2024-11-14T10:09:53-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 4334 MUNSON STREET SUITE 200 CANTON OH 44718 990 2023-01-01 112167809 OZANAM HALL OF QUEENS NURSING HOME INC OZAN 7182247598 42-41 201ST STREET BAYSIDE NY 11361 MOTHER MARY ROSE HEERY PRESIDENT 7182247598 2024-11-01 1 1 JENNIFER COLEMAN P00743188 3304972000 2024-11-01 2023 2024-10-15 13:58:12Z MOTHER MARY ROSE HEERY 42-41 201ST STREET BAYSIDE NY 11361 61688004 0 0928 X WWW.OZANAMHALL.ORG X 1969 NY OZANAM HALL OF QUEENS NURSING HOME, INC. MISSION IS TO PROVIDE HOLISTIC CARE TO THE AGED AND INFIRM IN AN ATMOSPHERE OF CHRISTIAN UNDERSTANDING AND FAITH. WE HOLD IN REVERENTIAL ESTEEM THE SANCTITY OF LIFE ALTHOUGH MENTAL AND/OR PHYSICAL LIMITATIONS MAY EXIST, THE LIFE OF EVERY HUMAN BEING IS CONSIDERED SACRED. EACH ONE HAS, THEREFORE A MORAL RESPONSIBILITY TO RESPECT AND PROTECT THAT BASIC RIGHT TO LIFE. 15 15 464 78 0 0 3511448 3026324 48635679 52959718 565511 348038 392260 1100864 53104898 57434944 0 0 0 0 32913803 32118875 0 0 96646 22496419 26601411 55410222 58720286 -2305324 -1285342 61502010 63435085 29712643 31885351 31789367 31549734 X OZANAM HALL OF QUEENS NURSING HOME, INC. MISSION IS TO PROVIDE HOLISTIC CARE TO THE AGED AND INFIRM IN AN ATMOSPHERE OF CHRISTIAN UNDERSTANDING AND FAITH. WE HOLD IN REVERENTIAL ESTEEM THE SANCTITY OF LIFE ALTHOUGH MENTAL AND/OR PHYSICAL LIMITATIONS MAY EXIST, THE LIFE OF EVERY HUMAN BEING IS CONSIDERED SACRED. EACH ONE HAS, THEREFORE A MORAL RESPONSIBILITY TO RESPECT AND PROTECT THAT BASIC RIGHT TO LIFE. 0 0 53186672 54060582 OZANAM HALL OF QUEENS NURSING HOME, INC. (THE HOME) CONSISTS OF A 432-BED SKILLED NURSING FACILITY IN QUEENS, NEW YORK. THE HOME IS LICENSED BY THE STATE OF NEW YORK AND SPONSORED BY THE CARMELITE SISTERS FOR THE AGED AND INFIRM AND THE ROMAN CATHOLIC DIOCESES OF BROOKLYN. IT IS PRIMARILY A REHABILITATIVE AND LONG-TERM HEALTH CARE FACILITY FOR THE AGED AND INFIRM. 53186672 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 45 0 464 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NY X CORRINNE SCHINDLER 5185377500 646 WOODS ROAD GERMANTOWN NY 12526 MOTHER MARY ROSE HEERY CHAIRPERSON/PRESIDENT 1.00 11.00 X X 0 0 0 REVEREND ROBERT MEMA VICE PRESIDENT 1.00 0.00 X X 0 0 0 VERY REVERAND PATRICK KEATING TREASURER 1.00 0.00 X X 0 0 0 MS LESLEE A DEVLIN SECRETARY 1.00 0.00 X X 0 0 0 SR MAUREEN ELIZABETH DOONAN MEMBER 1.00 0.00 X 0 0 0 FR MICHAEL GELFANT MEMBER 1.00 0.00 X 0 0 0 SR M CYRIL METHODIUS KASPER MEMBER 1.00 5.00 X 0 0 0 SR M KEVIN PATRICIA LYNCH MEMBER 1.00 0.00 X 0 0 0 MS JOAN MARREN MEMBER 1.00 0.00 X 0 0 0 MR MARTIN MCALEER MEMBER 1.00 0.00 X 0 0 0 SR MAUREEN MURRAY MEMBER 1.00 10.00 X 0 0 0 MR KEITH M POWERS MEMBER 1.00 0.00 X 0 0 0 SR MARK LOUIS RANDALL MEMBER 1.00 12.00 X 0 0 0 SR M BERNADETTE THERESE REILLY MEMBER 1.00 0.00 X 0 0 0 SR MPATRICIA MARGARET RAWDON O C MEMBER 1.00 2.00 X 0 0 0 PATRICIA GATHERS PRESIDENT / CEO / COO 1.00 39.00 X 0 712713 48935 MADELEINE P SUPRENA REGISTERED NURSE 40.00 0.00 X 223913 