CONCORD NURSING HOME INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CONCORD NURSING HOME INC (EIN 11-2290533)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-13
- IRS object ID
- 201703179349303650
- Schema version
- 2016v3.0
- 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 | 2017-11-13T11:43:15-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | 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 | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112290533 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONCORD NURSING HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CONC | BusinessNameControlTxt |
| Phone | 7186367500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 MADISON STREET | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11216 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BARBARA MCFADDEN | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7186367500 | PhoneNum |
| Signature | 2017-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2017-11-13 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 65.51.112.58 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-13 | IPDt |
| IP Tm | 12:38:13 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C63E204139530C7A73D948D9DBE25A8631A7AD1B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | DBE3753688BC1776818C679406F8E276569BC57D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONCORD NURSING AND REHABILITATION CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BARBARA MCFADDEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 MADISON STREET | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11216 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,634,771 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE SKILLED NURSING SERVICES FOR PERSONS WHO ARE INFIRMED, OR AGED AND INFIRMED, WITHOUT REFERENCE TO RACE, SEX, RELIGION, COLOR OR NATURAL ORIGIN. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 132 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $99,281 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,650,551 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,504,303 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,979 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,804 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,855 | PYOtherRevenueAmt |
| CY Other Revenue | $29,383 | CYOtherRevenueAmt |
| PY Total Revenue | $14,661,385 | PYTotalRevenueAmt |
| CY Total Revenue | $13,634,771 | 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 | $6,943,272 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,675,950 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,172,938 | PYOtherExpensesAmt |
| CY Other Expenses | $9,024,543 | CYOtherExpensesAmt |
| PY Total Expenses | $15,116,210 | PYTotalExpensesAmt |
| CY Total Expenses | $16,700,493 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$454,825 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,065,722 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,832,696 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,754,121 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,789,868 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $25,777,015 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$11,957,172 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$15,022,894 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,207,730 | ExpenseAmt |
| Revenue | $11,741,503 | RevenueAmt |
| Desc | 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 42,816 PATIENT DAYS OF MEDICAL CARE TO OVER 298 PATIENTS IN ITS SKILLED NURSING PROGRAM. THE CENTER HAD 174 ADMISSIONS AND 187 DISCHARGES DURING 2016. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $719,915 | ExpenseAmt |
| Revenue | $1,762,800 | RevenueAmt |
| Desc | 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 3,292 PATIENT DAYS OF MEDICAL CARE TO OVER 53 PATIENTS IN ITS VENTILATOR NURSING PROGRAM. THE CENTER HAD 40 ADMISSIONS AND 44 DISCHARGES DURING 2016. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $14,927,645 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | 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 | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 0 | 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 | 56 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 132 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | 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 | 0 | 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 | GENROY RICHARDS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7186367500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 MADISON STREET | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11216 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| SAMUEL PHILLIPS III | |||||||
| CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GARY V SIMPSON | |||||||
| CORPORATE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ERICA J BULTER | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHNNIE WHITE | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CRAIG GADDY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DEIRDRE PILGRIM | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALBERT WILSHIRE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DALE ABERNATHY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LILLIE BRYANT-HOBBS | |||||||
| EXECUTIVE DIRECTOR THRU 6/3/16 | 37.50 | Yes (X) | $96,154 | $0 | $0 | ||
| BARBARA MCFADDEN | |||||||
| EXECUTIVE DIRECTOR | 37.50 | Yes (X) | $44,923 | $0 | $0 | ||
| DENISE ROSEMOND | |||||||
| DIRECTOR OF NURSING | 37.50 | $134,999 | $0 | $0 | Yes (X) | ||
| LEWELYN PERRAL | |||||||
| ASSIST. DIRECTOR NURSING | 37.50 | $103,846 | $0 | $280 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $379,922 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $280 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | 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 |
|---|---|---|---|---|---|
| HCP AGENCY | |||||
| 555 BROAD HALLOW RD | MELVILLE | NY | 11747 | NURSING SERVICES | $775,251 |
| SECURITAS SECURITY SERVICES | |||||
| 1412 BROADWAY | NEW YORK | NY | 10018 | SECURITY GUARDS | $266,866 |
| HORIZON HEALTHCARE STAFFING | |||||
| 20 JERUSALEM AVENUE 3RD FLOOR | HICKSVILLE | NY | 11801 | NURSING SERVICES | $120,487 |
| RICHARDSON MANAGEMENT | |||||
| 704 EMPIRE BLVD | BROOKLYN | NY | 11213 | ACCOUNTING | $102,720 |
| MEGA STAFFING INC | |||||
| 5308-13 AVENUE SUITE 282 | BROOKLYN | NY | 11219 | NURSING AGENCY | $102,091 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $99,281 | GovernmentGrantsAmt |
| Total Contributions | $99,281 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID REVENUE | 623000 | $10,854,999 | $10,854,999 |
| PRIVATE PAY | 623000 | $2,126,180 | $2,126,180 |
| MEDICARE REVENUE | 623000 | $523,124 | $523,124 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,504,303 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $243 | TotalRevenueColumnAmt |
| Exclusion | $243 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,561 | TotalRevenueColumnAmt |
| Exclusion | $1,561 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $29,383 | TotalRevenueColumnAmt |
| Exclusion | $29,383 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $29,383 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,634,771 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,504,303 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $31,187 | 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 | $141,077 | TotalAmt |
| Program Services | $129,373 | ProgramServicesAmt |
| Management And General | $11,704 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,048 | TotalAmt |
| Program Services | $2,048 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,249,836 | TotalAmt |
| Program Services | $4,830,353 | ProgramServicesAmt |
| Management And General | $419,483 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,493 | TotalAmt |
| Program Services | $289,319 | ProgramServicesAmt |
| Management And General | $26,174 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,360,024 | TotalAmt |
| Program Services | $1,247,195 | ProgramServicesAmt |
| Management And General | $112,829 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $607,472 | TotalAmt |
| Program Services | $557,076 | ProgramServicesAmt |
| Management And General | $50,396 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,624 | TotalAmt |
| Management And General | $247,624 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,946 | TotalAmt |
| Management And General | $126,946 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,608,847 | TotalAmt |
| Program Services | $1,423,604 | ProgramServicesAmt |
| Management And General | $185,243 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,941 | TotalAmt |
| Management And General | $4,941 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,983 | TotalAmt |
| Program Services | $296,097 | ProgramServicesAmt |
| Management And General | $83,886 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $523,329 | TotalAmt |
| Program Services | $281,401 | ProgramServicesAmt |
| Management And General | $241,928 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,173 | TotalAmt |
| Program Services | $2,848 | ProgramServicesAmt |
| Management And General | $1,325 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $980,202 | TotalAmt |
| Program Services | $934,224 | ProgramServicesAmt |
| Management And General | $45,978 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,075,112 | TotalAmt |
| Program Services | $1,023,468 | ProgramServicesAmt |
| Management And General | $51,644 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $460,896 | TotalAmt |
| Program Services | $447,588 | ProgramServicesAmt |
| Management And General | $13,308 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT EXPENSE | $1,490,000 | $1,490,000 |
| NYS CASH RECEIPTS ASSES | $715,534 | $715,534 |
| FOOD | $427,237 | $427,237 |
| MEDICATIONS | $271,018 | $271,018 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $708,701 | TotalAmt |
| Program Services | $559,262 | ProgramServicesAmt |
| Management And General | $149,439 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,700,493 | TotalAmt |
| Program Services | $14,927,645 | ProgramServicesAmt |
| Management And General | $1,772,848 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,727 | BOYAmt |
| EOY | $156,633 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,658,984 | BOYAmt |
| EOY | $1,640,565 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,850 | BOYAmt |
| EOY | $25,850 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,212 | BOYAmt |
| EOY | $167,310 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,946,359 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,058,180 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,812,508 | BOYAmt |
| EOY | $5,888,179 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,169,415 | BOYAmt |
| EOY | $2,875,584 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,832,696 | BOYAmt |
| EOY | $10,754,121 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,575,841 | BOYAmt |
| EOY | $5,059,657 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,401,622 | BOYAmt |
| EOY | $13,255,900 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,623 | BOYAmt |
| EOY | $156,633 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,700,782 | BOYAmt |
| EOY | $7,304,825 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,789,868 | BOYAmt |
| EOY | $25,777,015 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$11,957,172 | BOYAmt |
| EOY | -$15,022,894 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$11,957,172 | BOYAmt |
| EOY | -$15,022,894 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,832,696 | BOYAmt |
| EOY | $10,754,121 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,065,722 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | 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 | 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 | $26,140 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,050 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $65,491 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $99,281 | CurrentTaxYearAmt |
| Total | $203,962 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,212,700 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,705,827 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,092,949 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,650,551 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,504,303 | CurrentTaxYearAmt |
| Total | $72,166,330 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,238,840 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,718,877 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,158,440 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,650,551 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,603,584 | CurrentTaxYearAmt |
| Total | $72,370,292 | 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 | $72,370,292 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,988 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,673 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,724 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,979 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,804 | CurrentTaxYearAmt |
| Total | $26,168 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,988 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,673 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,724 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,979 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,804 | CurrentTaxYearAmt |
| Total | $26,168 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $150,532 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $271,571 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $352,523 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,855 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,383 | CurrentTaxYearAmt |
| Total | $811,864 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,395,360 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,000,121 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,516,687 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,661,385 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,634,771 | CurrentTaxYearAmt |
| Total | $73,208,324 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98860 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98740 | PublicSupportPY509Pct |
| Investment Income CY | 0.00040 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00040 | 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 | CAFETERIA - 2012 AMOUNT: $ 147. INSURANCE REIMBURSEMENT - 2014 AMOUNT: $ 3,144. 2015 AMOUNT: $ 7,855. MISCELLANEOUS - 2012 AMOUNT: $ 29,704. 2013 AMOUNT: $ 271,571. 2014 AMOUNT: $ 838. 2016 AMOUNT: $ 29,383. OUTSTANDING CHECKS RECLASSED - 2012 AMOUNT: $ 57,908. REBATES - RECOVERY OF PRIOR YEAR EXPENSES - 2012 AMOUNT: $ 62,773. 2014 AMOUNT: $ 348,541. | 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 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 |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $745,000 | OtherCostOrOtherBasisAmt |
| Book Value | $745,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,742,767 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,724,880 | DepreciationAmt |
| Book Value | $5,017,887 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,458,592 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,333,300 | DepreciationAmt |
| Book Value | $125,292 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,888,179 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS LIMITED AS TO USE - RESERVE FUND FOR REPLACEMENTS | $356,490 |
| ASSETS LIMITED AS TO USE - OTHER HUD REQUIRED ESCROW ACCOUNTS | $206,248 |
| SECURITY DEPOSITS | $42,820 |
| DUE TO THIRD PARTY PAYORS | $868,649 |
| ASSETS LIMITED AS TO USE - BOARD DESIGNATED DEBT SERVICE FUNDS | $11,185 |
| INSURANCE RECOVERY RECEIVABLE | $1,390,192 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,875,584 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYORS | $5,324,178 |
| ACCRUED INTEREST | $590,455 |
| INSURANCE GROSS UP LIABILITY | $1,390,192 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,304,825 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $13,634,771 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,634,771 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,634,771 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,700,493 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,700,493 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,700,493 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2013. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DORMITORY AUTHORITY OF THE STATE OF NEW YORK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 146000293 | BondIssuerEIN |
| CUSIP | 64983Q7P8 | CUSIPNum |
| Bond Issued | 2007-10-25 | BondIssuedDt |
| Issue Price | $19,620,489 | IssuePriceAmt |
| Purpose | REFINANCING | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $224,962 | RetiredAmt |
| Total Proceeds | $19,622,050 | TotalProceedsAmt |
| In Reserve Fund | $58,567 | InReserveFundAmt |
| Working Capital Expenditures | $792,093 | WorkingCapitalExpendituresAmt |
| Substantial Completion | 2007 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. THE EXECUTIVE DIRECTOR PRESENTS TO THE HUMAN RESOURCE COMMITTEE OF THE BOARD OF DIRECTORS A PAY INCREASE RECOMMENDATION FOR HIGHLY COMPENSATED EMPLOYEES. THE HUMAN RESOURCE COMMITTEE THEN INVESTIGATES SURROUNDING AREA NURSING HOME SALARIES FOR SUCH HIGHLY COMPENSATED EMPLOYEES. THE HUMAN RESOURCE COMMITTEE THEN PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS VOTES ON THE HUMAN RESOURCES 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 33,464. MANAGEMENT AND GENERAL EXPENSES 185,243. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 218,707. OCCUPATIONAL & PHYSICAL THERAPISTS: PROGRAM SERVICE EXPENSES 260,550. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 260,550. DIETICIAN: PROGRAM SERVICE EXPENSES 19,513. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,513. RESPIRATORY THERAPY: PROGRAM SERVICE EXPENSES 206,351. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 206,351. LPN & RN AGENCY: PROGRAM SERVICE EXPENSES 573,112. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 573,112. SECURITY: PROGRAM SERVICE EXPENSES 235,274. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 235,274. RADIOLOGY: PROGRAM SERVICE EXPENSES 20,505. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,505. SOCIAL SERVICES: PROGRAM SERVICE EXPENSES 8,286. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,286. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 66,549. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,549. |
| 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. |