2015-11-11T16:01:45-06:00 2014-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2014-01-01 112290533 CONCORD NURSING HOME INC CONC 7186367500 300 MADISON STREET BROOKLYN NY 11216 LILLIE BRYANT-HOBBS EXECUTIVE DIRECTOR 7186367500 2015-11-11 1 GARRETT M HIGGINS P00543209 9143818900 2015-11-09 2014 2016-02-25 16:41:14Z CONCORD NURSING AND REHABILITATION CENTER INC LILLIE BRYANT-HOBBS 300 MADISON STREET BROOKLYN NY 11216 13516687 0 X N/A X 1966 NY PROVIDE SKILLED NURSING SERVICES FOR PERSONS WHO ARE INFIRMED, OR AGED AND INFIRMED, WITHOUT REFERENCE TO RACE, SEX, RELIGION, COLOR OR NATURAL ORIGIN. 4 4 128 6 0 0 13050 65491 14705827 13092949 9673 5724 271571 352523 15000121 13516687 0 0 0 0 7760391 6789426 0 0 0 8366434 8684976 16126825 15474402 -1126704 -1957715 18502318 14734236 28046950 26236583 -9544632 -11502347 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 12611824 9503474 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 37,741 PATIENT DAYS OF MEDICAL CARE TO OVER 235 PATIENTS IN ITS SKILLED NURSING PROGRAM. THE CENTER HAD 129 ADMISSIONS AND 138 DISCHARGES DURING 2014. 1158556 3589475 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 5,040 PATIENT DAYS OF MEDICAL CARE TO OVER 69 PATIENTS IN ITS VENTILATOR NURSING PROGRAM. THE CENTER HAD 52 ADMISSIONS AND 54 DISCHARGES DURING 2014. 13770380 1 1 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 49 0 128 1 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 NY X X LILLIE BRYANT-HOBBS 7186367500 300 MADISON STREET BROOKLYN NY 11216 COZETTA H GREEN CHAIRPERSON 1.00 X X 0 0 0 JOHNNIE WHITE BOARD MEMBER 1.00 X 0 0 0 PAULA VAUGHAN-MILLER BOARD MEMBER - THRU DEC 2014 1.00 X 0 0 0 MARY ANDERSON BOARD MEMBER 1.00 X 0 0 0 GARY V SIMPSON CORPORATE PRESIDENT 1.00 X X 0 0 0 LILLIE BRYANT-HOBBS EXECUTIVE DIRECTOR 37.50 X 184019 0 23178 DENISE ROSEMOND DIRECTOR OF NURSING 37.50 X 130499 0 6311 314518 0 29489 2 0 1 0 HCP AGENCY 555 BROAD HALLOW RD MELVILLE NY 11747 NURSING SERVICES 701360 O'CONNOR DAVIES 500 MAMARONECK AVENUE HARRISON NY 10528 ACCOUNTING 233452 SECURITAS SECURITY SERVICES 111 LIVINGSTON STREET BROOKLYN NY 11201 SECURITY GUARDS 211744 HORIZON HEALTHCARE STAFFING 20 JERUSALEM AVENUE 3RD FLOOR HICKSVILLE NY 11801 NURSING SERVICES 132174 4 65491 65491 MEDICAID REVENUE 623000 11142983 11142983 MEDICARE REVENUE 623000 1407570 1407570 PRIVATE PAY 623000 542396 542396 13092949 5724 5724 REIMBURSEMENTS 900099 348541 348541 INSURANCE REFUND 900099 3144 3144 MISCELLANEOUS 900099 838 838 352523 13516687 13092949 0 358247 X 223177 199329 23848 55900 55900 4506544 4043387 463157 236983 211660 25323 1181320 1055089 126231 585502 522937 62565 266364 266364 89222 89222 1926897 1755496 171401 8232 8232 235146 171380 63766 714216 624060 90156 4001 3011 990 932921 883387 49534 1069369 1018682 50687 567009 567009 BAD DEBT EXPENSE 1014660 1014660 NYS CASH RECEIPTS ASSES 646704 646704 FOOD 302166 302166 MEDICAL SUPPLIES 224224 224224 683845 471299 212546 15474402 13770380 1704022 0 1130232 565442 577101 403939 2089785 2526767 25850 25850 155974 146732 25829118 18063418 7970693 7765700 6552683 3299806 18502318 14734236 3355897 4076595 15678509 15113684 113290 112945 170117 8729137 6933359 28046950 26236583 X -9544632 -11502347 -9544632 -11502347 18502318 14734236 -1957715 0 X X 0 1 X 1 1 1 X 48370 24450 26140 13050 65491 177501 15131050 14449854 16212700 14705827 13092949 73592380 15179420 14474304 16238840 14718877 13158440 73769881 0 0 0 73769881 8110 6141 5988 9673 5724 35636 8110 6141 5988 9673 5724 35636 17190 123273 150532 271571 352523 915089 15204720 14603718 16395360 15000121 13516687 74720606 0.98730 0.98980 0.00050 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. MISCELLANEOUS - 2010 AMOUNT: $ 17,190. 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 745000 745000 21692332 14780595 6911737 3391786 3282823 108963 7765700 ASSETS LIMITED AS TO USE - OPERATING ESCROW FUND 71 DEFERRED REFINANCING FEES 1144193 ASSETS LIMITED AS TO USE - RESERVE FUND FOR REPLACEMENTS 251499 ASSETS LIMITED AS TO USE - OTHER HUD REQUIRED ESCROW ACCOUNTS 95494 SECURITY DEPOSITS 42820 DUE TO THIRD PARTY PAYORS 78723 ASSETS LIMITED AS TO USE - BOARD DESIGNATED DEBT SERVICE FUNDS 10435 INSURANCE RECOVERY RECEIVABLE 1676571 3299806 DUE TO THIRD PARTY PAYORS 5186000 ACCRUED INTEREST 70788 INSURANCE GROSS UP LIABILITY 1676571 6933359 X 13516687 0 13516687 0 13516687 15474402 0 15474402 0 15474402 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, 2011. X X X 0 0 0 0 0 0 0 0 0 LILLIE BRYANT-HOBBS EXECUTIVE DIRECTOR 184019 0 0 0 0 0 15080 0 8098 0 207197 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 55900 CONSULTANT HIRED TO PERFORM SOME OF THE DUTIES OF THE MAINTENANCE DIRECTOR. 0 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 VIA REGULAR MAIL. THE BOARD WILL MAIL ANY QUESTIONS UPON REVIEW OF THE FORM 990 TO THE PREPARER FOR CLARIFICATION. THE BOARD WILL RECEIVE IN THE MAIL THE PREPARER'S ANSWERS AND REVIEW THE ANSWERS AT THE NEXT BOARD MEETING. THE MEETING IS DOCUMENTED IN THE BOARD MINUTES AS WELL AS ANY QUESTION THAT MAY ARISE. 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 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 72,609. MANAGEMENT AND GENERAL EXPENSES 171,401. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 244,010. OCCUPATIONAL & PHYSICAL THERAPISTS: PROGRAM SERVICE EXPENSES 248,426. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 248,426. DIETICIAN: PROGRAM SERVICE EXPENSES 74,266. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,266. RESPIRATORY THERAPY: PROGRAM SERVICE EXPENSES 342,859. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 342,859. LPN & RN AGENCY: PROGRAM SERVICE EXPENSES 598,553. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 598,553. SECURITY: PROGRAM SERVICE EXPENSES 253,910. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 253,910. RADIOLOGY: PROGRAM SERVICE EXPENSES 10,562. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,562. SOCIAL SERVICES: PROGRAM SERVICE EXPENSES 109,202. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 109,202. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 45,109. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,109. 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.