0 2920 CHARMAINE SKEEN REGISTERED NURSE 40.00 0.00 X 211398 0 0 MARIE Y BAZIER-CADET REGISTERED NURSE 40.00 0.00 X 175777 0 1056 ANA TAGLE-HERNANDEZ ASSISTANT ADMINISTRATOR 38.00 0.00 X 190544 0 1243 MARGARET T WHITE THERAPY DIRECTOR 40.00 0.00 X 165570 0 5058 967202 712713 59212 49 0 1 0 ASCEN WORKFORCE LLC PO BOX 936601 ATLANTA GA 31193 NURSING CONTRACT LABOR 3748591 NEW SOLUTIONS STAFFING 1733 SHEEPSHEAD BAY ROAD SUITE 39 BROOKLYN NY 11235 NURSING CONTRACT LABOR 1964605 HORIZON HEALTHCARE STAFFING 20 JERUSALEM AVENUE 3RD FLOOR HICKSVILLE NY 11801 CONTRACT LABOR 865924 BOND SCHOENECK & KING PLLC 22 CORPORATE WOODS BLVD SUITE 501 ALBANY NY 12211 LEGAL SERVICES 415808 UNITEX TEXTILE SERVICES LLC 155 SOUTH TERRACE AVENUE MOUNT VERNON NY 10550 LAUNDRY SERVICE CONTRACT LABOR 346771 10 457161 2569163 3026324 NET RESIDENT SERVICES REVENUE 623000 52959718 52959718 52959718 313911 313911 4287187 4253060 34127 34127 34127 OTHER OPERATING REVENUE 623000 1100864 1100864 1100864 57434944 54060582 0 348038 X 21418861 20949328 393547 75986 2959764 2877402 82362 4997914 4654851 343063 2742336 1526244 1216092 746714 746714 512529 512529 75264 75264 26839 26839 10440216 10012606 427610 211860 102027 109833 73298 6823 66475 554733 27668 527065 19272 19272 739 739 14142 14142 1202019 1081817 120202 3616966 3255269 361697 1157036 1041332 115704 BED TAX FEE 2360912 2360912 UTILITIES 1609193 1592106 17087 SUPPLIES 1608593 1608593 FOOD 1284636 1284636 1086450 785786 280004 20660 58720286 53186672 5436968 96646 10247008 8411217 1434538 782820 5334509 6497982 306368 123829 216781 245643 101886625 73879345 29563540 28007280 9426771 11429693 4972495 7936621 61502010 63435085 5437225 9484440 20079782 18261599 859032 1167053 3336604 2972259 29712643 31885351 X 28948608 27330106 2840759 4219628 31789367 31549734 61502010 63435085 -1285342 1045709 0 X X 0 1 X 1 1 1 X 2628043 5484408 7548410 3511448 3026324 22198633 51590484 38585596 37315838 49027939 54060582 230580439 54218527 44070004 44864248 52539387 57086906 252779072 0 548941 371492 920433 548941 371492 920433 251858639 138635 236547 241668 303514 313911 1234275 138635 236547 241668 303514 313911 1234275 54357162 44306551 45105916 52842901 57400817 254013347 0.99150 0.99370 0.00490 0.00410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1092991 1092991 86316106 62751767 23564339 118602 85234 33368 12476746 11042344 1434402 1882180 1882180 28007280 ASSETS LIMITED AS TO USE 5932526 DEPOSITS 648083 DUE FROM THIRD-PARTY PAYORS 822327 OTHER ASSETS 533685 7936621 DUE TO THIRD-PARTY PAYORS 1128650 OTHER LIABILITIES 1395719 DUE TO RELATED PARTY 447890 2972259 X 58395161 1045709 1045709 57349452 26839 58653 85492 57434944 58634794 0 58634794 26839 58653 85492 58720286 PART IV, LINE 2B: MEDICAID RESIDENTS CAN REQUEST, AND IN CERTAIN CASES, OZANAM HALL OF QUEENS NURSING HOME, INC. IS REQUIRED TO MAINTAIN THEIR PERSONAL FUNDS IN A CUSTODIAN ACCOUNT. THESE CUSTODIAL ACCOUNTS ARE ACCOUNTED FOR SEPARATELY AND ARE MAINTAINED BY THE NURSING