
| VP FOR LONG TERM CARE FIN. OPERATION | $348,811 | $0 | $0 | $0 | $399 | $0 | $11,079 | $0 | $1,200 | $0 | $361,489 | $0 | $0 | $0 |
| IMMACULADA ESPIRITU | ||||||||||||||
| SR ASST. MD - PEDIATRICS | $291,469 | $0 | $0 | $0 | $399 | $0 | $10,460 | $0 | $45,887 | $0 | $348,215 | $0 | $0 | $0 |
| JEAN FLERIME | ||||||||||||||
| PLANT WATCH ENGINEER | $277,276 | $0 | $0 | $0 | $0 | $0 | $34,798 | $0 | $22,926 | $0 | $335,000 | $0 | $0 | $0 |
| JESSE FROMMER | ||||||||||||||
| DIRECTOR OF FINANCE OPERATIONS | $309,687 | $0 | $0 | $0 | $399 | $0 | $10,815 | $0 | $1,200 | $0 | $322,101 | $0 | $0 | $0 |
| KHAING MOE | ||||||||||||||
| ASST. DIR. - ACUTE CARE SERVICES | $284,076 | $0 | $0 | $0 | $399 | $0 | $4,884 | $0 | $32,357 | $0 | $321,716 | $0 | $0 | $0 |
| MICHELLE FIGUEROA | ||||||||||||||
| CFO - STARTED FROM 7/10/23 | $0 | $299,412 | $0 | $0 | $0 | $810 | $0 | $0 | $0 | $1,154 | $0 | $301,376 | $0 | $0 |
| ANTHONY RENTERIA | ||||||||||||||
| VP OF OPERATIONS | $226,296 | $0 | $0 | $0 | $399 | $0 | $8,098 | $0 | $31,269 | $0 | $266,062 | $0 | $0 | $0 |
| ROSELLE CRUZ | ||||||||||||||
| DIR. OF CLINICAL REIMBURSMENT | $231,405 | $0 | $0 | $0 | $399 | $0 | $8,228 | $0 | $13,447 | $0 | $253,479 | $0 | $0 | $0 |
| HAROLD FLAMER | ||||||||||||||
| CHIEF OF GERIATRICS - UNTIL 8/31/23 | $234,570 | $0 | $0 | $0 | $399 | $0 | $7,229 | $0 | $415 | $0 | $242,613 | $0 | $0 | $0 |
| MARRA BLANK | ||||||||||||||
| SR. ASST. DIRECTOR OF NURSING | $202,761 | $0 | $0 | $0 | $399 | $0 | $7,314 | $0 | $31,566 | $0 | $242,040 | $0 | $0 | $0 |
| AVNEET KAUR-ANAND | ||||||||||||||
| DIRECTOR NURSING | $222,273 | $0 | $0 | $0 | $0 | $0 | $7,811 | $0 | $1,200 | $0 | $231,284 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | ONE BROOKLYN HEALTH SYSTEM, INC. ("OBHS") IS THE SOLE MEMBER OF RUTLAND NURSING HOME INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS MAY ELECT AND APPOINT MEMBERS OF THE GOVERNING BOARD AND BOARD OFFICERS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | OBHS IS THE SOLE MEMBER OF RUTLAND NURSING HOME, INC., AND IT HAS RESERVED POWERS THAT ARE DELINEATED IN THE BYLAWS OF RUTLAND NURSING HOME INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CFO HAS CONDUCTED A REVIEW OF THE 990 WITH THE HOSPITAL'S TAX ACCOUNTANT AND ALL APPROPRIATE CHANGES HAVE BEEN MADE. DRAFT RETURNS WERE THEN PROVIDED TO THE BOARD MEMBERS OF THE FINANCE AUDIT AND COMPLIANCE COMMITTEE (FACC) FOR THEIR REVIEW FOR ANY ADDITIONAL COMMENTARY, OBSERVATIONS, OR RECOMMENDATIONS. THE FINAL DRAFT OF THE FORM 990 IS MADE AVAILABLE TO THE BOARD PRIOR TO IT BEING FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | RUTLAND NURSING HOME, INC FOLLOWS KINGSBROOK JEWISH MEDICAL CENTER'S CONFLICT OT INTEREST POLICY. AT KINGSBROOK JEWISH MEDICAL CENTER, ALL CONFLICTS OF INTEREST ARE REVIEWED BY THE COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS INVOLVING BOARD MEMBERS ARE REFERRED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND/OR ACTION, AS NECESSARY. |
| FORM 990, PART VI, SECTION B, LINE 15 | RUTLAND NURSING HOME, INC. DID NOT PAY COMPENSATION DIRECTLY FOR ITS EMPLOYEES. THE COMPENSATION AND BENEFITS ARE PAID THROUGH KINGSBROOK JEWISH MEDICAL CENTER'S PAYROLL SYSTEM AND ARE RECORDED ON THE FORM 941 FILED BY KINGSBROOK JEWISH MEDICAL CENTER UNDER THE EMPLOYER INDENTIFICATION NUMBER 11-1631759. THE COMPENSATION OF EXECUTIVE OFFICERS IS REVIEWED ANNUALLY BY KINGSBROOK JEWISH MEDICAL CENTER (KJMC). FOLLOWING BELOW PROCESS: CONSISTENT WITH BEST PRACTICES IN GOVERNANCE AND FIDUCIARY OVERSIGHT OF TAX EXEMPT FUNDS, KINGSBROOK JEWISH MEDICAL CENTER (KJMC) HAS INSTITUTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER. THE COMPENSATION COMMITTEE IS AUTHORIZED BY THE BOARD TO DEVELOP AND RECOMMEND FOR BOARD APPROVAL THE COMPENSATION OF THE PRESIDENT AND CEO AND MEMBERS OF SENIOR MANAGEMENT (SENIOR VICE PRESIDENTS, VICE PRESIDENTS AND ASSISTANT VICE PRESIDENTS). ONLY INDEPENDENT MEMBERS OF THE BOARD SHALL PARTICIPATE IN COMPENSATION DELIBERATIONS AND DECISIONS (I.E., EMPLOYEES, MEMBERS OF THE MEDICAL STAFF AND CONSULTANTS ARE NOT DEEMED INDEPENDENT FOR RUTLAND NURSING HOME INC. 11-2164674 THESE PURPOSES). ALL EXECUTIVE COMPENSATION DECISIONS ARE BASED ON COMPETITIVE MARKET DATA, ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE RESULTS, AND ALIGNMENT WITH KJMC'S EXECUTIVE COMPENSATION PHILOSOPHY. THE BOARD'S COMPENSATION COMMITTEE REVIEWS AND APPROVES ALL EXECUTIVE COMPENSATION TO ENDURE LEGAL AND REGULATORY COMPLIANCE AND ADHERENCE TO GOVERNANCE BEST PRACTICES AND PROPER FIDUCIARY OVERSIGHT AS STEWARDS OF TAX EXEMPT ASSETS. THE EXECUTIVE COMPENSATION PHILOSOPHY STATES ITS INTENT IS TO MAINTAIN A COMPETITIVE EXECUTIVE COMPENSATION PROGRAM IN ORDER TO ATTRACT, RETAIN AND MOTIVATE QUALIFIED EMPLOYEES TO SUPPORT THE MISSION AND BUSINESS GOALS OF KJMC. THE COMPENSATION COMMITTEE RETAINS OUTSIDE LEGAL COUNSEL WHO REVIEWS COMPLIANCE WITH TAX AND REGULATORY REQUIREMENTS AS WELL AS THE SERVICES OF AN INDEPENDENT QUALIFIED COMPENSATION CONSULTANT WHO COMPILES AND ANALYZES PUBLISHED SURVEY - DATA FOR BASE SALARIES AND TOTAL COMPENSATION PROVIDED BY TAX EXEMPT HOSPITALS AND MEDICAL CENTERS SIMILAR TO KJMC IN SIZE, OPERATIONS AND LOCATION. THE COMMITTEE'S REVIEW OF COMPENSATION OCCURS ANNUALLY SUCH THAT EXECUTIVE COMPENSATION AND BENEFITS CONTINUE TO BE COMPETITIVE AND REASONABLE BY FOLLOWING THE PRECEDING GOVERNANCE AND FIDUCIARY PRACTICES, THE COMMITTEE QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF THE INTERNAL REVENUE CODE SUCH THAT THE TOTAL COMPENSATION PROVIDED TO THE EXECUTIVES IS COMPARED TO WHAT IS ORDINARILY PAID FOR LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES," AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS. BASE PAY FOR EACH EXECUTIVE IS BASED ON FACTORS INCLUDING MARKET DATA, TENURE, EXPERIENCE, AND INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. EXECUTIVE BASE PAY IS REVIEWED AND SET ANNUALLY BY THE INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE OF THE INDEPENDENT DIRECTORS OF KINGSBROOK RUTLAND NURSING HOME INC. 11-2164674 JEWISH MEDICAL CENTER (KJMC), BASED ON THE EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER. AS DESCRIBED IN KJMC'S EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER, KJMC SUPPORTS PERFORMANCE BASED COMPENSATION AND THEREFORE HAS IMPLEMENTED AN ANNUAL INCENTIVE PAY PROGRAM (EXECUTIVE MANAGEMENT ANNUAL INCENTIVE PLAN) FOR THE EXECUTIVES, WHICH IS CURRENTLY SUSPENDED, AND A LONG-TERM INCENTIVE PAY PROGRAM (ANNUALIZED STRATEGIC PERFORMANCE INCENTIVE) FOR THE PRESIDENT AND CEO. THE ANNUAL AND LONG-TERM INCENTIVE PAY PROGRAMS ARE DESIGNED TO SUPPORT THE ATTAINMENT OF ANNUAL AND STRATEGIC PERFORMANCE OBJECTIVES AND REFLECT A COMBINATION OF FORMULAIC WEIGHTINGS PROVIDING FOR THRESHOLD, TARGET AND MAXIMUM BONUS LEVELS AND DISCRETIONARY JUDGMENT AS DETERMINED BY THE COMPENSATION COMMITTEE. THE PERFORMANCE MEASURES ARE SET PRIOR TO THE BEGINNING OF EACH PLAN YEAR AND PLAN PAYMENTS ARE DETERMINED BASED ON AUDITED FINANCIAL RESULTS AND OTHER MEASURES. THE PROCESS USED FOR DETERMINING THE COMPENSATION OF THE CEO ALSO APPLIES TO MEMBERS OF THE EXECUTIVE STAFF, DEPARTMENT CHAIRS AND OTHER HIGHLY COMPENSATED STAFF EXCEPT THAT THE PRESIDENT AND CEO MAKES COMPENSATION RECOMMENDATIONS TO THE COMPENSATION SUBCOMMITTEE FOR THOSE EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 13,908,042. MANAGEMENT AND GENERAL EXPENSES 1,096,763. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,004,805. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,587,204. MANAGEMENT AND GENERAL EXPENSES 3,152,340. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,739,544. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AMBOY PROPERTIES CORPORATION | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 112814707 | PARKING GARAGE | NY | 501(C)(3) | LINE 12A, I | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| BROOKDALE FAMILY CARE CENTERS INC | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 113237483 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| BROOKDALE HOSPITAL MEDICAL CENTER | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 111631746 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| BROOKDALE RESIDENCE HOUSING DEVELOPMENT | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 113324040 | HOUSING | NY | 501(C)(3) | LINE 10 | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| KINGSBROOK HEALTHCARE SYSTEM INC | |||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 030464734 | NO ACTIVITY | NY | 501(C)(3) | LINE 12A, I | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| ONE BROOKLYN HEALTH SYSTEM INC | |||||||||||
| ONE BROOKDALE PLAZA | BROOKLYN | NY | 11212 | 815323275 | SUPPORT ORG | NY | 501(C)(3) | LINE 7 | 0 | N/A | |
| ROCKREAL CORPORATION | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 112814705 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| SAMUEL AND BERTHA SCHULMAN INSTITUTE FUND INC | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 237270262 | NO ACTIVITY | NY | 501(C)(3) | LINE 12A, I | THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATIONINC | 0 | |
| THE SCHULMAN & SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION INC | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 237085986 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| URBAN STRATEGIES | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 113237480 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| BROOKDALE RX | |||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 202041821 | RETAIL PHARMACY | NY | N/A | C | 0 |
| INTERFAITH EMERGENCY MEDICINE PC | |||||||||
| 1545 ATLANTIC AVENUE | BROOKLYN | NY | 11213 | 452480633 | PHYSICIAN BILLING | NY | N/A | C | 0 |
| INTERFAITH PROFESSIONAL PHYSICIAN SVC PC | |||||||||
| 1545 ATLANTIC AVENUE | BROOKLYN | NY | 11213 | 451861648 | PHYSICIAN BILLING | NY | N/A | C | 0 |
| INTERFAITH PSYCHIATRY SERVICES PC | |||||||||
| 1545 ATLANTIC AVENUE | BROOKLYN | NY | 11213 | 274297404 | PHYSICIAN BILLING | NY | N/A | C | 0 |
| SMILE BROOKLYN DENTAL PC | |||||||||
| 1545 ATLANTIC AVENUE | BROOKLYN | NY | 11213 | 474320438 | PHYSICIAN BILLING | NY | N/A | C | 0 |
| KSI INC | |||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 562327654 | INACTIVE | NY | N/A | C | 0 |
| SINGULAB INC | |||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 562327669 | INACTIVE | DE | N/A | C | 0 |
| ATM NURSE REGISTRY | |||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 562327649 | INACTIVE | NY | N/A | C | 0 |
| KINGSBROOK LTACH INC | |||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 800712226 | INACTIVE | NY | N/A | C | 0 |
| KINGSBROOK MEDICAL ASSOCIATES PC | |||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 452351859 | BILLING & COLLECTION | NY | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |