RUTLAND NURSING HOME INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- RUTLAND NURSING HOME INC (EIN 11-2164674)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201543179349302934
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T09:49:18-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1185 AVENUE OF THE AMERICAS | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100362602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112164674 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RUTLAND NURSING HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RUTL | BusinessNameControlTxt |
| Phone | 7186045532 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 SCHENECTADY AVENUE | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11203 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN SCHMITT | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7186045532 | PhoneNum |
| Signature | 2015-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEVEN LAPSKER | PreparerPersonNm |
| PTIN | P00850484 | PTIN |
| Phone | 2123721000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LINDA BRADY MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 SCHENECTADY AVENUE | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $64,344,428 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KINGSBROOK.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION IS TO PARTNER WITH OUR CULTURALLY DIVERSE COMMUNITIES TO PROVIDE A CONTINUUM OF OUTSTANDING HEALTH CARE SERVICES TO INDIVIDUALS AND FAMILIES THROUGH A CARING AND TRUSTWORTHY STAFF. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 71 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,848,788 | PYContributionsGrantsAmt |
| CY Contributions Grants | $482,975 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $77,036,654 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $63,756,790 | CYProgramServiceRevenueAmt |
| PY Investment Income | $139,563 | PYInvestmentIncomeAmt |
| CY Investment Income | $104,663 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $79,025,005 | PYTotalRevenueAmt |
| CY Total Revenue | $64,344,428 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $49,209,914 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $50,052,449 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $31,976,166 | PYOtherExpensesAmt |
| CY Other Expenses | $31,793,382 | CYOtherExpensesAmt |
| PY Total Expenses | $81,186,080 | PYTotalExpensesAmt |
| CY Total Expenses | $81,845,831 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,161,075 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$17,501,403 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,044,939 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,905,092 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $75,259,616 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $88,621,172 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$50,214,677 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$67,716,080 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION IS TO PARTNER WITH OUR CULTURALLY DIVERSE COMMUNITIES TO PROVIDE A CONTINUUM OF OUTSTANDING HEALTH CARE SERVICES TO INDIVIDUALS AND FAMILIES THROUGH A CARING AND TRUSTWORTHY STAFF. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $70,434,761 | ExpenseAmt |
| Revenue | $63,756,790 | RevenueAmt |
| Desc | RUTLAND NURSING HOME, LOCATED ON THE CAMPUS OF KINGSBROOK JEWISH MEDICAL CENTER, IS A 466-BED, LONG AND SHORT-TERM CARE FACILITY OFFERING SKILLED NURSING, PHYSICAL REHABILITATION, COMPREHENSIVE WOUND CARE, A SPECIALTY UNIT FOR VENTILATOR DEPENDENT RESIDENTS AND AN ARRAY OF OTHER SUB-ACUTE SERVICES. ALL THE RESOURCES OF THE MEDICAL CENTER, INCLUDING GENERAL MEDICAL AND SUB-SPECIALTIES, SURGICAL, ORTHOPEDIC, PSYCHIATRIC AND DENTAL SERVICES, AND THE EMERGENCY ROOM, ARE IMMEDIATELY AVAILABLE TO THE RESIDENTS. NURSING HOME RESIDENTS ARE EASILY TRANSFERRED TO THE ACUTE SERVICES OF THE HOSPITAL IF MEDICAL NECESSITY REQUIRES, AND SUBSEQUENTLY RETURNED TO THE NURSING HOME. RUTLAND NURSING HOME HAS A DEDICATED 32-BED PEDIATRIC LONG-TERM CARE UNIT FOR CHILDREN WITH SEVERE DEVELOPMENTAL AND METABOLIC DISORDERS. THE UNIT IS STAFFED WITH NURSES AND PEDIATRICIANS 24 HOURS A DAY, SEVEN DAYS A WEEK. MEDICAL CARE IN THE RUTLAND NURSING HOME IS COORDINATED BY PHYSICIANS EXPERIENCED AND DEDICATED TO PEDIATRICS AND GERIATRICS. ENCOURAGING THE RESIDENTS TO MAXIMIZE THEIR ABILITY TO LEAD ACTIVE AND FULFILLING LIVES, LICENSED NURSES AND THERAPISTS DELIVER STATE OF THE ART PHYSICAL, OCCUPATIONAL, RECREATIONAL AND SPEECH THERAPIES. TO ENSURE COMPREHENSIVE CARE, DIETICIANS AND SOCIAL WORKERS AUGMENT THE TREATMENT TEAM. | Desc |
| Total Program Service Expenses | $70,434,761 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN SCHMITT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7186045532 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 SCHENECTADY AVENUE | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| EDWARD LIEBERSTEIN | |||||||||
| BOARD CHAIR | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SEEMA GOLDSTEIN | |||||||||
| VICE CHAIR & SECRETARY | 1.50 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LINDA BRADY MD | |||||||||
| PRESIDENT & BOARD DIRECTOR | 12.00 | 36.50 | Yes (X) | Yes (X) | $0 | $888,644 | $67,642 | ||
| HENNA WHITE | |||||||||
| BOARD DIRECTOR | 3.00 | 5.50 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT REISS | |||||||||
| TREASURER | 1.50 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| VALERIE BYNOE-KASDEN ESQ | |||||||||
| BOARD DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| VICTOR AYALA PHD | |||||||||
| BOARD DIRECTOR | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN SCHMITT CPA | |||||||||
| ASSISTANT TREASURER & CFO | 12.00 | 36.50 | Yes (X) | $0 | $364,468 | $67,642 | |||
| MICHAEL MCDERMOTT THRU 52014 | |||||||||
| ASS'T SECRETARY & GENERAL COUNSEL | 12.00 | 36.50 | Yes (X) | $0 | $107,005 | $27,578 | |||
| HAROLD MCDONALD THRU 42014 | |||||||||
| SVP | 12.00 | 35.00 | Yes (X) | $0 | $155,140 | $941 | |||
| MICHELLE EDWARDS | |||||||||
| ADMINISTRATOR | 40.00 | $0 | $207,030 | $55,505 | Yes (X) | ||||
| JOVILIA ATIENZA | |||||||||
| NURSE | 40.00 | $0 | $127,155 | $24,946 | Yes (X) | ||||
| FRITZIE PASCAL | |||||||||
| NURSE | 40.00 | $0 | $125,783 | $25,082 | Yes (X) | ||||
| JACQUELINE LAGUERRE | |||||||||
| NURSE | 40.00 | $0 | $121,858 | $25,966 | Yes (X) | ||||
| ESTER ILLASTRON | |||||||||
| NURSE | 40.00 | $0 | $120,387 | $24,163 | Yes (X) | ||||
| JEAN LACKAN | |||||||||
| NURSING COORDINATOR | 40.00 | $0 | $119,545 | $34,303 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,337,015 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $353,768 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EXCLUSIVE AMBULETTE SVC INC | |||||
| PO BOX 476 | LAWRENCE | NY | 11559 | PATIENT TRANSPORTATION | $338,225 |
| ROBIN BUS CO INC | |||||
| 2302 NEPTUNE AVENUE | BROOKLYN | NY | 11224 | PATIENT TRANSPORTATION | $194,345 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $482,975 | GovernmentGrantsAmt |
| Total Contributions | $482,975 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 623000 | $62,181,065 | $62,181,065 |
| MEDICARE DRUG BILLING | 524114 | $1,575,725 | $1,575,725 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $63,756,790 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $104,663 | TotalRevenueColumnAmt |
| Exclusion | $104,663 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $64,344,428 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,756,790 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $104,663 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,532 | TotalAmt |
| Program Services | $223,988 | ProgramServicesAmt |
| Management And General | $30,544 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,353,068 | TotalAmt |
| Program Services | $31,110,700 | ProgramServicesAmt |
| Management And General | $4,242,368 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,442,617 | TotalAmt |
| Program Services | $3,029,503 | ProgramServicesAmt |
| Management And General | $413,114 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,277,949 | TotalAmt |
| Program Services | $7,284,595 | ProgramServicesAmt |
| Management And General | $993,354 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,724,283 | TotalAmt |
| Program Services | $2,397,369 | ProgramServicesAmt |
