2015-08-17T15:11:20-05:00 2014-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2014-01-01 131740003 METHODIST CHURCH HOME FOR THE AGED IN THE CITY OF NEW YORK INC METH 7185485100 4499 MANHATTAN COLLEGE PARKWAY BRONX NY 10471 ILANA AVINARI CFO 7185485100 2015-08-17 1 ERIC GOLDFARB P01277125 2128674000 2014 2016-02-25 16:41:14Z METHODIST HOME FOR NURSING AND REHABILITATION ILANA AVINARI 4499 MANHATTAN COLLEGE PARKWAY BRONX NY 104713998 40730764 0 X WWW.METHODISTHOME.ORG X 1851 NY THE METHODIST HOME FOR NURSING AND REHABILITAION IS DEDICATED TO PROVIDING A COMFORTABLE, INTIMATE HAVEN FOR MEN AND WOMEN IN NEED OF SKILLED NURSING AND REHABILITAION CARE. THE HOME'S SERVICES AND PROGRAMS PROMOTE HEALTH, DIGNITY AND INDEPENDENCE TO THOSE WE SERVE DIRECTLY AND TO OUR EXTENDED COMMUNITY. 17 17 213 32 -1698 -1948 117636 199659 13822510 14488633 1708588 1507582 40440 11100 15689174 16206974 0 0 0 0 9237500 9327479 24000 10000 10660 5649519 5260672 14911019 14598151 778155 1608823 39325501 39812113 9263280 8600117 30062221 31211996 X AS A NON-SECTARIAN, NON PROFIT SKILLED NURSING FACILITY, THE HOME IS GROUNDED IN THE VISION OF SEVEN METHODIST WOMEN WHO FOUNDED IT IN 1850. WE ARE DEDICATED TO ENSURING THE BEST QUALITY OF LIFE FOR INDIVIDUALS AFFECTED BY ILLNESS OR INJURY WITH A RANGE OF MEDICAL, NURSING AND REHABILITAION SERVICES. PERSONALIZED AND COMPASSIONATE CARE IS OFFERED WITHIN THE INTIMATE AND COMFORTABLE SETTING OF OUR ELEGANT HISTORIC DWELLING 0 0 12937840 14488633 THE ORGANIZATION PROVIDED 41,573 DAYS OF CARE TO 478 PATIENTS NEEDING SKILLED NURSING AND/OR REHABILITATION SERVICES. WE SEEK TO ACCOMPLISH OUR MISSION THROUGH:-COMPREHENSIVE SUPPORT SERVICES: WE ARE A FULL SERVICE ORGANIZATION OFFERING SHORT AND LONG TERM CARE, AND PHYSICAL AND SOCIAL REHABILITATION PROGRAMS CONDUCTED BY THE HIGHEST QUALITY MEDICAL AND CARE STAFF.-PERSON-CENTERED CARE: WE FOCUS ON THE INTERESTS OF THE INDIVIDUAL BY PROVIDING TAILORED CARE AIMED AT PROMOTING HEALTH, DIGNITY, AND INDEPENDENCE WITH IN A DIVERSE COMMUNITY OF PEOPLE.-ONGOING IMPROVEMENT: THROUGH CONTINUAL ASSESSMENT OF CARE METHODS REGULAR TRAINING AND FACILITY AND EQUIPMENT UPGRADES, OUR HOME MAINTAINS ITS HIGH STANDARD BOTH TODAY AND IN THE FUTURE.-POSITIVE WORK ENVIRONMENT: BY FOSTERING AN ENVIRONMENT THAT PROMOTES CONFIDENCE, SELF EXPRESSION AND LEARNING, WE EMPOWER EMPLOYEES TO GROW AND GAIN THE MUTUAL RESPECT AND TRUST OF THE RESIDENTS AND THEIR FAMILIES.-SERVING THE COMMUNITY: WITH OUR OUTREACH PROGRAMS TO LOCAL ORGANIZATIONS AND SCHOOLS, AND THE ACCESS PROVIDED TO OUR SERVICES, WE ARE COMMITTED TO BEING A CONSCIENTIOUS CONTRIBUTOR TO THE RIVERDALE COMMUNITY AND BEYOND. 12937840 1 1 0 1 0 0 0 0 1 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 48 0 213 1 1 1 0 0 0 0 1 1 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X ILANA AVINARI CFO 7185485100 4499 MANHATTAN COLLEGE PARKWAY BRONX NY 10471 GRAHAM RELF PRESIDENT 1.00 X X 0 0 0 TOM UZZO VICE PRESIDENT 1.00 X X 0 0 0 EDWARD BROWN VICE PRESIDENT 1.00 X X 0 0 0 SHERWIN CHUE TREASURER 1.00 X X 0 0 0 RUTH MACKEY DIRECTOR 1.00 X 0 0 0 CAROLYN HALPERT DIRECTOR 1.00 X 0 0 0 ANTOINETTE SAVAGE DIRECTOR 1.00 X 0 0 0 MELISSA BAUMAN DIRECTOR 1.00 X 0 0 0 LOIS HARR DIRECTOR 1.00 X 0 0 0 BRUCE JENNINGS DIRECTOR 1.00 X 0 0 0 TRACEY GMOSER DIRECTOR 1.00 X 0 0 0 MARY BETH KETCHUM DIRECTOR 1.00 X 0 0 0 JULIE KLEIN DIRECTOR 1.00 X 0 0 0 DONALD KIRBY DIRECTOR 1.00 X 0 0 0 PAULINE DANA-BASHIAN DIRECTOR 1.00 X 0 0 0 JANET JACOBSON DIRECTOR 1.00 X 0 0 0 MARY E WHEAT MD DIRECTOR 1.00 X 0 0 0 MARIA E PEREZ CHIEF EXECUTIVE OFFICER 37.50 X 230236 0 26995 ILANA AVINARI CHIEF FINANCIAL OFFICER 37.50 X 154990 0 27210 GENEVIEVE CASTILLO DIRECTOR OF NURSING 37.50 X 157968 0 11137 CHRISTINE SLOMINSKY REHABILITATION DIRECTOR 37.50 X 116477 0 7706 JOY TOMAS NURSING DIRECTOR ASSISTANT 37.50 X 110842 0 7342 LIZZY ITTOOP RN SUPERVISOR 37.50 X 112204 0 17062 882717 0 97452 6 0 1 0 MORRISON MANAGEMENT PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 683161 PROCARE LTC 111 EXECUTIVE BLVD FARMINGDALE NY 11735 PHARMACY 295303 2 74820 93205 31634 199659 NET PT REV-MEDICAID 623000 6047432 6047432 NET PT REV-MEDICARE 623000 5468089 5468089 NET PT REV-PRIVATE PAY 623000 1963397 1963397 NET PT REVENUE-INSURANCE 623000 1009715 1009715 14488633 532872 -1698 534570 25461951 24487241 974710 974710 974710 47649 74820 36549 11100 11100 16206974 14488633 -1698 1520380 439431 386699 52732 6479039 5701554 777485 344488 303150 41338 1550492 1364433 186059 514029 452346 61683 81285 81285 61200 61200 1730 1730 10000 10000 75756 75756 497861 487061 10800 27000 25518 1422 60 600449 450337 149512 600 54966 48370 6596 518062 502521 15541 9291 1115 8176 321654 313437 8217 884076 864538 19538 185582 155582 30000 PURCHASE SERVICES 1005034 951868 53166 NYS ASSESMENT 598895 598895 PHARMACY MEDICATION 295116 295116 42715 35300 7415 14598151 12937840 1649651 10660 1483286 1010903 9400 88236 2446535 2770177 31374 33857 127590 100161 19783556 10157192 10357780 9626364 19762585 21456338 4515643 4396259 591308 329818 39325501 39812113 966576 768847 278077 298394 7227216 6917170 791411 615706 9263280 8600117 X 27683355 28859103 2378866 2352893 30062221 31211996 39325501 39812113 X 1608823 -265818 -193230 X X 0 1 X 1 0 X 1672815 127284 162519 117636 199659 2279913 12036859 13345564 12836563 13822510 14488633 66530129 13709674 13472848 12999082 13940146 14688292 68810042 7150 10500 26250 14000 6000 63900 0 7150 10500 26250 14000 6000 63900 68746142 816548 875365 688048 821831 1518682 4720474 816548 875365 688048 821831 1518682 4720474 38876 38876 2669 1913 48160 1564 54306 14528891 14350126 13735290 14802417 16206974 73623698 0.93380 0.94640 0.06410 0.05080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1730 1730 0 PART II-B, LINE 1: COSTS WERE INCURRED AS PART OF DUES PAID TO THE NURSING HOME INDUSTRY ORGINIZATION. 0 1 12531718 886284 13418002 13608880 810681 1887842 12531718 15040172 568279 1999571 13608880 22309533 832759 3793481 19348811 20745915 300000 1757126 43508 22309533 0.96280 0.03720 1 0 75000 75000 15587270 6850386 8736884 2368065 1814782 553283 1705590 1492024 213566 47631 47631 9626364 ALTERNATIVE INVESTMENTS 4396259 F 4396259 ACCRUED PENSION BENEFITS 615706 615706 X 15951732 -265818 10576 -255242 16206974 0 16206974 14634700 36549 36549 14598151 0 14598151 PART IV, LINE 1B: RESIDENTS' SECURITY DEPOSITS AND OTHER FUNDS ARE HELD BY THE HOME ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT LIVING ALLOWANCES RECEIVED BY RESIDENTS AND OTHER RESIDENTS' FUNDS DEPOSITED WITH THE HOME FOR SAFEKEEPING. RESIDENT ALLOWANCE FUNDS ARE DISBURSED BY THE HOME AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. PART V, LINE 4: THE OVERALL INVESTMENT OBJECTIVES OF THE HOME'S ENDOWMENT FUNDS IS TO PROVIDE THE GREATEST LEVEL OF SUPPORT FOR OPERATING EXPENSES AND CAPITAL MAINTENANCE OF THE HOME CONSISTENT WITH THE PRESERVATION OF PURCHASING POWER OF THE ENDOWMENT PART X, LINE 2: THE HOME RECOGNIZES THE EFFECT OF TAX POSITION ONLY IF THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HOME HAD NO UNCERTAIN TAX POSITION THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE HOME IS NO LONGER SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING JURISDICTION FOR PERIODS PRIOR TO DECEMBER 31, 2011 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST DIRECT COST OF SPECIAL EVENTS PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT COST OF SPECIAL EVENTS PART XI, LINE 4B CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST GALA 122469 74820 47649 5000 9974 1600 19975 122469 74820 47649 5000 9974 1600 19975 36549 11100 X X 0 0 0 0 0 0 0 0 0 MARIA E PEREZ CHIEF EXECUTIVE OFFICER 230236 0 0 0 0 0 8604 0 18391 0 257231 0 0 0 ILANA AVINARI CHIEF FINANCIAL OFFICER 154990 0 0 0 0 0 5843 0 21367 0 182200 0 0 0 GENEVIEVE CASTILLO DIRECTOR OF NURSING 157968 0 0 0 0 0 4130 0 7007 0 169105 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 EACH DIRECTOR RECEIVES AN ELECTRONIC COPY OF THE PREPARED FORM 990 INCLUDING REQUIRED SCHEDULES PRIOR TO ITS FILING WITH THE IRS. THEY HAVE THE OPPORTUNITY TO REQUEST CHANGES TO THE CPA FIRM THAT PREPARES THE FORM, AND RECEIVE A FINAL VERSION BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C METHODIST CHURCH HOME FOR THE AGED HAS DEVELOPED AND IMPLEMENTED A COMPLIANCE PROGRAM IN AN EFFORT TO ESTABLISH INTERNAL CONTROLS TO MONITOR AND IDENTIFY POTENTIAL CONFLICTS OF INTEREST. A CONFLICT OF INTEREST EXISTS WHEN AN EMPLOYEE, INDEPENDENT CONTRACTOR, VOLUNTEER OR VENDOR OR ANY MEMBER OF HIS IMMEDIATE FAMILY, PARTY, OR ORGANIZATION IN WHICH HE/SHE HAS AN EXISTING RELATIONSHIP WHICH WOULD IMPAIR THE EXERCISE OF JUDGMENT ON BEHALF OF METHODIST CHURCH HOME FOR THE AGED OR MAY RECEIVE MATERIAL/FINANCIAL BENEFIT FROM INFORMATION GAINED DURING THE COURSE OF EMPLOYMENT OR BUSINESS RELATIONSHIP WITH THE AGENCY. ALL EMPLOYEES ARE REQUIRED TO MAKE FULL DISCLOSURE OF INDIVIDUAL INTERESTS THAT MAY APPEAR TO BE IN CONFLICT WITH THE INTERESTS OF METHODIST CHURCH HOME FOR THE AGED. METHODIST CHURCH HOME FOR THE AGED WILL DISCIPLINE EMPLOYEES WHO FAIL TO ADHERE TO SUCH STANDARDS. SUCH DISCIPLINARY ACTION COULD INCLUDE TERMINATION. THE AGENCY WILL DISCONTINUE RELATIONSHIP WITH ANY VOLUNTEER FOUND TO BE IN VIOLATION. FURTHERMORE, THE AGENCY RESERVES THE RIGHT TO TERMINATE ITS CONTRACTUAL RELATIONSHIP WITH ANY INDEPENDENT CONTRACTOR OR VENDOR IF THERE IS A DISCOVERY OF A CONFLICT OF INTEREST. IN ADDITION, METHODIST CHURCH HOME FOR THE AGED CONDUCTS EXCLUSION SCREENING TO ENSURE POTENTIAL AND CURRENT EMPLOYEES, CONTRACTORS, VOLUNTEERS AND VENDORS HAVE NOT BEEN SANCTIONED BY ANY FEDERAL, STATE, REGULATORY OR LICENSING AGENCY AND WILL NOT KNOWINGLY ENGAGE IN ANY TRANSACTIONS WITH ANY SUCH INDIVIDUALS WHERE IT APPEARS THAT THERE MIGHT BE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD USES SALARY SURVEYS, AS WELL AS 990'S OF OTHER ORGANIZATIONS, TO COMPARE THE SALARIES OF ITS LEADERSHIP AND TOP MANAGEMENT STAFF TO THOSE OF OTHER ORGANIZATIONS OF SIMILAR SIZE WITHIN THE SAME INDUSTRY. THIS PROCESS WAS LAST DONE IN 2014. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: PENSION ADJUSTMENT TO REFLECT FUNDED STATUS -167,257. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST -25,973. 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. METHODIST CHURCH HOME FOR THE AGED IN THE CITY OF NEW YORK FUND 4499 MANHATTAN COLLEGE PARKWAY BRONX NY 10471 133905709 TO ASSIT AGED CARE CHARITABLE ORGNIZATIONS NY 501 (C)(3) LINE 7 METHODIST CHURCH HOME FOR THE AGED IN THE CITY OF NY 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0