FACILITY ON THE RESIDENTS BEHALF. THE CUSTODIAL ACCOUNTS ARE LISTED ON THE BALANCE SHEET OF FORM 990, PART X, LINE 21 AS CUSTODIAL ACCOUNT LIABILITIES. PART X, LINE 2: OZANAM HALL OF QUEENS NURSING HOME, INC. IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE HOME FOLLOWS THE PROVISIONS OF THE INCOME TAX ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. IT IS THE HOME'S POLICY TO ACCOUNT FOR ANY INTEREST OR PENALTIES ASSESSED RELATING TO UNCERTAIN TAX POSITIONS, IF ANY, AS ADMINISTRATIVE EXPENSES. THE HOME DID NOT INCUR ANY INTEREST OR PENALTIES FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE HOME'S FINANCIAL STATEMENTS. THE HOMES'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED AGAINST CONTRIBUTIONS 58,653. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED AGAINST CONTRIBUTIONS 58,653. 0 0 0 0 0 0 0 0 0 PATRICIA GATHERS PRESIDENT / CEO / COO 0 602910 0 109803 0 0 0 22500 0 26435 0 761648 0 0 MADELEINE P SUPRENA REGISTERED NURSE 216673 0 5800 0 1440 0 0 0 2920 0 226833 0 0 0 CHARMAINE SKEEN REGISTERED NURSE 209898 0 1500 0 0 0 0 0 0 0 211398 0 0 0 ANA TAGLE-HERNANDEZ ASSISTANT ADMINISTRATOR 168703 0 16571 0 5270 0 0 0 1243 0 191787 0 0 0 MARIE Y BAZIER-CADET REGISTERED NURSE 169995 0 5000 0 782 0 0 0 1056 0 176833 0 0 0 MARGARET T WHITE THERAPY DIRECTOR 165570 0 0 0 0 0 0 0 5058 0 170628 0 0 0 A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 166000293 64983Q7J2 2006-12-19 41443072 TO FUND THE HOME'S CAPITAL RENOVATION PROJECT 0 0 0 A 23128072 41443072 3980435 2053732 35408905 2010 0 0 0 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE CORPORATION SHALL BE THE SPONSOR MEMBERS AND THE SYSTEM MEMBER. THE SPONSOR MEMBERS OF THE CORPORATION (THE "SPONSOR MEMBERS") SHALL CONSIST OF THE FOLLOWING INDIVIDUALS: THE PRIORESS GENERAL OF THE COMMUNITY OF CARMELITE SISTERS FOR THE AGED AND INFIRM; THE ORDINARY OF THE ROMAN CATHOLIC DIOCESE OF BROOKLYN, NEW YORK; TWO (2) MEMBERS OF THE GENERAL COUNCIL OF CARMELITE SISTERS TO BE SELECTED BY THE SUPERIOR GENERAL OF THE COMMUNITY; AND TWO (2) MEMBER PRIESTS OF THE BROOKLYN DIOCESE TO BE SELECTED BY THE ORDINARY OF THE DIOCESE OF BROOKLYN. ANY ACTION BY THE SPONSOR MEMBERS SHALL BE AUTHORIZED BY THE AFFIRMATIVE VOTE OF AT LEAST FOUR (4) SPONSOR MEMBERS. THE SOLE SYSTEM MEMBER OF THE CORPORATION SHALL BE THE CARMELITE SYSTEM, INC., A NEW YORK NOT-FOR-PROFIT CORPORATION (THE "SYSTEM MEMBER"). ANY ACTION BY THE SYSTEM MEMBER SHALL BE TAKEN IN ACCORDANCE WITH THE BY-LAWS OF THE CARMELITE SYSTEM, INC. THE SUPERIOR GENERAL AND THE GENERAL COUNCIL OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM SHALL SERVE AS THE MEMBERS OF THE CARMELITE SYSTEM, INC. WITH SPECIFIED RESERVED POWERS. FORM 990, PART VI, SECTION A, LINE 7A THE COMMUNITY OF CARMELITE SISTERS AND THE ORDINARY OF THE ROMAN CATHOLIC DIOCESE OF BROOKLYN MAY EACH APPOINT TWO MEMBERS OF THE CORPORATION TO BE DIRECTORS OF THE CORPORATION (MEMBERS-DIRECTORS). EXCEPT AS OTHERWISE EXPRESSLY PROVIDED HEREIN, ALL STANDARDS APPLICABLE TO DIRECTORS IN THE BY LAWS SHALL ALSO APPLY TO MEMBERS-DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING POWERS ARE RESERVED EXCLUSIVELY TO THE MEMBERS OF THE CORPORATION: ANY AMENDMENT OF THE BY-LAWS; AMENDMENTS OF THE CORPORATION'S CERTIFICATE OF INCORPORATION; APPROVAL OR APPOINTMENT OF THE ADMINISTRATOR; THE APPROVAL OF INDIVIDUALS ELIGIBLE TO BE OFFICERS OF THE CORPORATION; THE APPROVAL OF INDIVIDUAL ELIGIBLE TO BE MEMBERS OF THE EXECUTIVE COMMITTEE; THE FORMULATION OR CHANGE FROM TIME TO TIME OF THE PHILOSOPHY, OBJECTIVE AND PURPOSES OF THE CORPORATION; THE PURCHASE, SALE, MORTGAGE OR LEASE OF REAL PROPERTY OF THE CORPORATION, OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF ITS ASSETS; CONSOLIDATION OF THE CORPORATION WITH ANOTHER NOT FOR PROFIT CORPORATION ORGANIZED FOR SIMILAR PURPOSES AND THE APPROVAL OF ANY PLAN FOR THE DISSOLUTION OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REPORTS TO THE BOARD OF DIRECTORS REGARDING THE REVIEW OF THE FORM 990. A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST DISCLOSURE POLICY REQUIRES ALL OFFICERS AND BOARD MEMBERS TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT. IN ADDITION, SHOULD AN OFFICER OR BOARD MEMBER ASSUME NEW EXTERNAL INTERESTS THAT POTENTIALLY CONFLICT WITH HIS/HER ROLE WITH THE ORGANIZATION SUCH INDIVIDUALS IS REQUIRED TO DISCLOSE IN WRITING THE NATURE OF SUCH EXTERNAL INTERESTS. THE DISCLOSURE STATEMENT IS PROVIDED TO THE CHAIR OF THE BOARD FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION POLICY WAS DEVELOPED BY THE BOARD TO GOVERN COMPENSATION ARRANGEMENTS BETWEEN THE ORGANIZATION AND COVERED INDIVIDUALS, DEFINED AS THOSE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. THE COMPENSATION COMMITTEE CONSISTS OF AT LEAST THREE INDEPENDENT INDIVIDUALS APPOINTED BY THE BOARD, WHO THEMSELVES ARE MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE RECOMMENDS TO THE BOARD THE COMPENSATION FOR A COVERED INDIVIDUAL BASED ON RELEVANT DATA INCLUDING COMPARABILITY OF COMPENSATION FOR SIMILARLY SITUATE ENTITIES AND COMPENSATION SURVEYS COMPLIED BY INDEPENDENT FIRMS AS REQUIRED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE TO THE PUBLIC ON GUIDESTAR'S WEBSITE. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 10,012,606. MANAGEMENT AND GENERAL EXPENSES 427,610. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,440,216. FORM 990, PART XII, LINE 2C: THE CARMELITE SYSTEM, INC. APPROVES THE ENGAGEMENT OF THE INDEPENDENT AUDITORS FOR THE CORPORATION. THE SYSTEM AUDIT COMMITTEE MEETS WITH THE SYSTEM'S MANAGEMENT AND THE INDEPENDENT AUDITORS TO REVIEW THE ENGAGEMENT PROPOSAL, RESULTS OF THE AUDIT, DRAFT AUDIT REPORT AND MANAGEMENT LETTERS. THE AUDIT COMMITTEE MAY MEET WITH THE INDEPENDENT AUDITORS IN AN EXECUTIVE SESSION BEFORE CONCLUDING ITS REVIEW AND ACCEPTANCE OF THE ANNUAL AUDIT REPORT. THE AUDIT COMMITTEE REPORTS ITS FINDINGS AND MAKES ITS RECOMMENDATION TO THE BOARD OF DIRECTORS. 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