| Management And General | $326,914 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,863,115 | TotalAmt |
| Program Services | $1,429,009 | ProgramServicesAmt |
| Management And General | $434,106 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$23,764 | TotalAmt |
| Management And General | -$23,764 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,958,125 | TotalAmt |
| Program Services | $6,085,655 | ProgramServicesAmt |
| Management And General | $1,872,470 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,262,216 | TotalAmt |
| Program Services | $1,735,120 | ProgramServicesAmt |
| Management And General | $527,096 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,144,922 | TotalAmt |
| Program Services | $1,645,155 | ProgramServicesAmt |
| Management And General | $499,767 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,689 | TotalAmt |
| Program Services | $58,820 | ProgramServicesAmt |
| Management And General | $17,869 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $630,993 | TotalAmt |
| Program Services | $483,972 | ProgramServicesAmt |
| Management And General | $147,021 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,347 | TotalAmt |
| Program Services | $306,299 | ProgramServicesAmt |
| Management And General | $93,048 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL & PHARMACEUTICA | $4,426,736 | $4,426,736 | |
| NY STATE ASSESSMENT | $3,796,738 | $2,912,098 | $884,640 |
| MAINT & REPAIRS | $3,638,962 | $2,791,084 | $847,878 |
| BAD DEBT EXP | $2,499,996 | $2,499,996 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,119,307 | TotalAmt |
| Program Services | $2,014,662 | ProgramServicesAmt |
| Management And General | $104,645 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,845,831 | TotalAmt |
| Program Services | $70,434,761 | ProgramServicesAmt |
| Management And General | $11,411,070 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,412,440 | BOYAmt |
| EOY | $3,016,705 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,669 | BOYAmt |
| EOY | $252,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,227,755 | BOYAmt |
| EOY | $8,418,991 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $43,260,067 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $34,149,646 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,291,185 | BOYAmt |
| EOY | $9,110,421 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $678,016 | BOYAmt |
| EOY | $106,975 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,180,874 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,044,939 | BOYAmt |
| EOY | $20,905,092 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,070,689 | BOYAmt |
| EOY | $864,540 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,670 | BOYAmt |
| EOY | $252,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,479,802 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,454,455 | BOYAmt |
| EOY | $87,504,632 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,259,616 | BOYAmt |
| EOY | $88,621,172 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$50,214,677 | BOYAmt |
| EOY | -$67,716,080 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$50,214,677 | BOYAmt |
| EOY | -$67,716,080 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,044,939 | BOYAmt |
| EOY | $20,905,092 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$17,501,403 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $557,793 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,641,893 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,848,788 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $482,975 | CurrentTaxYearAmt |
| Total | $4,531,449 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $71,238,182 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $73,386,587 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $68,198,959 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $77,036,654 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $63,756,790 | CurrentTaxYearAmt |
| Total | $353,617,172 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $71,238,182 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $73,944,380 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $69,840,852 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $78,885,442 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $64,239,765 | CurrentTaxYearAmt |
| Total | $358,148,621 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $358,148,621 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $145,757 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $142,789 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $142,919 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $139,563 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $104,663 | CurrentTaxYearAmt |
| Total | $675,691 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $145,757 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $142,789 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $142,919 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $139,563 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $104,663 | CurrentTaxYearAmt |
| Total | $675,691 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $71,383,939 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74,087,169 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $69,983,771 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $79,025,005 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $64,344,428 | CurrentTaxYearAmt |
| Total | $358,824,312 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99810 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99800 | PublicSupportPY509Pct |
| Investment Income CY | 0.00190 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00200 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $825,000 | OtherCostOrOtherBasisAmt |
| Book Value | $825,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,487,625 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,521,562 | DepreciationAmt |
| Book Value | $6,966,063 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,947,442 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,628,084 | DepreciationAmt |
| Book Value | $1,319,358 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,110,421 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO KINGSBROOK JEWISH MEDICAL CENTER | $65,772,932 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $21,637,385 |
| FIN 47 LIABILITY | $94,315 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $87,504,632 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | AS PER NYS DOH REGULATIONS, THE NURSING HOME IS REQUIRED TO ESTABLISH AN IN-HOUSE PATIENT BANKING ACCOUNT FOR THE RESIDENTS TO USE WHILE THEY ARE LIVING AT THE NURSING HOME. THESE FUNDS ARE KEPT IN A SEPARATE CUSTODIAL ACCOUNT AT STERLING BANK. |
| PART X, LINE 2: | THE COMPANY IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"). ADDITIONALLY, THE COMPANY, AS A NONPROFIT ENTITY, IS SUBJECT TO UNRELATED BUSINESS INCOME TAX ("UBIT"), IF APPLICABLE. FOR THE TAX YEARS ENDED DECEMBER 31, 2014 AND 2013, THE COMPANY DID NOT OWE ANY UBIT. MANAGEMENT EVALUATED THE COMPANY'S TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED THAT THE COMPANY HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARDS CODIFICATION ("ASC") 740, ACCOUNTING FOR INCOME TAXES. GENERALLY, THE COMPANY IS SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR FISCAL YEARS ENDED DECEMBER 31, 2011 AND THEREAFTER. PER THE REQUIREMENT TO ASSESS FOR TAX UNCERTAINTY, MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LINDA BRADY MD | ||||||||||||||
| PRESIDENT & BOARD DIRECTOR | $0 | $800,153 | $0 | $0 | $0 | $88,491 | $0 | $24,700 | $0 | $42,942 | $0 | $956,286 | $0 | $0 |
| JOHN SCHMITT CPA | ||||||||||||||
| ASSISTANT TREASURER & CFO | $0 | $341,434 | $0 | $0 | $0 | $23,034 | $0 | $24,700 | $0 | $42,942 | $0 | $432,110 | $0 | $0 |
| HAROLD MCDONALD THRU 42014 | ||||||||||||||
| SVP | $0 | $153,453 | $0 | $0 | $0 | $1,687 | $0 | $0 | $0 | $941 | $0 | $156,081 | $0 | $0 |
| MICHELLE EDWARDS | ||||||||||||||
| ADMINISTRATOR | $0 | $205,343 | $0 | $0 | $0 | $1,687 | $0 | $20,268 | $0 | $35,237 | $0 | $262,535 | $0 | $0 |
| JOVILIA ATIENZA | ||||||||||||||
| NURSE | $0 | $127,155 | $0 | $0 | $0 | $0 | $0 | $9,100 | $0 | $15,846 | $0 | $152,101 | $0 | $0 |
| FRITZIE PASCAL | ||||||||||||||
| NURSE | $0 | $125,783 | $0 | $0 | $0 | $0 | $0 | $9,100 | $0 | $15,982 | $0 | $150,865 | $0 | $0 |
| JEAN LACKAN | ||||||||||||||
| NURSING COORDINATOR | $0 | $119,545 | $0 | $0 | $0 | $0 | $0 | $12,840 | $0 | $21,463 | $0 | $153,848 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OF THE ORGANIZATION: KINGSBROOK HEALTHCARE SYSTEM ("KHS") IS THE SOLE MEMBER OF RUTLAND NURSING HOME INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | ELECTION & DECISIONS OF THE GOVERNING BODY: KHS IS THE SOLE MEMBER OF RUTLAND NURSING HOME, INC., AND IT HAS RESERVED POWERS THAT ARE DELINEATED IN THE BYLAWS OF RUTLAND NURSING HOME INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | ELECTION & DECISIONS OF THE GOVERNING BODY: KHS IS THE SOLE MEMBER OF RUTLAND NURSING HOME, INC., AND IT HAS RESERVED POWERS THAT ARE DELINEATED IN THE BYLAWS OF RUTLAND NURSING HOME INC. |
| FORM 990, PART VI, SECTION B, LINE 11 | REVIEW PROCESS FOR FORM 990: THE CFO HAS CONDUCTED A DETAILED REVIEW OF THE 990 WITH THE HOSPITAL'S TAX ACCOUNTANT AND ALL APPROPRIATE CHANGES HAVE BEEN MADE. THE 990 IS THEN REVIEWED WITH THE CEO FOR ANY ADDITIONAL COMMENTARY, OBSERVATIONS, OR RECOMMENDATIONS. THE 990 IS THEN REVIEWED WITH THE AUDIT CHAIR AND THEN PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW FOR ANY ADDITIONAL COMMENTARY, OBSERVATIONS, OR RECOMMENDATIONS. ONCE COMPLETED AND FILED, FORM 990 IS MADE AVAILABLE TO THE FULL BOARD BY THE CHAIRMAN OF THE AUDIT AND COMPLIANCE COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 12 | CONFLICT OF INTEREST POLICY: RUTLAND NURSING HOME, INC FOLLOWS KINGSBROOK JEWISH MEDICAL CENTER'S CONFLICT OT INTEREST POLICY. AT KINGSBROOK JEWISH MEDICAL CENTER, ALL CONFLICTS OF INTEREST ARE REVIEWED BY THE COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS INVOLVING BOARD MEMBERS ARE REFERRED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND/OR ACTION, AS NECESSARY. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION POLICY AND REVIEW PROCESS: RUTLAND NURSING HOME, INC. DID NOT PAY COMPENSATION DIRECTLY FOR ITS EMPLOYEES. THE COMPENSATION AND BENEFITS ARE PAID THROUGH KINGSBROOK JEWISH MEDICAL CENTER'S PAYROLL SYSTEM AND ARE RECORDED ON THE FORM 941 FILED BY KINGSBROOK JEWISH MEDICAL CENTER UNDER THE EMPLOYER INDENTIFICATION NUMBER 11-1631759. THE COMPENSATION OF EXECUTIVE OFFICERS IS REVIEWED ANNUALLY BY KINGSBROOK JEWISH MEDICAL CENTER (KJMC). FOLLOWING BELOW PROCESS: CONSISTENT WITH BEST PRACTICES IN GOVERNANCE AND FIDUCIARY OVERSIGHT OF TAX EXEMPT FUNDS, KINGSBROOK JEWISH MEDICAL CENTER (KJMC) HAS INSTITUTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER. THE COMPENSATION COMMITTEE IS AUTHORIZED BY THE BOARD TO DEVELOP AND RECOMMEND FOR BOARD APPROVAL THE COMPENSATION OF THE PRESIDENT AND CEO AND MEMBERS OF SENIOR MANAGEMENT (SENIOR VICE PRESIDENTS, VICE PRESIDENTS AND ASSISTANT VICE PRESIDENTS). ONLY INDEPENDENT MEMBERS OF THE BOARD SHALL PARTICIPATE IN COMPENSATION DELIBERATIONS AND DECISIONS (I.E., EMPLOYEES, MEMBERS OF THE MEDICAL STAFF AND CONSULTANTS ARE NOT DEEMED INDEPENDENT FOR THESE PURPOSES). ALL EXECUTIVE COMPENSATION DECISIONS ARE BASED ON COMPETITIVE MARKET DATA, ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE RESULTS, AND ALIGNMENT WITH KJMC'S EXECUTIVE COMPENSATION PHILOSOPHY. THE BOARD'S COMPENSATION COMMITTEE REVIEWS AND APPROVES ALL EXECUTIVE COMPENSATION TO ENDURE LEGAL AND REGULATORY COMPLIANCE AND ADHERENCE TO GOVERNANCE BEST PRACTICES AND PROPER FIDUCIARY OVERSIGHT AS STEWARDS OF TAX EXEMPT ASSETS. THE EXECUTIVE COMPENSATION PHILOSOPHY STATES ITS INTENT IS TO MAINTAIN A COMPETITIVE EXECUTIVE COMPENSATION PROGRAM IN ORDER TO ATTRACT, RETAIN AND MOTIVATE QUALIFIED EMPLOYEES TO SUPPORT THE MISSION AND BUSINESS GOALS OF KJMC. THE COMPENSATION COMMITTEE RETAINS OUTSIDE LEGAL COUNSEL WHO REVIEWS COMPLIANCE WITH TAX AND REGULATORY REQUIREMENTS AS WELL AS THE SERVICES OF AN INDEPENDENT QUALIFIED COMPENSATION CONSULTANT WHO COMPILES AND ANALYZES PUBLISHED SURVEY - DATA FOR BASE SALARIES AND TOTAL COMPENSATION PROVIDED BY TAX EXEMPT HOSPITALS AND MEDICAL CENTERS SIMILAR TO KJMC IN SIZE, OPERATIONS AND LOCATION. THE COMMITTEE'S REVIEW OF COMPENSATION OCCURS ANNUALLY SUCH THAT EXECUTIVE COMPENSATION AND BENEFITS CONTINUE TO BE COMPETITIVE AND REASONABLE BY FOLLOWING THE PRECEDING GOVERNANCE AND FIDUCIARY PRACTICES, THE COMMITTEE QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF THE INTERNAL REVENUE CODE SUCH THAT THE TOTAL COMPENSATION PROVIDED TO THE EXECUTIVES IS COMPARED TO WHAT IS "ORDINARILY PAID FOR LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES," AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS. BASE PAY FOR EACH EXECUTIVE IS BASED ON FACTORS INCLUDING MARKET DATA, TENURE, EXPERIENCE, AND INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. EXECUTIVE BASE PAY IS REVIEWED AND SET ANNUALLY BY THE INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE OF THE INDEPENDENT DIRECTORS OF KINGSBROOK JEWISH MEDICAL CENTER (KJMC), BASED ON THE EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER. AS DESCRIBED IN KJMC'S EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER, KJMC SUPPORTS PERFORMANCE BASED COMPENSATION AND THEREFORE HAS IMPLEMENTED AN ANNUAL INCENTIVE PAY PROGRAM (EXECUTIVE MANAGEMENT ANNUAL INCENTIVE PLAN) FOR THE EXECUTIVES, WHICH IS CURRENTLY SUSPENDED, AND A LONG-TERM INCENTIVE PAY PROGRAM (ANNUALIZED STRATEGIC PERFORMANCE INCENTIVE) FOR THE PRESIDENT AND CEO. THE ANNUAL AND LONG-TERM INCENTIVE PAY PROGRAMS ARE DESIGNED TO SUPPORT THE ATTAINMENT OF ANNUAL AND STRATEGIC PERFORMANCE OBJECTIVES AND REFLECT A COMBINATION OF FORMULAIC WEIGHTINGS PROVIDING FOR THRESHOLD, TARGET AND MAXIMUM BONUS LEVELS AND DISCRETIONARY JUDGMENT AS DETERMINED BY THE COMPENSATION COMMITTEE. THE PERFORMANCE MEASURES ARE SET PRIOR TO THE BEGINNING OF EACH PLAN YEAR AND PLAN PAYMENTS ARE DETERMINED BASED ON AUDITED FINANCIAL RESULTS AND OTHER MEASURES. THE PROCESS USED FOR DETERMINING THE COMPENSATION OF THE CEO ALSO APPLIES TO MEMBERS OF THE EXECUTIVE STAFF, DEPARTMENT CHAIRS AND OTHER HIGHLY COMPENSATED STAFF EXCEPT THAT THE PRESIDENT AND CEO MAKES COMPENSATION RECOMMENDATIONS TO THE COMPENSATION SUBCOMMITTEE FOR THOSE EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION: UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. |
| FORM 990, PART VI, LINE 13 | WHISTLEBLOWER POLICY: KINGSBROOK JEWISH MEDICAL CENTER HAS A WRITTEN WHISTLEBLOWER POLICY WHICH APPLIES TO THE ACTIVITIES OF RUTLAND NURSING HOME INC. |
| FORM 990, PART VI, LINE 14 | DOCUMENT RETENTION POLICY: KINGSBROOK JEWISH MEDICAL CENTER'S DOCUMENT RETENTION AND DESTRUCTION POLICY APPLIES TO ALL BOOKS AND RECORDS HELD BY RUTLAND NURSING HOME INC. |
| FORM 990, PART VII, LINE 2 | RUTLAND NURSING HOME, INC. DOES NOT DIRECTLY PAY ITS EMPLOYEES. THE COMPENSATION AND BENEFITS ARE ALLOCATED FROM KINGSBROOK JEWISH MEDICAL CENTER. THE COMPENSATION AND BENEFITS ARE RECORDED ON FORM 941 FILED BY KINGSBROOK JEWISH MEDICAL CENTER UNDER EMPLOYER IDENTIFICATION NUMBER 11-1631759. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| KINGSBROOK JEWISH MEDICAL CENTER (KJMC) | |||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 111631759 | HOSPITAL | NY | 501(C)(3) | LINE 3 | KHS | 0 | |
| KINGSBROOK JEWISH MEDICAL CENTER AUXILIARIES | |||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 113016121 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | KJMC | 0 | |
| KINGSBROOK HEALTHCARE SYSTEM INC (KHS) | |||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 030464734 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| KINGSBROOK HEALTHCARE FOUNDATION INC | |||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 112845058 | SUPPORT ORG | NY | 501(C)(3) | LINE 11A, I | KHS | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| KSI INC | |||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 562327654 | INACTIVE | NY | N/A | C | 0 |
| SINGULAB INC | |||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 562327669 | INACTIVE | DE | N/A | C | 0 |
| ATM NURSE REGISTRY | |||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 562327649 | INACTIVE | NY | N/A | 0 | |
| KINGSBROOK LTACH INC | |||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 800712226 | INACTIVE | NY | N/A | C | 0 |
| KINGSBROOK MEDICAL ASSOCIATES PC | |||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 452351859 | BILLING & COLLECTION | NY | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |