2016-11-02T16:08:02-05:00 2015-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2015-01-01 112290533 CONCORD NURSING HOME INC CONC 7186367500 300 MADISON STREET BROOKLYN NY 11216 BARBARA MCFADDEN EXECUTIVE DIRECTOR 7186367500 2016-11-02 1 GARRETT M HIGGINS P00543209 9143818900 2016-11-02 2015 2017-02-10 21:41:12Z CONCORD NURSING AND REHABILITATION CENTER INC BARBARA MCFADDEN 300 MADISON STREET BROOKLYN NY 11216 14661385 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. 7 7 113 8 0 0 65491 0 13092949 14650551 5724 2979 352523 7855 13516687 14661385 0 0 0 0 6789426 6943272 0 0 0 8684976 8172938 15474402 15116210 -1957715 -454825 14734236 13894557 26236583 25851729 -11502347 -11957172 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 12663543 12428695 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 37,614 PATIENT DAYS OF MEDICAL CARE TO OVER 252 PATIENTS IN ITS SKILLED NURSING PROGRAM. THE CENTER HAD 155 ADMISSIONS AND 128 DISCHARGES DURING 2015. 1015382 2221856 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 4,334 PATIENT DAYS OF MEDICAL CARE TO OVER 79 PATIENTS IN ITS VENTILATOR NURSING PROGRAM. THE CENTER HAD 64 ADMISSIONS AND 66 DISCHARGES DURING 2015. 13678925 1 0 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 1 0 0 0 0 0 0 0 0 0 0 1 39 0 113 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X X AL RICHARDSON 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 MARY ANDERSON BOARD MEMBER (THRU 12/28/15) 1.00 X 0 0 0 LILLIE BRYANT-HOBBS EXECUTIVE DIRECTOR 37.50 X 199999 0 6816 DENISE ROSEMOND DIRECTOR OF NURSING 37.50 X 130499 0 6816 330498 0 13632 2 0 1 0 HCP AGENCY 555 BROAD HALLOW RD MELVILLE NY 11747 NURSING SERVICES 800801 SECURITAS SECURITY SERVICES 1412 BROADWAY NEW YORK NY 10018 SECURITY GUARDS 240586 HORIZON HEALTHCARE STAFFING 20 JERUSALEM AVENUE 3RD FLOOR HICKSVILLE NY 11801 NURSING SERVICES 140741 O'CONNOR DAVIES 500 MAMARONECK AVENUE HARRISON NY 10528 ACCOUNTING 108941 4 MEDICAID REVENUE 623000 12247187 12247187 PRIVATE PAY 623000 1279967 1279967 MEDICARE REVENUE 623000 1123397 1123397 14650551 2979 2979 REIMBURSEMENTS 900099 7855 7855 7855 14661385 14650551 0 10834 X 206815 185662 21153 28193 28193 4655985 4213145 442840 249361 223857 25504 1152332 1034472 117860 650586 584045 66541 156810 156810 48724 48724 1737936 1586412 151524 7960 7960 323268 248465 74803 500189 392127 108062 3361 2613 748 876239 829988 46251 1080958 1030560 50398 519969 519969 BAD DEBT EXPENSE 1000000 1000000 NYS CASH RECEIPTS ASSES 687444 687444 FOOD 415557 415557 MEDICATIONS 198074 198074 616449 498342 118107 15116210 13678925 1437285 0 565442 403939 152727 2526767 1658984 25850 25850 146732 13212 25874552 19062044 7765700 6812508 1144193 1061861 2155613 4169415 14734236 13894557 4076595 4575841 15113684 14463483 112945 111623 6933359 6700782 26236583 25851729 X -11502347 -11957172 -11502347 -11957172 14734236 13894557 -454825 0 X X 0 1 X 1 1 1 X 24450 26140 13050 65491 129131 14449854 16212700 14705827 13092949 14650551 73111881 14474304 16238840 14718877 13158440 14650551 73241012 0 0 0 73241012 6141 5988 9673 5724 2979 30505 6141 5988 9673 5724 2979 30505 123273 150532 271571 352523 7855 905754 14603718 16395360 15000121 13516687 14661385 74177271 0.98740 0.98730 0.00040 0.00050 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA - 2011 AMOUNT: $ 120. 2012 AMOUNT: $ 147. INSURANCE REIMBURSEMENT - 2014 AMOUNT: $ 3,144. 2015 AMOUNT: $ 7,855. MISCELLANEOUS - 2011 AMOUNT: $ 29,951. 2012 AMOUNT: $ 29,704. 2013 AMOUNT: $ 271,571. 2014 AMOUNT: $ 838. OUTSTANDING CHECKS RECLASSED - 2012 AMOUNT: $ 57,908. REBATES - 2011 AMOUNT: $ 440. RECOVERY OF PRIOR YEAR EXPENSES - 2011 AMOUNT: $ 92,762. 2012 AMOUNT: $ 62,773. 2014 AMOUNT: $ 348,541. 0 1 X 745000 745000 21700092 15753286 5946806 3429460 3308758 120702 6812508 ASSETS LIMITED AS TO USE - OPERATING ESCROW FUND 70 ASSETS LIMITED AS TO USE - RESERVE FUND FOR REPLACEMENTS 351567 ASSETS LIMITED AS TO USE - OTHER HUD REQUIRED ESCROW ACCOUNTS 516063 SECURITY DEPOSITS 42820 DUE TO THIRD PARTY PAYORS 1717298 ASSETS LIMITED AS TO USE - BOARD DESIGNATED DEBT SERVICE FUNDS 11185 INSURANCE RECOVERY RECEIVABLE 1530412 4169415 DUE TO THIRD PARTY PAYORS 5006297 ACCRUED INTEREST 67737 INSURANCE GROSS UP LIABILITY 1530412 BANK OVERDRAFT 96336 6700782 X 14661385 0 14661385 0 14661385 15116210 0 15116210 0 15116210 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, 2012. X X X 0 0 0 0 0 0 0 0 0 LILLIE BRYANT-HOBBS EXECUTIVE DIRECTOR 199999 0 0 0 0 0 0 0 6816 0 206815 0 0 0 A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983Q7P8 2007-10-25 19620489 REFINANCING 0 0 0 A 19620489 19029213 392410 198866 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 ERIC GARNER SON-IN-LAW OF THE EXECUTIVE DIRECTOR 28193 CONSULTANT HIRED TO PERFORM SOME OF THE DUTIES OF THE MAINTENANCE DIRECTOR. 0 FORM 990, PART VI, SECTION B, LINE 11 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 46,648. MANAGEMENT AND GENERAL EXPENSES 151,524. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 198,172. OCCUPATIONAL & PHYSICAL THERAPISTS: PROGRAM SERVICE EXPENSES 230,192. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 230,192. DIETICIAN: PROGRAM SERVICE EXPENSES 450. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 450. RESPIRATORY THERAPY: PROGRAM SERVICE EXPENSES 263,640. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 263,640. LPN & RN AGENCY: PROGRAM SERVICE EXPENSES 703,018. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 703,018. SECURITY: PROGRAM SERVICE EXPENSES 245,623. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 245,623. RADIOLOGY: PROGRAM SERVICE EXPENSES 14,982. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,982. SOCIAL SERVICES: PROGRAM SERVICE EXPENSES 21,070. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,070. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 60,789. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,789. 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.