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JAMAICA HOSPITAL NURSING HOME INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
JAMAICA HOSPITAL NURSING HOME INC (EIN 23-7216197)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201713189349309186
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

FieldValueIRS element (for citing)
Return2017-11-14T16:27:25-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221478099PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 AVENUE OF THE AMERICASAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10019ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237216197EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMAICA HOSPITAL NURSING HOMEBusinessNameLine1Txt
Business Name Line2COMPANY INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlJAMABusinessNameControlTxt
Phone7182065101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line189-40 135TH STREETAddressLine1Txt
CityJAMAICACityNm
State AbbreviationNYStateAbbreviationCd
ZIP114182898ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Personmounir f dossPersonNm
Person Titleexec. vp & cfoPersonTitleTxt
Phone7182065101PhoneNum
Signature2017-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS LANNINGPreparerPersonNm
PTINP00851654PTIN
Phone2122970400PhoneNum
Preparation2017-11-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.3.217.20IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-14IPDt
IP Tm13:16:42IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id60BF0225ED9631091DB686CFA622195BA7284DF5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1TRUMP PAVILIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal Officermounir f dossPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line189-40 135TH STREETAddressLine1Txt
CityJAMAICACityNm
State AbbreviationNYStateAbbreviationCd
ZIP114182898ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$33,108,992GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TRUMPPAVILION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE JAMAICA HOSPITAL NURSING HOME CO INC (THE NURSING HOME) IS A 228 BED, NOT FOR PROFIT INSTITUTION PROVIDING SKILLED NURSING CARE TO THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee312TotalEmployeeCnt
Total Volunteers27TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$670,953PYContributionsGrantsAmt
CY Contributions Grants$1,447,054CYContributionsGrantsAmt
PY Program Service Revenue$31,527,051PYProgramServiceRevenueAmt
CY Program Service Revenue$31,578,711CYProgramServiceRevenueAmt
PY Investment Income$668PYInvestmentIncomeAmt
CY Investment Income$591CYInvestmentIncomeAmt
PY Other Revenue$79,808PYOtherRevenueAmt
CY Other Revenue$82,636CYOtherRevenueAmt
PY Total Revenue$32,278,480PYTotalRevenueAmt
CY Total Revenue$33,108,992CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,616,895PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,262,561CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$19,622,402PYOtherExpensesAmt
CY Other Expenses$21,134,630CYOtherExpensesAmt
PY Total Expenses$37,239,297PYTotalExpensesAmt
CY Total Expenses$37,397,191CYTotalExpensesAmt
PY Revenues Less Expenses-$4,960,817PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,288,199CYRevenuesLessExpensesAmt
Total Assets BOY$51,100,375TotalAssetsBOYAmt
Total Assets EOY$50,041,017TotalAssetsEOYAmt
Total Liabilities BOY$86,106,334TotalLiabilitiesBOYAmt
Total Liabilities EOY$89,335,175TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$35,005,959NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$39,294,158NetAssetsOrFundBalancesEOYAmt
MissionTHE JAMAICA HOSPITAL NURSING HOME CO INC (THE NURSING HOME) IS A 228 BED, NOT FOR PROFIT INSTITUTION PROVIDING SKILLED NURSING CARE TO THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$31,644,257ExpenseAmt
Revenue$31,584,324RevenueAmt
DescTHE NURSING HOME, WHICH HAS 228 BEDS, FOCUSES ON PROVIDING SKILLED NURSING CARE AND REHABILITATION TO THE COMMUNITY.Desc
Total Program Service Expenses$31,644,257TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document124IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee312EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LISA GARCIABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7182066291PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line189-40 135TH STREETAddressLine1Txt
CityJAMAICACityNm
State AbbreviationNYStateAbbreviationCd
ZIP11418ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Antoietta Morisco MD
trustee1.00Yes (X)$0$0$0
bruce flanz
first VP & secretary2.50Yes (X)$0$1,465,557$28,70362.50Yes (X)
Hon Timothy J Dufficy
trustee1.00Yes (X)$0$0$0
Neil Foster Phillips
President1.00Yes (X)$0$0$02.00Yes (X)
Robert W Koop
Second Vp & Treasurer1.00Yes (X)$0$0$02.00Yes (X)
Walter J Cook
trustee1.00Yes (X)$0$0$0
mounir doss
CFO2.50$0$977,979$28,70362.50Yes (X)
anthony diMaria
vice President40.00$239,128$0$29,8643.00Yes (X)
Conception Munson
Assistant Director of Nursing40.00$127,470$0$19,184Yes (X)
lisa garcia
controller40.00$152,373$0$28,704Yes (X)
Modupe-Adedeji-Fajobi
Director of Nursing40.00$136,729$0$20,684Yes (X)
Thomas Younghans
Vice President40.00$246,874$0$28,704Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$902,574TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,443,536TotReportableCompRltdOrgAmt
Total Other Compensation$184,546TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Rehab Alternatives PLLC
125 JERICHO TURNPIKE suite 404jerichoNY11753Rehab Staffing Services$529,155
ARAMARK MANAGEMENT SERVICES
2300 WARRENVILLE ROADDOWNERS GROVEIL60515Housingkeeping Management Services and S$250,158
metropolitan pt ot
263 7th AvebrooklynNY11215Rehab Staffing Services$202,241
Masville Chand
91-50 120th streetRichmond HillNY11418Painting Services$113,500
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$1,447,054GovernmentGrantsAmt
Total Contributions$1,447,054TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSKILLED NURSING FACILityDesc
Business623000BusinessCd
Total Revenue Column$31,578,711TotalRevenueColumnAmt
Related Or Exempt Func Income$31,578,711RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$31,578,711TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$591TotalRevenueColumnAmt
Exclusion$591ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$22,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$22,000RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,000TotalRevenueColumnAmt
Exclusion$22,000ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
TELEPHONE INCOME900099$25,210$25,210
PARKING FACILITIES REV.900099$22,338$22,338
gift shop900099$7,475$7,475

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,613TotalRevenueColumnAmt
Related Or Exempt Func Income$5,613RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$60,636OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,108,992TotalRevenueColumnAmt
Related Or Exempt Func Income$31,584,324RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$77,614ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,792,907TotalAmt
Program Services$11,513,616ProgramServicesAmt
Management And General$1,279,291ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$904,037TotalAmt
Program Services$813,633ProgramServicesAmt
Management And General$90,404ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,298,560TotalAmt
Program Services$1,008,593ProgramServicesAmt
Management And General$289,967ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,267,057TotalAmt
Program Services$1,140,351ProgramServicesAmt
Management And General$126,706ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$25,592TotalAmt
Management And General$25,592ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$67,658TotalAmt
Management And General$67,658ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,800,844TotalAmt
Program Services$7,076,615ProgramServicesAmt
Management And General$3,724,229ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$274,923TotalAmt
Program Services$255,993ProgramServicesAmt
Management And General$18,930ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$496,745TotalAmt
Program Services$496,745ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,345TotalAmt
Program Services$3,345ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,098,754TotalAmt
Program Services$2,098,754ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,753,737TotalAmt
Program Services$2,753,737ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$703,467TotalAmt
Program Services$703,467ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
cash assessments$1,533,071$1,533,071
food services$927,886$835,097$92,789
MEDICAL SUPPLIES$877,663$874,829$2,834
Provision of bad debt$294,868$294,868

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$276,077TotalAmt
Program Services$241,543ProgramServicesAmt
Management And General$34,534ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$37,397,191TotalAmt
Program Services$31,644,257ProgramServicesAmt
Management And General$5,752,934ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,368,220BOYAmt
EOY$1,945,048EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,416,848BOYAmt
EOY$8,429,743EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,393,686BOYAmt
EOY$5,231,501EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$797,421BOYAmt
EOY$823,779EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$49,716,238LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,820,417LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$32,210,244BOYAmt
EOY$29,895,821EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$450,000BOYAmt
EOY$450,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,463,956BOYAmt
EOY$3,265,125EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$51,100,375BOYAmt
EOY$50,041,017EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,023,531BOYAmt
EOY$2,878,530EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$130,838BOYAmt
EOY$82,006EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$38,555,236BOYAmt
EOY$37,921,918EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,396,729BOYAmt
EOY$48,452,721EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$86,106,334BOYAmt
EOY$89,335,175EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$35,005,959BOYAmt
EOY-$39,294,158EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$35,005,959BOYAmt
EOY-$39,294,158EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$51,100,375BOYAmt
EOY$50,041,017EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$4,288,199ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$3,312DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$3,312TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAID MEMBERSHIP DUES TO CCLC. OF THE AMOUNT PAID $672 REPRESENTED LOBBYING COSTS. IN ADDITION THE ORGANIZATION PAID LEADING AGE NY $2,640 IN LOBBYING COSTS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$583,417OtherCostOrOtherBasisAmt
Book Value$583,417BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,536,542OtherCostOrOtherBasisAmt
Depreciation$17,479,467DepreciationAmt
Book Value$28,057,075BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,596,279OtherCostOrOtherBasisAmt
Depreciation$2,340,950DepreciationAmt
Book Value$1,255,329BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$29,895,821TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DEFERRED FINANCING COSTS$555,928
FUNDS HELD IN TRUST BY RESIDENTS$101,459
insruance receivable$2,607,738
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,265,125TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO realted parties$44,545,103
estimated malpractice liability$1,629,738
estimated workers comp liability$978,000
DUE to THIRD-PARTY payors$1,299,880
FieldValueIRS element (for citing)
Total Liability$48,452,721TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$33,108,992TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$33,108,992RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$33,108,992TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$37,397,191TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$37,397,191ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$37,397,191TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
bruce flanz
first VP & secretary$0$1,364,996$0$0$0$100,561$0$0$0$28,920$0$1,494,477$0$0
mounir doss
CFO$0$945,457$0$0$0$32,522$0$0$0$28,920$0$1,006,899$0$0
anthony diMaria
vice President$229,528$0$0$0$9,600$0$0$0$30,081$0$269,209$0$0$0
lisa garcia
controller$152,075$0$0$0$298$0$0$0$28,921$0$181,294$0$0$0
Modupe-Adedeji-Fajobi
Director of Nursing$136,686$0$0$0$43$0$0$0$20,901$0$157,630$0$0$0
Thomas Younghans
Vice President$246,350$0$0$0$524$0$0$0$28,921$0$275,795$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 4bFormAndLineReferenceDesc
ExplanationCERTAIN SENIOR MANAGEMENT OFFICIALS PARTICIPATE IN A SUPPLEMENTAL EXECUTIVERETIREMENT PLAN. DURING 2016 THERE WERE NO CONTRIBUTIONS TO THE PLAN.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6MEDISYS HEALTH NETWORK IS THE SOLE MEMBER in the organization.
Form 990, Part VI, Section A, line 7aMEDISYS HEALTH NETWORK, AS the SOLE MEMBER CAN APPOINT THE BOARD OF DIRECTORS.
Form 990, Part VI, Section B, line 11bTHE 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 12cDISCLOSURE 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 19GOVERNING 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 11gconsulting: Program service expenses 0. Management and general expenses 152,076. Fundraising expenses 0. Total expenses 152,076. Hospital Support: Program service expenses 5,749,119. Management and general expenses 3,515,879. Fundraising expenses 0. Total expenses 9,264,998. houskeeping: Program service expenses 225,732. Management and general expenses 25,081. Fundraising expenses 0. Total expenses 250,813. other: Program service expenses 44,748. Management and general expenses 4,972. Fundraising expenses 0. Total expenses 49,720. physicians & therapists: Program service expenses 786,612. Management and general expenses 0. Fundraising expenses 0. Total expenses 786,612. waste remoival: Program service expenses 34,413. Management and general expenses 0. Fundraising expenses 0. Total expenses 34,413. linen services: Program service expenses 235,991. Management and general expenses 26,221. Fundraising expenses 0. Total expenses 262,212.
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ADVANCED CENTER FOR PSYCHOTHERAPY
89-06 135TH STREETJAMAICANY11418111864871HEALTHCARENY501(c)(3)9MEDISYS HEALTH NETWORK0
ALLIED HEALTH foundation of queens inc
4500 PARSONS BLVDFLUSHINGNY11355112813535INACTIVENY501(c)(3)9MEDISYS HEALTH NETWORK0
FLUSHING HOSPITAL MEDICAL CENTER
4500 PARSONS BLVDFLUSHINGNY11355111631781HOSPITALNY501(c)(3)3MEDISYS HEALTH NETWORK0
INTERNATIONAL ASSOCIATION OF MEDICAL BIKE UNITS INC
8900 VAN WYCK EXPYJAMAICANY11418113483140INACTIVENY501(c)(3)9MEDISYS HEALTH NETWORK0
JAMAICA HOSPITAL MEDICAL CENTER
8900 VAN WYCK EXPYJAMAICANY11418111631788HEALTHCARENY501(c)(3)3MEDISYS HEALTH NETWORK0
MEDISYS AMBULANCE SERVICE
8900 VAN WYCK EXPYJAMAICANY11418542124788HEALTHCARENY501(c)(3)9MEDISYS HEALTH NETWORK0
MEDISYS HEALTH NETWORK
8900 VAN WYCK EXPYJAMAICANY11418113316802ADMINNY501(c)(3)11A0N/A
THE JAMAICA HOSPITAL DIAG AND TREAT CTR
8900 VAN WYCK EXPYJAMAICANY11418113340969HEALTHCARENY501(c)(3)3MEDISYS HEALTH NETWORK0
VWE PROPERTIES CORPORATION
8900 VAN WYCK EXPYJAMAICANY11418113485165PARKING garageNY501(c)(3)11AMEDISYS HEALTH NETWORK0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NHP HOLDINGS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1521 FIFTH AVE 3RD FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10175ZIPCd
FieldValueIRS element (for citing)
EIN203418837EIN
Primary ActivitiesHOLDING COMPANYPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
FRR RECOVERY services
80 MARCUS DRIVEMELVILLENY11747113454555COLLECTION AGENCYNYN/AC0
HI TECH MEDICAL EQUIPMENT
103-51 101 STOZONE PARKNY11416113313334Durable Medical Equipment CompanyNYN/AC0
JAMAICA RX
8900 VAN WYCK EXPRESSWAYJAMAICANY11418205292781RETAIL PHARMACYNYN/AC0
MEDISYS Home CARE SERVICE inc
8900 VAN WYCK EXPRESSWAYjAMAICANY11418030474027home care staffing/inactiveNYN/AC0
MEDISYS IPA
8900 VAN WYCK EXPRESSWAYjaMAICANY11418113452476PHYSICIAN CONTRACTING/INACTIVENYN/AC0
MEDISYS SERVICE CORPORATION
8900 VAN WYCK EXPRESSWAYjaMAICANY11418113479920HOLDING COMPANYNYN/AC0
MEDISYS VENTURES
111 STEWART AVEHICKSVILLENY11801113431792HOLDING COMPANYNYN/AC0
MHN REALTY
8900 VAN WYCK EXPRESSWAYjaMAICANY11418113458286real estate/inactiveNYN/AC0
second century service corporation
4500 PARSONS BLVDFLUSHINGNY11355112843101RETAIL PHARMACYNYN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd