NORWEGIAN CHRISTIAN HOME AND HEALTH CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NORWEGIAN CHRISTIAN HOME AND HEALTH CENTER (EIN 11-1633518)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202243199349333159
- Schema version
- 2021v4.2
- 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 | 2022-11-15T22:46:30-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE SUITE 301 | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111633518 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORWEGIAN CHRISTIAN HOME AND HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORW | BusinessNameControlTxt |
| Phone | 7182322322 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1250 67TH STREET | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11219 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL PAGANO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7182322322 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHAEL | PersonFirstNm |
| Person Last | PAGANO | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2022-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL PAGANO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1250 67TH STREET | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $29,282,311 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NCHHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1903 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | MOTIVATED BY FAITH IN GOD, THE BELIEF THAT REDEMPTION CAN ONLY BE FOUND IN JESUS CHRIST, AND HIS LOVE EXTENDS TO ALL MAN KIND, THE NORWEGIAN CHRISTIAN HOME AND HEALTH CENTER EXISTS TO PROVIDE EXCEPTIONAL PHYSICAL, SOCIAL, AND SPIRITUAL CARE SERVICES TO ITS RESIDENTS IN A PLEASANT ENVIRONMENT WHERE HUMAN DIGNITY IS PRESERVED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 285 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,158,594 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,352,727 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,218,737 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,478,169 | CYProgramServiceRevenueAmt |
| PY Investment Income | $164,092 | PYInvestmentIncomeAmt |
| CY Investment Income | $141,230 | CYInvestmentIncomeAmt |
| PY Other Revenue | $81,052 | PYOtherRevenueAmt |
| CY Other Revenue | $310,185 | CYOtherRevenueAmt |
| PY Total Revenue | $25,622,475 | PYTotalRevenueAmt |
| CY Total Revenue | $29,282,311 | 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 | $14,726,452 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,555,154 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,703,259 | PYOtherExpensesAmt |
| CY Other Expenses | $10,835,470 | CYOtherExpensesAmt |
| PY Total Expenses | $25,429,711 | PYTotalExpensesAmt |
| CY Total Expenses | $25,390,624 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $192,764 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,891,687 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $32,474,567 | TotalAssetsBOYAmt |
| Total Assets EOY | $33,822,234 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $26,367,685 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $21,849,460 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,106,882 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,972,774 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MOTIVATED BY FAITH IN GOD, THE BELIEF THAT REDEMPTION CAN ONLY BE FOUND IN JESUS CHRIST, AND HIS LOVE EXTENDS TO ALL MAN KIND, THE NORWEGIAN CHRISTIAN HOME AND HEALTH CENTER EXISTS TO PROVIDE EXCEPTIONAL PHYSICAL, SOCIAL, AND SPIRITUAL CARE SERVICES TO ITS RESIDENTS IN A PLEASANT ENVIRONMENT WHERE HUMAN DIGNITY IS PRESERVED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,569,981 | ExpenseAmt |
| Revenue | $22,622,721 | RevenueAmt |
| Desc | SKILLED NURSING AND RESPITE CARE PROVIDED IN A FULL SERVICE, STATE OF THE ART 135 BED FACILITY WITH 2 RESPITE BEDS AND 24/7 MEDICAL CARE TO ATTEND TO THE COMPLETE NEEDS OF EVERY RESIDENT SUB-ACUTE CARE PROVIDES INTENSIVE RESTORATIVE REHABILITATION DESIGNED TO IMPROVE THE PHYSICAL STATE OF THE RESIDENT AN INTERDISCIPLINARY TEAM IS COMPRISED OF PHYSICIANS, NURSES, THERAPISTS, SOCIAL WORKERS AND MORE THE GOAL IS TO ATTAIN MEASURABLE PROGRESS WITH EVERY RESIDENT, AS WELL AS TO BE ABLE TO AFFECT A SAFE DISCHARGE. ALL ROOMS ARE EQUIPPED WITH SATELLITE TELEVISION, TELEPHONES, SECURITY, AND SAFETY DEVICES SERVICES INCLUDE HOUSEKEEPING, LAUNDRY SERVICE, 3 NUTRITIONAL MEALS DAILY (TAILORED TO INDIVIDUAL DIETARY NEEDS), PASTORAL CARE AND ELECTIVE GROUP ACTIVITIES IN 2021, THE HOME PROVIDED 46,286 DAYS OF SKILLED NURSING CARE AND 25 DAYS OF RESPITE CARE THERE WERE A TOTAL OF 389 ADMISSIONS AND 385 DISCHARGES DURING 2021. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,955,635 | ExpenseAmt |
| Revenue | $6,659,590 | RevenueAmt |
| Desc | ASSISTED LIVING FOR WHEN A HELPING HAND IS NEEDED PROGRAM SERVICES INCLUDE 88 BEDS IN SEMI-PRIVATE ACCOMMODATIONS PROVIDING RESIDENTS WITH UNCOMPROMISED AND ACCURATE ATTENTION RESIDENTS ENJOY DELICIOUS MEALS, AND SOCIAL PROGRAMS THAT KEEP THEIR MINDS AND BODIES ACTIVE INDEPENDENT LIVING STUDIO AND SUITES PROVIDE 28 RESIDENTS A SECURE ENVIRONMENT WHILE MAINTAINING THEIR INDEPENDENCE LUXURY APARTMENTS INCLUDE FULL FUNCTIONING KITCHENS, WALK IN CLOSETS, CABLE AND INTERNET ACCESS PUBLIC AREAS INCLUDE A BRIGHT ATRIUM WITH A FIREPLACE, OUTDOOR GARDEN WITH POND AND GAZEBO, AS WELL AS A COMFORTABLE ENVIRONMENT TO RELAX IN 2021, THE HOME PROVIDED 24,348 DAYS OF ASSISTED LIVING AND INDEPENDENT LIVING CARE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $22,525,616 | 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 | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 285 | 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 | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEVEN COHEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7182322322 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1250 67TH STREET | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11219 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| GEORGE JENSEN | ||||||||
| CHAIRMAN | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ARLENE RUTUELO | ||||||||
| VICE CHAIRMAN | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RALPH AAVIK | ||||||||
| TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ARTHUR J GOYENA | ||||||||
| ASST. TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ARNOLD OFTEDAL | ||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAUL CASSONE | ||||||||
| ASST SECRETARY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LORI AAVIK | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| REBECCA E DANIEL | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GORDON A JENSEN | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| EDWARD JOHANNESEN | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIC V JOHNSON | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| REV PAULH KNUDSEN | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| EARNEST K RAGIN | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| STANLEY RAMSAL | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD C THOMPSON JR | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SAMANTHA WONG | ||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY RESTAINO | ||||||||
| NON VOTING MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TORRY BERNTSEN | ||||||||
| MEMBER THRU | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ELEANOR BENSEN | ||||||||
| MEMBER THRU | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY RESTAINO | ||||||||
| EXECUTIVE DIRECTOR | 37.50 | 1.00 | Yes (X) | $216,609 | $0 | $38,079 | ||
| STEVEN J COHEN | ||||||||
| CFO | 37.50 | 0.00 | Yes (X) | $197,318 | $0 | $12,388 | ||
| MELANIA COLAMARIA | ||||||||
| MDS COORDINATOR | 37.50 | 0.00 | $116,040 | $0 | $7,458 | Yes (X) | ||
| LISA DE CARLO | ||||||||
| MDS ASSESSOR | 37.50 | 0.00 | $107,292 | $0 | $7,575 | Yes (X) | ||
| JANE GABBIDON | ||||||||
| DIR. OF NURSING | 37.50 | 0.00 | $154,674 | $0 | $23,313 | Yes (X) | ||
| VALBONA ISMAILANJI | ||||||||
| NURSING SUPERVISOR | 37.50 | 0.00 | $103,799 | $0 | $7,266 | Yes (X) | ||
| STEVE KENNEDY | ||||||||
| DIR. OF HR | 37.50 | 0.00 | $116,819 | $0 | $18,691 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,012,551 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $114,770 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | 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 |
|---|---|---|---|---|---|
| PREFERRED THERAPY SERVICES | |||||
| 850 SILAS DEANE HIGHWAY | WETHERSFIELD | CT | 06109 | THERAPY SERVICES | $1,555,394 |
| PROMED STAFFING RESOURCES | |||||
| PO BOX 610028 | DALLAS | TX | 75261 | NURSING AGENCY STAFFING | $628,697 |
| PROCARE LTC PHARMACY | |||||
| 111 EXECUTIVE BOULEVARD | FARMINGDALE | NY | 11735 | PHARMACEUTICAL SERVICES | $340,591 |
| WINFILED SECURITY | |||||
| 57 WEST 38TH STREET | NEW YORK | NY | 10018 | SECURITY | $310,290 |
| PKF O'CONNOR DAVIES LLP | |||||
| 500 MAMARONECK AVENUE | HARRISON | NY | 10528 | AUDITING AND CONSULTING | $175,178 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,241,302 | GovernmentGrantsAmt |
| All Other Contributions | $111,425 | AllOtherContributionsAmt |
| Total Contributions | $3,352,727 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE | 623000 | $10,016,174 | $10,016,174 |
| MEDICAID | 623000 | $9,595,441 | $9,595,441 |
| PRIVATE PAY REVENUE | 623000 | $3,039,317 | $3,039,317 |
| OTHER NET PATIENT REVENUE | 623000 | $2,827,237 | $2,827,237 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,478,169 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $141,230 | TotalRevenueColumnAmt |
| Exclusion | $141,230 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MORTGAGE INS REFUND | 900099 | $168,172 | $168,172 |
| HERITAGE HALL REV | 900099 | $57,416 | $57,416 |
| MISC INCOME | 900099 | $50,115 | $50,115 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,482 | TotalRevenueColumnAmt |
| Exclusion | $34,482 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $310,185 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,282,311 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,478,169 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $451,415 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,960,113 | TotalAmt |
| Program Services | $9,628,393 | ProgramServicesAmt |
| Management And General | $1,331,720 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $597,668 | TotalAmt |
| Program Services | $524,987 | ProgramServicesAmt |
| Management And General | $72,681 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,869,883 | TotalAmt |
| Program Services | $1,642,492 | ProgramServicesAmt |
| Management And General | $227,391 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,127,490 | TotalAmt |
| Program Services | $990,379 | ProgramServicesAmt |
| Management And General | $137,111 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,447 | TotalAmt |
| Management And General | $21,447 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,563 | TotalAmt |
| Management And General | $88,563 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,980 | TotalAmt |
| Management And General | $4,980 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,364,592 | TotalAmt |
| Program Services | $3,307,922 | ProgramServicesAmt |
| Management And General | $56,670 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,311 | TotalAmt |
| Program Services | $60,643 | ProgramServicesAmt |
| Management And General | $300,668 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,559 | TotalAmt |
| Management And General | $283,559 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,230,956 | TotalAmt |
| Program Services | $1,230,956 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,663 | TotalAmt |
| Program Services | $398 | ProgramServicesAmt |
| Management And General | $6,265 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,159 | TotalAmt |
| Program Services | $41,159 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,748,709 | TotalAmt |
| Program Services | $2,463,128 | ProgramServicesAmt |
| Management And General | $285,581 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,070,938 | $1,070,938 | |
| FOOD EXPENSE | $790,578 | $790,578 | |
| NYS CASH RECEIPT ASSMNT | $751,760 | $751,760 | |
| OTHER DIRECT EXPENSES | $70,255 | $21,883 | $48,372 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,390,624 | TotalAmt |
| Program Services | $22,525,616 | ProgramServicesAmt |
| Management And General | $2,865,008 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,683,651 | BOYAmt |
| EOY | $5,866,284 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,530,974 | BOYAmt |
| EOY | $2,295,601 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,453 | BOYAmt |
| EOY | $239,781 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $40,735,103 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $30,848,572 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,207,312 | BOYAmt |
| EOY | $9,886,531 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,737,064 | BOYAmt |
| EOY | $4,718,001 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,045,113 | BOYAmt |
| EOY | $10,816,036 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,474,567 | BOYAmt |
| EOY | $33,822,234 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,537,339 | BOYAmt |
| EOY | $3,634,188 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,569,890 | BOYAmt |
| EOY | $11,309,144 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $658,611 | BOYAmt |
| EOY | $761,788 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,601,845 | BOYAmt |
| EOY | $6,144,340 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,367,685 | BOYAmt |
| EOY | $21,849,460 | 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 | $5,370,062 | BOYAmt |
| EOY | $11,178,125 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $736,820 | BOYAmt |
| EOY | $794,649 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,106,882 | BOYAmt |
| EOY | $11,972,774 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,474,567 | BOYAmt |
| EOY | $33,822,234 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,891,687 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1,974,205 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $381,294 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $335,413 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $49,224 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,158,594 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,352,723 | CurrentTaxYearAmt |
| Total | $5,277,248 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,143,738 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,437,848 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,652,023 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,218,737 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,478,169 | CurrentTaxYearAmt |
| Total | $120,930,515 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,525,032 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,773,261 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,701,247 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,377,331 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,830,892 | CurrentTaxYearAmt |
| Total | $126,207,763 | 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 | $126,207,763 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,343 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,068 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $115,137 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $164,092 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $141,230 | CurrentTaxYearAmt |
| Total | $479,870 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,343 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,068 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $115,137 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $164,092 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $141,230 | CurrentTaxYearAmt |
| Total | $479,870 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $146,942 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $136,763 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $114,175 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $81,052 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $310,185 | CurrentTaxYearAmt |
| Total | $789,117 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,698,317 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,943,092 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,930,559 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,622,475 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,282,307 | CurrentTaxYearAmt |
| Total | $127,476,750 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99000 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99150 | PublicSupportPY509Pct |
| Investment Income CY | 0.00380 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00320 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | GIFT SHOP INCOME - 2017 AMOUNT: $ 102,782. 2018 AMOUNT: $ 2,050. 2019 AMOUNT: $ 2,100. 2020 AMOUNT: $ 900. 2021 AMOUNT: $ 2,500. EQUAL FUNDS - 2017 AMOUNT: $ 32,087. MISCELLANEOUS INCOME - 2017 AMOUNT: $ 12,073. 2018 AMOUNT: $ 18,221. 2019 AMOUNT: $ 17,170. 2020 AMOUNT: $ 12,073. 2021 AMOUNT: $ 50,115. REBATES - 2018 AMOUNT: $ 5,427. 2019 AMOUNT: $ 3,357. 2020 AMOUNT: $ 17,681. 2021 AMOUNT: $ 21,122. CAFETERIA INCOME - 2018 AMOUNT: $ 111,065. 2019 AMOUNT: $ 91,548. 2020 AMOUNT: $ 50,398. 2021 AMOUNT: $ 57,416. MORTGAGE INS REFUND - 2021 AMOUNT: $ 168,172. BAD DEBT RECOVERY - 2021 AMOUNT: $ 10,860. | ExplanationTxt |
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 | $4,980 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,980 | 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: | FormAndLineReferenceDesc |
| Explanation | IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE A PORTION OF THE DUES ARE ATTRIBUTABLE TO LOBBY ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $736,820 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $57,829 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $794,649 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $677,337 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $59,483 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $736,820 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $584,321 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $93,016 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $677,337 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $664,091 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$79,770 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $584,321 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $591,228 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $72,863 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $664,091 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $937,041 | OtherCostOrOtherBasisAmt |
| Book Value | $937,041 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,060,855 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,881,863 | DepreciationAmt |
| Book Value | $8,178,992 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,496,690 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,836,592 | DepreciationAmt |
| Book Value | $660,098 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $240,517 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,117 | DepreciationAmt |
| Book Value | $110,400 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,886,531 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| BENEFICIAL INTEREST IN PERPETUAL TRUSTS | $794,649 | F |
| INTEREST IN NORWEGIAN CHRISTIAN HOME FOUNDATION | $3,923,352 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $4,718,001 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RESTRICTED CASH-RESIDENTS' FUNDS | $761,789 |
| ASSETS LIMITED TO USE | $7,473,836 |
| INSURANCE RECOVERY RECEIVABLE | $2,454,000 |
| DUE FROM FOUNDATION | $126,411 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,816,036 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION COST | $2,628,307 |
| PROFESSIONAL AND SIMILAR LIABILITIES | $2,678,000 |
| DUE TO THIRD-PARTY PAYORS | $838,033 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,144,340 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $29,282,311 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $29,282,311 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $29,282,311 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $25,390,624 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $25,390,624 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $25,390,624 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | RESIDENT'S FUNDS ARE HELD BY THE HOME ON BEHALF OF THE RESIDENTS SUCH FUNDS REPRESENT LIVING ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER FUNDS DEPOSITED WITH THE HOME FOR SAFEKEEPING THE FUNDS ARE DISBURSED AT THE REQUEST OF, OR ON BEHALF OF RESIDENT'S FOR THEIR PERSONAL USE. |
| PART V, LINE 4: | THE KONRAD W FREDERIKSEN CHARITABLE TRUST WAS ESTABLISHED DECEMBER 23, 1958, CONSISTING OF 4,668 UNITS OF THE MASSACHUSETTS LIFE FUND. THE TRUST AGREEMENT STATES THAT NET INCOME FROM THE FUND IS TO BE PAID QUARTERLY TO THE HOME. IN 2008, THE HOME RECORDED ITS BENEFICIAL INTEREST IN THE VERA J. CLARK TRUST. THE TRUST AGREEMENT STATES THAT THE NET INCOME FROM THE TRUST IS TO BE PAID QUARTERLY TO THE HOME AND SEVERAL OTHER CHARITABLE ORGANIZATIONS. |
| PART X, LINE 2: | THE HOME RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY WHEN THE TAX POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HOME HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE HOME IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2018. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTHONY RESTAINO | ||||||||||||||
| EXECUTIVE DIRECTOR | $216,609 | $0 | $0 | $0 | $0 | $0 | $15,163 | $0 | $22,916 | $0 | $254,688 | $0 | $0 | $0 |
| STEVEN J COHEN | ||||||||||||||
| CFO | $197,318 | $0 | $0 | $0 | $0 | $0 | $12,388 | $0 | $0 | $0 | $209,706 | $0 | $0 | $0 |
| JANE GABBIDON | ||||||||||||||
| DIR. OF NURSING | $154,674 | $0 | $0 | $0 | $0 | $0 | $11,784 | $0 | $11,529 | $0 | $177,987 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | RALPH AAVIK AND LORI AAVIK HAVE A FAMILY RELATIONSHIP. TORRY BERNTSEN AND GEORGE A JENSEN HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINE 11B | NORWEGIAN CHRISTIAN HOME AND HEALTH CENTER HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED IT IS ELECTRONICALLY SENT TO MANAGEMENT FOR REVIEW, AND THEN FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE HOME HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT PROTECTS THE INTEREST OF THE HOME WITH ANY TRANSACTIONS THAT MIGHT BENEFIT THE PRIVATE INTEREST OF A DIRECTOR, OFFICER, OR KEY EMPLOYEE OF THE CORPORATION. ANNUALLY INDIVDUALS MUST DISCLOSE ANY POTENTIAL CONFLICTS. IF A CONFLICT WERE TO OCCUR, ALL RELATED PARTIES WITH A FINANCIAL INTEREST MUST NOT BE PRESENT FOR DELIBERATIONS AND VOTING ON THE TRANSACTION OR ARRANGEMENT IN WHICH HE OR SHE HAS A FINANCIAL INTEREST. NO DIRECTOR OR OFFICER SHALL VOTE, ACT, OR ATTEMPT TO INFLUENCE IMPROPERLY THE DELIBERATIONS ON ANY MATTER IN WHICH HE OR SHE HAS BEEN DETERMINED BY THE BOARD TO HAVE A FINANCIAL INTEREST. ANY ATTEMPT TO VOTE, ACT, OR IMPROPERLY INFLUENCE DELIBERATIONS BY A RELATED PARTY ON ANY MATTER WITH WHICH SUCH PERSON HAS A FINANCIAL INTEREST MAY BE GROUNDS FOR REMOVAL FROM THE BOARD OR TERMINATION FROM THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE EXECUTIVE DIRECTOR / ADMINISTRATOR IS DECIDED BY THE BOARD OF DIRECTORS WHICH INCLUDES AN ANNUAL REVIEW AND APPROVAL BY THE BOARD THE BOARD UTILIZES DATA AND / OR BENCHMARKS RELATED TO COMPARABLE COMPENSATION FOR SIMILAR QUALIFIED PERSONAL IN COMPARABLE POSITIONS IN SIMILAR FACILITIES HIS / HER COMPENSATION IS VOTED ON DURING A BOARD MEETING AND DOCUMENTED IN THE BOARD MINUTES. THE SALARIES OF KEY EMPLOYEES AND SENIOR MANAGEMENT STAFF ARE DECIDED DURING THE HIRING PROCESS BY THE EXECUTIVE DIRECTOR / ADMINISTRATOR AND DIRECTOR OF HUMAN RESOURCES JOINTLY, WHICH INCLUDES A REVIEW OF COMPARABLE COMPENSATION FOR SIMILAR QUALIFIED PERSONS IN COMPARABLE POSITIONS AT SIMILAR FACILITIES. AFTER INITIAL HIRE, NOMINAL SALARY INCREASES MAY BE GRANTED TAKING INTO ACCOUNT COST OF LIVING INCREASES AND THE FACILITY'S FINANCIAL SITUATION PERIODIC SALARY REVIEWS OF KEY EMPLOYEES AND TOP MANAGEMENT MAY ALSO BE CONDUCTED TAKING INTO ACCOUNT EMPLOYEES PERFORMANCE AND ANY ADDITIONAL RESPONSIBILITIES ASSIGNED INCLUDING A REVIEW OF COMPARABLE COMPENSATION FOR SIMILAR QUALIFIED PERSONS IN COMPARABLE POSITIONS IN SIMILAR FACILITIES THE BOARD AUTHORIZES THE EXECUTIVE DIRECTOR / ADMINISTRATOR TO INCREASE ALL ELIGIBLE NON-UNION SALARIES BY AN APPROVED PERCENTAGE, EACH INDIVIDUAL EMPLOYEE'S SALARY INCREASE IS DETERMINED BY THE EXECUTIVE DIRECTOR / ADMINISTRATOR THE BOARD OF DIRECTOR'S DID APPROVE A SALARY INCREASE FOR NON-UNION EMPLOYEES IN 2019. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST THE ORGANIZATION FILES AN ANNUAL COST REPORT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH WHICH CONTAINS THE FINANCIAL STATEMENTS AND RELATED NOTE DISCLOSURES THE COST REPORT IS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | THERARPY: PROGRAM SERVICE EXPENSES 1,638,963. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,638,963. NURSES: PROGRAM SERVICE EXPENSES 665,587. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 665,587. PURCHASED SEVICES: PROGRAM SERVICE EXPENSES 368,477. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 368,477. SECURITY: PROGRAM SERVICE EXPENSES 350,712. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 350,712. LAUNDRY: PROGRAM SERVICE EXPENSES 155,068. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 155,068. CONSULTANTS: PROGRAM SERVICE EXPENSES 67,672. MANAGEMENT AND GENERAL EXPENSES 20,914. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,586. LAB SERVICE: PROGRAM SERVICE EXPENSES 43,317. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,317. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 35,756. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,756. RADIOLOGY: PROGRAM SERVICE EXPENSES 18,126. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,126. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN NET ASSETS OF NORWEGIAN CHRISTIAN HOME FOUNDATION 923,108. CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUSTS 58,019. PENSION LIABILITY ADJUSTMENT 993,078. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORWEGIAN CHRISTIAN HOME FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1250 67TH STREET | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 743219871 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORWEGIAN CHRISTIAN HOME AND HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| 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 | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |