2020-11-12T11:28:00-06:00 2019-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2019-01-01 237216197 JAMAICA HOSPITAL NURSING HOME COMPANY INC JAMA 7182065101 89-40 135TH STREET JAMAICA NY 114182898 MOUNIR F DOSS EXEC. VP & CFO 7182065101 2020-11-10 1 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2020-11-09 209.59.242.22 2020-11-10 19:06:55 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A6BCEEC5281954A027118F02B3DBBBF79E51C833 2019 2021-01-29 14:40:06Z TRUMP PAVILION MOUNIR F DOSS 89-40 135TH STREET JAMAICA NY 114182898 33047254 0 X WWW.TRUMPPAVILION.ORG X 1972 NY THE JAMAICA HOSPITAL NURSING HOME CO INC (THE NURSING HOME) IS A 228 BED, NOT FOR PROFIT INSTITUTION PROVIDING SKILLED NURSING CARE TO THE COMMUNITY. 13 12 312 15 0 0 487750 631675 32420269 32150003 9605 178276 79827 87300 32997451 33047254 0 0 0 0 18270375 20359816 0 0 0 20610646 18383405 38881021 38743221 -5883570 -5695967 47295509 45864088 98000691 102265237 -50705182 -56401149 THE JAMAICA HOSPITAL NURSING HOME CO INC (THE NURSING HOME) IS A 228 BED, NOT FOR PROFIT INSTITUTION PROVIDING SKILLED NURSING CARE TO THE COMMUNITY. 0 0 34985130 32163092 THE NURSING HOME, WHICH HAS 228 BEDS, FOCUSES ON PROVIDING SKILLED NURSING CARE AND REHABILITATION TO THE COMMUNITY. 34985130 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 112 0 1 312 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X LISA GARCIA 7182066291 89-40 135TH STREET JAMAICA NY 11418 X ANTHONY MAZZO TRUSTEE 1.00 2.00 X 0 0 0 ANTOIETTA MORISCO MD TRUSTEE 1.00 2.00 X 0 0 0 BRUCE FLANZ PRESIDENT & CEO 2.50 62.50 X X 0 1772971 41546 DOUGLAS W SINGER TRUSTEE 1.00 2.00 X 0 0 0 GEOFFREY DOUGHLIN MD THIRD VICE PRESIDENT 2.00 40.00 X 0 485486 42940 GERALDINE CHAPEY PHD TRUSTEE 1.00 2.00 X 0 0 0 HON ARCHIE SPIGNER ASSISTANT SECRETARY 1.00 2.00 X 0 0 0 HON TIMOTHY J DUFFICY TRUSTEE 1.00 2.00 X 0 0 0 JOSEPH FERRARA ASSISTANT TREASURER 1.00 2.00 X 0 0 0 JOSEPH LIANA TRUSTEE 1.00 2.00 X 0 0 0 NEIL FOSTER PHILLIPS CHAIRMAN 1.00 2.00 X X 0 0 0 PHILIPPA KARTERON TRUSTEE 1.00 2.00 X 0 0 0 ROBERT W KOOP SECOND VICE CHAIRMAN & TREASURER 1.00 2.00 X X 0 0 0 WALTER J COOK TRUSTEE 1.00 X 0 0 0 MOUNIR DOSS EXEC VP & CFO 2.50 62.50 X 0 1188951 41546 ANTHONY DIMARIA VICE PRESIDENT/SECRETARY 40.00 3.00 X 257486 0 42359 HEDELIZA TESORE-SARES PHYSICAL THERAPIST 40.00 X 137015 0 0 LISA GARCIA CONTROLLER 40.00 X 168674 0 40147 MODUPE-ADEDEJI-FAJOBI DIRECTOR OF NURSING 40.00 X 165677 0 28134 THOMAS YOUNGHANS VICE PRESIDENT 40.00 X 277602 0 41214 1006454 3447408 277886 18 0 1 0 SODEXO 500 ROSS STREET 154-0455 PITTSBURGH PA 15262 FOOD SERVICES 1216382 REHAB ALTERNATIVE PLLC 125 JERICHO TURNPIKE SUITE 404 JERICHO NY 11753 REHAB AGENCY STAFF 545834 METROPOLITAN PT OT RT SLT 8900 VAN WYCK EXPWY JAMAICA NY 11418 REHAB AGENCY STAFF 263859 ARAMARK MANAGEMENT SERVICES 2300 WARRENVILLE ROAD DOWNERS GROVE IL 60515 HOUSEKEEPING MANAGEMENT SERVICES 247627 FDR SERVICES CORP OF NEW YORK 44 NEWMANS COURT HEMPSTEAD NY 11550 LAUNDRY SERVICES 170825 8 631675 631675 SKILLED NURSING FACILITY 623000 32150003 32150003 32150003 178276 178276 22000 0 22000 22000 22000 PARKING FACILITIES REV. 900099 24850 24850 TELEPHONE INCOME 900099 18506 18506 GIFT SHOP 900099 8855 8855 13089 13089 65300 33047254 32163092 0 252487 X 13520192 12208733 1311459 1204570 1087727 116843 4358630 3935843 422787 1276424 1152611 123813 1230 1111 119 72517 65483 7034 5112 5112 8682683 7845079 837604 180445 162942 17503 148808 134374 14434 387434 349853 37581 4829 4361 468 1942584 1754153 188431 2392269 2160219 232050 782916 706973 75943 CASH ASSESMENT 1657540 1496759 160781 FOOD SERVICES 1076119 971735 104384 MEDICAL SUPPLIES 861217 777679 83538 MAINTENANCE 179243 161856 17387 8459 7639 820 38743221 34985130 3758091 0 2671955 2461501 11043933 12537179 5139083 4023712 683722 1305204 50074376 27465451 24710145 22608925 450000 450000 2596671 2477567 47295509 45864088 3319098 3261011 64667 75394 35987562 34937616 58629364 63991216 98000691 102265237 X -50705182 -56401149 -50705182 -56401149 47295509 45864088 -5695967 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 5112 0 0 5112 0 PART II-B, LINE 1: THE ORGANIZATION PAID MEMBERSHIP DUES TO CCLC. OF THE AMOUNT PAID $1,020 REPRESENTED LOBBYING COSTS. IN ADDITION THE ORGANIZATION PAID LEADING AGE NY $4,092 IN LOBBYING COSTS. 0 1 X 583417 583417 45551297 24143514 21407783 3939662 3321937 617725 22608925 DEFERRED FINANCING COSTS 435278 FUNDS HELD IN TRUST BY RESIDENTS 97086 INSURANCE RECEIVABLE 1945203 2477567 DUE TO REALTED PARTIES 61297650 ESTIMATED WORKERS COMP LIABILITY 1945203 DUE TO THIRD-PARTY PAYORS 748363 63991216 X 33047254 0 33047254 0 33047254 38743221 0 38743221 0 38743221 PART IV, LINE 2B: THE NURSING HOME PROVIDES BANKING SERVICES FOR OUR RESIDENTS AND MANAGE THOSE ACCOUNTS ON THEIR BEHALF. THE LIABILITY CONNECTED WITH THESE BALANCES ARE REPORTED AS FUNDS HELD IN TRUST ON THE FINANCIAL STATEMENTS. PART X, LINE 2: THE NURSING HOME QUALIFIES AS A TAX-EXEMPT, NONPROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ITS INCOME IS GENERALLY NOT SUBJECT TO FEDERAL, STATE, OR LOCAL INCOME TAXES. 0 0 0 0 0 0 0 0 0 BRUCE FLANZ PRESIDENT & CEO 0 1614488 0 0 0 158483 0 7000 0 34546 0 1814517 0 0 GEOFFREY DOUGHLIN MD THIRD VICE PRESIDENT 0 485486 0 0 0 0 0 7000 0 35940 0 528426 0 0 MOUNIR DOSS EXEC VP & CFO 0 1155288 0 0 0 33663 0 7000 0 34546 0 1230497 0 0 ANTHONY DIMARIA VICE PRESIDENT/SECRETARY 247886 0 0 0 9600 0 6419 0 35940 0 299845 0 0 0 LISA GARCIA CONTROLLER 168290 0 0 0 384 0 4207 0 35940 0 208821 0 0 0 MODUPE-ADEDEJI-FAJOBI DIRECTOR OF NURSING 165032 0 0 0 645 0 4126 0 24008 0 193811 0 0 0 THOMAS YOUNGHANS VICE PRESIDENT 266712 0 0 0 10890 0 6668 0 34546 0 318816 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEDISYS HEALTH NETWORK IS THE SOLE MEMBER IN THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A MEDISYS HEALTH NETWORK, AS THE SOLE MEMBER CAN APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS PREPARED BY OUTSIDE ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION, IT IS FINALIZED AND SUBSEQUENTLY FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN "INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE COMPLIANCE OFFICERS REVIEW THE SUBMISSIONS FOR CONFLICTS AND REPORTS THEM TO THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1B: FOR BRUCE FLANZ, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, THE HOURS REPORTED BELOW REFLECT THE TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY'S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENTLY WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS IS AS FOLLOWS: MEDISYS HEALTH NETWORK - 10 HOURS PER WEEK FLUSHING HOSPITAL MEDICAL CENTER - 15 HOURS PER WEEK JAMAICA HOSPITAL MEDICAL CENTER - 30 HOURS PER WEEK OTHER RELATED ENTITIES LISTED ON SCHEDULE R - 10.0 HOURS PER WEEK FORM 990, PART IX, LINE 11G HOSPITAL SUPPORT: PROGRAM SERVICE EXPENSES 6,233,301. MANAGEMENT AND GENERAL EXPENSES 669,579. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,902,880. PHYSICIAN AND THERAPY: PROGRAM SERVICE EXPENSES 761,011. MANAGEMENT AND GENERAL EXPENSES 81,748. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 842,759. LINEN SERVICE: PROGRAM SERVICE EXPENSES 203,848. MANAGEMENT AND GENERAL EXPENSES 21,897. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 225,745. HOUSEKEEPING SERVICES: PROGRAM SERVICE EXPENSES 215,264. MANAGEMENT AND GENERAL EXPENSES 23,124. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 238,388. OTHER CONSULTING FEES: PROGRAM SERVICE EXPENSES 401,652. MANAGEMENT AND GENERAL EXPENSES 38,033. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 439,685. WASTE REMOVAL: PROGRAM SERVICE EXPENSES 30,003. MANAGEMENT AND GENERAL EXPENSES 3,223. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,226. FORM 990, PART XII, LINE 2C: THE OVERSIGHT AND SELECTION PROCESSES DID NOT CHANGE FROM THE PRIOR YEAR. FORM 990, PART IV, LINE 20: THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THEY DO NOT MEET THIS DEFINITION. ADVANCED CENTER FOR PSYCHOTHERAPY 89-06 135TH STREET JAMAICA NY 11418 111864871 HEALTHCARE NY 501(C)(3) LINE 10 MEDISYS HEALTH NETWORK 0 ALLIED HEALTH FOUNDATION OF QUEENS INC 4500 PARSONS BLVD FLUSHING NY 11355 112813535 INACTIVE NY 501(C)(3) LINE 10 MEDISYS HEALTH NETWORK 0 FLUSHING HOSPITAL MEDICAL CENTER 4500 PARSONS BLVD FLUSHING NY 11355 111631781 HOSPITAL NY 501(C)(3) LINE 3 MEDISYS HEALTH NETWORK 0 INTERNATIONAL ASSOCIATION OF MEDICAL BIKE UNITS INC 8900 VAN WYCK EXPY JAMAICA NY 11418 113483140 INACTIVE NY 501(C)(3) LINE 10 MEDISYS HEALTH NETWORK 0 JAMAICA HOSPITAL MEDICAL CENTER 8900 VAN WYCK EXPY JAMAICA NY 11418 111631788 HEALTHCARE NY 501(C)(3) LINE 3 MEDISYS HEALTH NETWORK 0 MEDISYS AMBULANCE SERVICE 8900 VAN WYCK EXPY JAMAICA NY 11418 542124788 HEALTHCARE NY 501(C)(3) LINE 10 MEDISYS HEALTH NETWORK 0 MEDISYS HEALTH NETWORK 8900 VAN WYCK EXPY JAMAICA NY 11418 113316802 ADMIN NY 501(C)(3) LINE 12A, I N/A 0 THE JAMAICA HOSPITAL DIAG AND TREAT CTR 8900 VAN WYCK EXPY JAMAICA NY 11418 113340969 HEALTHCARE NY 501(C)(3) LINE 3 MEDISYS HEALTH NETWORK 0 VWE PROPERTIES CORPORATION 8900 VAN WYCK EXPY JAMAICA NY 11418 113485165 PARKING GARAGE NY 501(C)(3) LINE 12A, I MEDISYS HEALTH NETWORK 0 NHP HOLDINGS LLC 521 FIFTH AVE 3RD FLOOR NEW YORK NY 10175 203418837 HOLDING COMPANY NY N/A FRR RECOVERY SERVICES 80 MARCUS DRIVE MELVILLE NY 11747 113454555 COLLECTION AGENCY NY N/A C 0 HI TECH MEDICAL EQUIPMENT 103-51 101 ST OZONE PARK NY 11416 113313334 DURABLE MEDICAL EQUIPMENT COMPANY/INACTIVE NY N/A C 0 JAMAICA RX 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 205292781 RETAIL PHARMACY NY N/A C 0 MEDISYS HOME CARE SERVICE INC 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 030474027 HOME CARE STAFFING/INACTIVE NY N/A C 0 MEDISYS IPA 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 113452476 PHYSICIAN CONTRACTING/INACTIVE NY N/A C 0 MEDISYS SERVICE CORPORATION 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 113479920 HOLDING COMPANY NY N/A C 0 MEDISYS VENTURES 111 STEWART AVE HICKSVILLE NY 11801 113431792 HOLDING COMPANY NY N/A C 0 MHN REALTY 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 113458286 REAL ESTATE/INACTIVE NY N/A C 0 SECOND CENTURY SERVICE CORPORATION 4500 PARSONS BLVD FLUSHING NY 11355 112843101 RETAIL PHARMACY NY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0