2018-11-14T12:48:37-06:00 2017-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2017-01-01 112290533 CONCORD NURSING HOME INC CONC 7186367500 300 MADISON STREET BROOKLYN NY 11216 BARBARA MCFADDEN EXECUTIVE DIRECTOR 7186367500 2018-11-14 1 GARRETT M HIGGINS P00543209 9143818900 2018-11-07 65.51.112.58 2018-11-14 12:48:36 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9616F4B14A694591D1E716C270910E6FA5556DA3 2017 2019-02-21 02:37:17Z CONCORD NURSING AND REHABILITATION CENTER INC BARBARA MCFADDEN 300 MADISON STREET BROOKLYN NY 11216 15358668 0 X N/A X 1971 NY PROVIDE SKILLED NURSING SERVICES FOR PERSONS WHO ARE INFIRMED, OR AGED AND INFIRMED, WITHOUT REFERENCE TO RACE, SEX, RELIGION, COLOR OR NATURAL ORIGIN. 8 8 147 8 0 0 99281 68438 13504303 15256022 1804 996 29383 33212 13634771 15358668 0 0 0 0 7675950 7976488 0 0 0 9024543 8346736 16700493 16323224 -3065722 -964556 10754121 10175735 25777015 26163185 -15022894 -15987450 THE MISSION OF THE CENTER IS TO PROVIDE SKILLED NURSING SERVICES FOR PERSONS WHO ARE INFIRMED, OR AGED AND INFIRMED, WITHOUT REFERENCE TO RACE, SEX, RELIGION, COLOR OR NATURAL ORIGIN. 0 0 13288842 13298982 SKILLED NURSING CARE:SKILLED NURSING CARE INCLUDES PROVIDING RESIDENTS OF CONCORD WITH MEALS, BEDS, SKILLED NURSING CARE RECREATION, SOCIAL SERVICES, MEDICAL CARE AND REHABILITATION PROGRAMS FOR THOSE THAT NEED THAT TYPE OF CARE. THE CENTER WAS ABLE TO RENDER APPROXIMATELY 41,710 PATIENT DAYS OF MEDICAL CARE TO OVER 298 PATIENTS IN ITS SKILLED NURSING PROGRAM. THE CENTER HAD 233 ADMISSIONS AND 224 DISCHARGES DURING 2017. 902471 1957040 VENTILATOR ASSISTANCE AND RESPIRATORY THERAPY SERVICES: CONCORD PROVIDES A FULL SERVICES 24 HOUR UNIT FOR THOSE RESIDENTS THAT REQUIRE VENTILATOR ASSISTANCE TO BREATH DUE TO RESPIRATORY FAILURE. THE CENTER WAS ABLE TO RENDER APPROXIMATELY 3,658 PATIENT DAYS OF MEDICAL CARE TO OVER 53 PATIENTS IN ITS VENTILATOR NURSING PROGRAM. THE CENTER HAD 61 ADMISSIONS AND 62 DISCHARGES DURING 2017. 14191313 1 1 0 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 57 0 147 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X X BARBARA MCFADDEN 7186367500 300 MADISON STREET BROOKLYN NY 11216 SAMUEL PHILLIPS III CHAIRPERSON 1.00 X X 0 0 0 GARY V SIMPSON CORPORATE PRESIDENT 1.00 X X 0 0 0 ERICA J BULTER SECRETARY 1.00 X X 0 0 0 JOHNNIE WHITE TREASURER 1.00 X X 0 0 0 CRAIG GADDY BOARD MEMBER 1.00 X 0 0 0 DEIRDRE PILGRIM BOARD MEMBER 1.00 X 0 0 0 ALBERT WILSHIRE BOARD MEMBER 1.00 X 0 0 0 DALE ABERNATHY BOARD MEMBER 1.00 X 0 0 0 BARBARA MCFADDEN EXECUTIVE DIRECTOR 37.50 X 160000 0 0 DENISE ROSEMOND DIRECTOR OF NURSING 37.50 X 129999 0 10167 LEWELYN PERRAL ASSIST. DIRECTOR NURSING 37.50 X 103951 0 0 CATHRINE BODIONGAN NURSE 37.50 X 102793 0 0 496743 0 10167 4 0 1 0 HCP AGENCY 555 BROAD HALLOW RD MELVILLE NY 11747 NURSING SERVICES 585134 SECURITAS SECURITY SERVICES 1412 BROADWAY NEW YORK NY 10018 SECURITY GUARDS 254593 HORIZON HEALTHCARE STAFFING 20 JERUSALEM AVENUE 3RD FLOOR HICKSVILLE NY 11801 NURSING SERVICES 180808 ADVANCED MEDICAL STAFFING PO BOX 610028 DALLAS TX 752610028 NURSING AGENCY 118110 4 42752 25686 68438 MEDICAID REVENUE 623000 9532532 9532532 PRIVATE PAY 623000 4462941 4462941 MEDICARE REVENUE 623000 1260549 1260549 15256022 104 104 892 892 MISCELLANEOUS 900099 33212 33212 33212 15358668 15256022 0 34208 X 160000 144024 15976 5750226 5190195 560031 379248 341380 37868 960270 864386 95884 726744 656429 70315 376678 376678 147752 147752 1765319 1509534 255785 570 570 343219 242510 100709 767678 621896 145782 6182 5307 875 765136 753328 11808 1080803 1028800 52003 501850 476700 25150 NYS CASH RECEIPTS ASSES 857475 857475 FOOD 401432 401432 BAD DEBT EXPENSE 300000 300000 MEDICATIONS 270872 270872 761770 527045 234725 16323224 14191313 2131911 0 108734 156633 320039 1640565 2023297 25850 18434 167310 27839 26111348 21063382 5888179 5047966 2875584 2629426 10754121 10175735 5059657 5335863 13255900 13044057 156633 203778 7304825 7579487 25777015 26163185 X -15022894 -15987450 -15022894 -15987450 10754121 10175735 -964556 0 X X 0 1 X 1 0 X 13050 65491 99281 68438 246260 14705827 13092949 14650551 13504303 15256022 71209652 14718877 13158440 14650551 13603584 15324460 71455912 0 0 0 71455912 9673 5724 2979 1804 996 21176 9673 5724 2979 1804 996 21176 271571 352523 7855 29383 33212 694544 15000121 13516687 14661385 13634771 15358668 72171632 0.99010 0.98860 0.00030 0.00040 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: INSURANCE REIMBURSEMENT - 2014 AMOUNT: $ 3,144. 2015 AMOUNT: $ 7,855. MISCELLANEOUS - 2013 AMOUNT: $ 271,571. 2014 AMOUNT: $ 838. 2016 AMOUNT: $ 29,383. 2017 AMOUNT: $ 33,212. RECOVERY OF PRIOR YEAR EXPENSES - 2014 AMOUNT: $ 348,541. 0 1 X 745000 745000 21801226 17695027 4106199 3565122 3368355 196767 5047966 ASSETS LIMITED AS TO USE - RESERVE FUND FOR REPLACEMENTS 360363 ASSETS LIMITED AS TO USE - OTHER HUD REQUIRED ESCROW ACCOUNTS 360301 SECURITY DEPOSITS 35820 DUE TO THIRD PARTY PAYORS 868649 ASSETS LIMITED AS TO USE - BOARD DESIGNATED DEBT SERVICE FUNDS 11185 INSURANCE RECOVERY RECEIVABLE 993108 2629426 DUE TO THIRD PARTY PAYORS 5523604 ACCRUED INTEREST 1062775 INSURANCE GROSS UP LIABILITY 993108 7579487 X 15358668 0 15358668 0 15358668 16323224 0 16323224 0 16323224 PART IV, LINE 2B: RESIDENTS' FUNDS ARE HELD BY THE CENTER ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE CENTER FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE CENTER AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. PART X, LINE 2: THE CENTER RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE CENTER HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE CENTER IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2014. X X X 0 0 0 0 0 0 0 0 0 BARBARA MCFADDEN EXECUTIVE DIRECTOR 160000 0 0 0 0 0 0 0 0 0 160000 0 0 0 A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983Q7P8 2007-10-25 18690000 REFINANCING 0 0 0 A 5787647 18704407 731849 375985 9166051 2007 0 1 1 1 A 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 1 A 0 FORM 990, PART VI, SECTION B, LINE 11B CONCORD NURSING HOME, INC. 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, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD FOR APPROVAL. ONCE THE BOARD HAS APPROVED THE RETURN IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES OF THE FACILITY MUST ATTEMPT TO AVOID ANY ACTIONS THAT RESULT IN A DIRECT OR INDIRECT CONFLICT BETWEEN HIS OR HER PERSONAL INTERESTS AND THOSE OF THE CENTER. BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY. ALL POTENTIAL CONFLICTS ARE MONITORED AT BOARD MEETINGS THROUGHOUT THE YEAR. IF A POTENTIAL CONFLICT WERE TO ARISE, THE PERSON WOULD DISCLOSE THE CONFLICT TO THE GOVERNING BOARD. THE DISINTERESTED BOARD MEMBERS WOULD REVIEW THE CONFLICT, AND COME TO A RESOLUTION. THE RESOLUTION WOULD BE DOCUMENTED IN THE MINUTES TO THE MEETING. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD HAS A COMPENSATION COMMITTEE THAT REVIEWS 990'S FOR OTHER SURROUNDING AREA'S SKILLED NURSING FACILITIES FOR COMPARISON OF COMPENSATION. THE COMPENSATION COMMITTEE ALSO REVIEWS THE EXECUTIVE DIRECTOR'S RESPONSIBILITIES AND DUTIES OF THE OTHER FACILITIES COMPARED TO THEIR OWN EXECUTIVE DIRECTOR'S RESPONSIBILITIES AND DUTIES. THE COMPENSATION COMMITTEE PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS VOTES ANNUALLY ON THE COMPENSATION COMMITTEE'S RECOMMENDATIONS, A MAJORITY VOTE IS NEEDED FOR APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE DURING REGULAR BUSINESS HOURS AT 300 MADISON STREET, BROOKLYN, NY 11216. THE ORGANIZATION ALSO FILES A COST REPORT WITH NYS DEPARTMENT OF HEALTH THAT CONTAINS FINANCIAL STATEMENTS AND NOTE DISCLOSURES, WHICH IS ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 141,860. MANAGEMENT AND GENERAL EXPENSES 255,785. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 397,645. OCCUPATIONAL & PHYSICAL THERAPISTS: PROGRAM SERVICE EXPENSES 367,727. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 367,727. DIETICIAN: PROGRAM SERVICE EXPENSES 14,310. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,310. RESPIRATORY THERAPY: PROGRAM SERVICE EXPENSES 83,856. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,856. LPN & RN AGENCY: PROGRAM SERVICE EXPENSES 559,017. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 559,017. SECURITY: PROGRAM SERVICE EXPENSES 231,006. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 231,006. RADIOLOGY: PROGRAM SERVICE EXPENSES 10,530. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,530. SOCIAL SERVICES: PROGRAM SERVICE EXPENSES 19,851. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,851. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 81,377. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,377. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE SELECTION & OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.