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QUEENS-LONG ISLAND RENAL INSTITUTE: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
QUEENS-LONG ISLAND RENAL INSTITUTE (EIN 26-4827558)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-13
IRS object ID
201513179349304636
Schema version
2014v5.0
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)
Return2015-11-13T13:13:10-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271728945PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1O'CONNOR DAVIES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 MAMARONECK AVENUEAddressLine1Txt
CityHARRISONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP105281633ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN264827558EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1QUEENS-LONG ISLAND RENAL INSTITUTE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlQUEEBusinessNameControlTxt
Phone7182892600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1271-11 76TH AVENUEAddressLine1Txt
CityNEW HYDE PARKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11040ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT WERNERPersonNm
Person TitleCFOPersonTitleTxt
Phone7182892600PhoneNum
Signature2015-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGARRETT M HIGGINSPreparerPersonNm
PTINP00543209PTIN
Phone9143818900PhoneNum
Preparation2015-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL ROSENBLUTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1271-11 76TH AVENUEAddressLine1Txt
CityNEW HYDE PARKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11040ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,977,550GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.QLIRI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO ASSURE DIALYSIS PATIENTS OF THE FINEST QUALITY OF CARE, STATE-OF-THE-ART TECHNOLOGY AND UNCOMPROMISED DIGNITY, IN A COMFORTABLE SETTING.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee74TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$4,125,015PYProgramServiceRevenueAmt
CY Program Service Revenue$4,961,670CYProgramServiceRevenueAmt
PY Investment Income$7PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$15,716PYOtherRevenueAmt
CY Other Revenue$15,880CYOtherRevenueAmt
PY Total Revenue$4,140,738PYTotalRevenueAmt
CY Total Revenue$4,977,550CYTotalRevenueAmt
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$1,551,361PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,899,246CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,623,400PYOtherExpensesAmt
CY Other Expenses$2,903,615CYOtherExpensesAmt
PY Total Expenses$4,174,761PYTotalExpensesAmt
CY Total Expenses$4,802,861CYTotalExpensesAmt
PY Revenues Less Expenses-$34,023PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$174,689CYRevenuesLessExpensesAmt
Total Assets BOY$3,495,221TotalAssetsBOYAmt
Total Assets EOY$3,757,668TotalAssetsEOYAmt
Total Liabilities BOY$392,843TotalLiabilitiesBOYAmt
Total Liabilities EOY$480,601TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,102,378NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,277,067NetAssetsOrFundBalancesEOYAmt
MissionTO ASSURE DIALYSIS PATIENTS OF THE FINEST QUALITY OF CARE, STATE-OF-THE-ART TECHNOLOGY AND UNCOMPROMISED DIGNITY, IN A COMFORTABLE SETTING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,845,212ExpenseAmt
Revenue$4,961,670RevenueAmt
DescQUEENS-LONG ISLAND RENAL INSTITUTE, INC. IS A CHARITABLE ORGANIZATION THAT RENDERS RENAL REPLACEMENT THERAPY SERVICES TO THOSE IN NEED. THE FACILITY IS LOCATED IN NEW HYDE PARK, NEW YORK AND PROVIDES IN-CENTER HEMODIALYSIS TO PATIENTS SUFFERING FROM END STAGE RENAL DISEASE (ESRD). TREATMENTS ARE PROVIDED TO PATIENTS IN FOUR DIFFERENT PATIENT SHIFTS, SIX DAY PER WEEK. HEMODIALYSIS SERVICES ARE PROVIDED TO PATIENTS BY LICENSED AND TRAINED PROFESSIONALS IN ACCORDANCE WITH ALL STATE AND FEDERAL REGULATIONS. THE ORGANIZATION WILL BILL MEDICARE, MEDICAID AND OTHER THIRD PARTY PAYERS FOR SERVICES RENDERED TO PATIENTS. IN 2014, THE ORGANIZATION PROVIDED 16,640 TREATMENTS.Desc
Total Program Service Expenses$3,845,212TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
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 Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee74EmployeeCnt
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 ApprovaYes (1)DecisionsSubjectToApprovaInd
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
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBERT WERNERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7183432100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1271-11 76TH AVENUEAddressLine1Txt
CityNEW HYDE PARKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11040ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PHILIP KAPLAN
VICE CHAIRMAN1.002.10Yes (X)Yes (X)$0$0$0
JERRY LANDSBERG
IMMEDIATE PAST CHAIR1.002.10Yes (X)Yes (X)$0$0$0
LEONARD TANZER
CHAIRMAN1.002.10Yes (X)Yes (X)$0$0$0
NINA KOPPELMAN
TREASURER1.002.10Yes (X)Yes (X)$0$0$0
GARY GRANOFF
TRUSTEE1.002.10Yes (X)$0$0$0
FRANCES R KATZ
SECRETARY THRU AUGUST 20141.002.10Yes (X)Yes (X)$0$0$0
PETER SEIDEMAN
TRUSTEE1.002.10Yes (X)$0$0$0
BARBARA KURSHAN-COLEMAN
TRUSTEE THRU AUGUST 20141.002.10Yes (X)$0$0$0
SHERYL SILVERSTEIN DMD
SECRETARY1.002.10Yes (X)Yes (X)$0$0$0
MICHAEL ROSENBLUT
PRESIDENT/CEO5.5043.70Yes (X)$0$897,798$41,406
ROBERT WERNER
CFO/VP OF FINANCE2.5042.60Yes (X)$0$349,094$41,406
STUART ALMER
EXECUTIVE VP5.0045.50$0$319,271$41,406Yes (X)
JOHN DRIVAS
VP HR1.4045.20$0$230,013$16,906Yes (X)
KATHLEEN DARMSTADT
ASSISTANT VP OF FINANCE2.5041.50$0$189,107$6,698Yes (X)
GEORGIENE KENNY
ASSOCIATE VP OF QM11.3045.00$0$180,218$15,900Yes (X)
JACQUELINE JAVIER-BURNS
EXPERIENCED NURSE MANAGER40.000.00$105,447$0$20,437Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$105,447TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,165,501TotReportableCompRltdOrgAmt
Total Other Compensation$184,159TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PARKER JEWISH INSTITUTE FOR HEALTH CARE
271-11 76TH AVENUENEW HYDE PARKNY11040ADMINISTRATIVE SERVICES$275,000
INFIAN LLC
2810 N PARHAM RDRICHMONDVA23294BILLING & AR SERVICES$124,759
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE623000$3,080,216$3,080,216
OTHER PATIENT SERVICE623000$1,862,823$1,862,823
MEDICAID623000$18,631$18,631
FieldValueIRS element (for citing)
Total Program Service Revenue$4,961,670TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPURCHASE DISCOUNTSDesc
Business900099BusinessCd
Total Revenue Column$15,880TotalRevenueColumnAmt
Exclusion$15,880ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$15,880OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,977,550TotalRevenueColumnAmt
Related Or Exempt Func Income$4,961,670RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$15,880ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,593,825TotalAmt
Program Services$1,343,533ProgramServicesAmt
Management And General$250,292ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,780TotalAmt
Program Services$8,244ProgramServicesAmt
Management And General$1,536ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$152,613TotalAmt
Program Services$128,647ProgramServicesAmt
Management And General$23,966ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$143,028TotalAmt
Program Services$120,567ProgramServicesAmt
Management And General$22,461ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,009TotalAmt
Management And General$8,009ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$34,200TotalAmt
Management And General$34,200ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$638,972TotalAmt
Program Services$211,022ProgramServicesAmt
Management And General$427,950ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,369TotalAmt
Program Services$2,385ProgramServicesAmt
Management And General$12,984ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$300TotalAmt
Management And General$300ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$94,674TotalAmt
Program Services$94,674ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,128TotalAmt
Management And General$4,128ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$279,862TotalAmt
Program Services$279,862ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$43,187TotalAmt
Management And General$43,187ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICALS$1,111,717$1,111,717
MEDICAL SUPPLIES$471,523$471,523
PROVISION FOR BAD DEBTS$128,636$128,636
REPAIRS AND MAINTENANCE$47,982$47,982

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$25,056TotalAmt
Program Services$25,056ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,802,861TotalAmt
Program Services$3,845,212ProgramServicesAmt
Management And General$957,649ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$900,861BOYAmt
EOY$1,279,325EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$583,301BOYAmt
EOY$639,867EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$79,882BOYAmt
EOY$89,372EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,944BOYAmt
EOY$16,248EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,052,013LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,395,006LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,928,233BOYAmt
EOY$1,657,007EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$75,849EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,495,221BOYAmt
EOY$3,757,668EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$392,843BOYAmt
EOY$404,752EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$75,849EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$392,843BOYAmt
EOY$480,601EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,102,378BOYAmt
EOY$3,277,067EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,102,378BOYAmt
EOY$3,277,067EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,495,221BOYAmt
EOY$3,757,668EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$174,689ReconcilationRevenueExpnssAmt
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 Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,224,756OtherCostOrOtherBasisAmt
Depreciation$782,266DepreciationAmt
Book Value$1,442,490BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$827,257OtherCostOrOtherBasisAmt
Depreciation$612,740DepreciationAmt
Book Value$214,517BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,657,007TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescINSURANCE CLAIM PAYABLEDesc
Amt$75,849Amt
FieldValueIRS element (for citing)
Total Liability$75,849TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,977,550TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$4,977,550RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,977,550TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,802,861TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$4,802,861ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,802,861TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationQLIRI RECOGNIZES THE EFFECT OF TAX POSITIONS WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT QLIRI HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. QLIRI IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS SINCE INCEPTION IN 2011.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
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
MICHAEL ROSENBLUT
PRESIDENT/CEO$0$897,798$0$0$0$0$0$5,200$0$36,206$0$939,204$0$0
ROBERT WERNER
CFO/VP OF FINANCE$0$349,094$0$0$0$0$0$5,200$0$36,206$0$390,500$0$0
STUART ALMER
EXECUTIVE VP$0$319,271$0$0$0$0$0$5,200$0$36,206$0$360,677$0$0
JOHN DRIVAS
VP HR$0$230,013$0$0$0$0$0$4,423$0$12,483$0$246,919$0$0
KATHLEEN DARMSTADT
ASSISTANT VP OF FINANCE$0$189,107$0$0$0$0$0$3,755$0$2,943$0$195,805$0$0
GEORGIENE KENNY
ASSOCIATE VP OF QM$0$180,218$0$0$0$0$0$3,455$0$12,445$0$196,118$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE CEO'S COMPENSATION IS DETERMINED BY A RELATED PARTY, PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION, USING THE FOLLOWING PROCESS: A WRITTEN EMPLOYMENT CONTRACT IS CURRENTLY IN PLACE FOR THE PRESIDENT/CEO. THE CONTRACT WAS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD TRUSTEES. EXTERNAL INFORMATION AND SURVEYS WERE USED FOR COMPARATIVE PURPOSES IN DETERMINING THE COMPENSATION AMOUNTS IN THE CONTRACT USING FORM 990'S OF OTHER SIMILAR SIZED ORGANIZATIONS AND REVIEWING OUTSIDE SALARY SURVEYS AND STUDIES. PERFORMANCE IS REVIEWED ANNUALLY BY THE CHAIRMAN OF THE BOARD OF TRUSTEES. THE BOARD REVIEWED AND APPROVED HIS SALARY LAST IN 2014. THE BOARD'S APPROVAL IS DOCUMENTED IN THE MINUTES TO THE MEETING.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE CORPORATION IS GERIATRIC RESOURCES OF NEW YORK, INC.
FORM 990, PART VI, SECTION A, LINE 7AAT EACH ANNUAL MEETING OF GERIATRIC RESOURCES OF NEW YORK, INC., THE SOLE CORPORATE MEMBER OF THE CORPORATION, TRUSTEES OF THE CORPORATION, OTHER THAN THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SHALL BE ELECTED TO VACANT POSITIONS ON THE BOARD OF TRUSTEES, EACH FOR A TERM OF ONE (1) YEAR, TO HOLD OFFICE UNTIL THEIR SUCCESSORS HAVE BEEN ELECTED AND DULY QUALIFIED. THERE SHALL BE NO LIMITATION AS TO THE NUMBER OF TERMS TRUSTEES MAY SERVE AND TRUSTEES SHALL BE PERMITTED TO SERVE SUCCESSIVE TERMS. NEWLY CREATED TRUSTEESHIPS RESULTING FROM AN INCREASE IN THE NUMBER OF TRUSTEES, AND VACANCIES OCCURRING IN THE BOARD OF TRUSTEES FOR ANY REASON, SHALL BE FILLED BY VOTE OF THE BOARD OF TRUSTEES OF GERIATRIC RESOURCES OF NEW YORK, INC., THE SOLE MEMBER OF THE CORPORATION. TRUSTEES ELECTED TO FILL NEWLY CREATED TRUSTEESHIPS SHALL HOLD OFFICE IN ACCORDANCE WITH THEIR CLASSIFICATION (IF TRUSTEES ARE CLASSIFIED) AND UNTIL THEIR SUCCESSORS HAVE BEEN ELECTED AND HAVE QUALIFIED. TRUSTEES ELECTED TO FILL VACANCIES SHALL SERVE UNTIL THE END OF THE VACATED TERM AND UNTIL THEIR SUCCESSORS ARE ELECTED AND HAVE QUALIFIED.
FORM 990, PART VI, SECTION A, LINE 7BTHE REPEAL OR AMENDMENT OF ANY BYLAW OF THE CORPORATION SHALL BE EFFECTED BY EITHER OF THE FOLLOWING METHODS: (I) BY ACT OF THE BOARD OF TRUSTEES OF GERIATRIC RESOURCES OF NEW YORK, INC., THE SOLE CORPORATE MEMBER OF THE CORPORATION; OR (II) BY A VOTE OF A MAJORITY OF THE VOTING TRUSTEES OF THE BOARD OF TRUSTEES OF THE CORPORATION, PROVIDED THAT WRITTEN NOTICE OF EITHER THE TEXT OR THE SUBSTANCE OF ANY PROPOSED AMENDMENT OR REPEAL OF THE BYLAWS SHALL BE GIVEN TO ALL TRUSTEES AT LEAST FIVE (5) BUSINESS DAYS PRIOR TO THE DATE OF THE MEETING AT WHICH THE AMENDMENT OR REPEAL IS TO BE PROPOSED. IN ADDITION, ANY TRUSTEE MAY RESIGN AT ANY TIME BY GIVING WRITTEN NOTICE TO THE CHAIRMAN OR TO THE SECRETARY OF GERIATRIC RESOURCES OF NEW YORK, INC., THE SOLE CORPORATE MEMBER OF THE CORPORATION. SUCH RESIGNATION SHALL TAKE EFFECT AT THE TIME SPECIFIED THEREIN OR, IF NO TIME IS SPECIFIED, ON DELIVERY. ANY OR ALL OF THE TRUSTEES MAY BE REMOVED FOR CAUSE OR WITHOUT CAUSE BY AN ACTION OF THE BOARD OF TRUSTEES OF GERIATRIC RESOURCES OF NEW YORK, INC., THE SOLE CORPORATE MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11QUEENS-LONG ISLAND RENAL INSTITUTE 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 MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, THE BOARD OF TRUSTEES AND OFFICERS OF THE BOARD ARE ASKED TO REVIEW THE CONFLICT OF INTEREST POLICY. EACH PERSON MUST COMPLETE A STATEMENT AFFIRMING THAT THEY DO NOT HAVE ANY CONFLICTS OR POTENTIAL CONFLICTS. IF A CONFLICT WERE TO ARISE, IT WOULD BE BROUGHT TO THE BOARD'S ATTENTION THROUGH THE EXECUTIVE COMMITTEE AND THE CORPORATE COMPLIANCE COMMITTEE FOR REVIEW.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART IX, LINE 11GCONSULTANTS: PROGRAM SERVICE EXPENSES 5,782. MANAGEMENT AND GENERAL EXPENSES 10,027. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,809. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 205,240. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 205,240. BILLING & A/R SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 142,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 142,923. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 275,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 275,000.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
PARKER JEWISH INSTITUTE FOR HEALTH CARE & REHAB FOUNDATION
271-11 76TH AVENUENEW HYDE PARKNY11040113041480TO SUPPORT PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATIONNY501(C)37GERIATRIC RESOURCES OF NEW YORK0
GERIATRIC RESOURCES OF NEW YORK
271-11 76TH AVENUENEW HYDE PARKNY11040113100541SUPPORT PJI FOR HEALTH CARE AND REHABILITATION AND ITS AFFILIATESNY501(C)3TYPE II0N/A
PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION
271-11 76TH AVENUENEW HYDE PARKNY11040132631069OPERATE A SKILLED NURSING FACILITYNY501(C)39GERIATRIC RESOURCES OF NEW YORK0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AGEWELL NEW YORK LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1271-11 76TH AVENUEAddressLine1Txt
CityNEW HYDE PARKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11040ZIPCd
FieldValueIRS element (for citing)
EIN300743059EIN
Primary ActivitiesOPERATES A PARTIALLY CAPITATED MEDICAID MANAGED LONG-TERM CARE PROGRAMPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
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 OrgYes (1)RentalOfFcltsFromOthOrgInd
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 Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd