2014-11-17T18:06:07-06:00 2013-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2013-01-01 112290533 CONCORD NURSING HOME INC CONC 7186367500 300 MADISON STREET BROOKLYN NY 11216 LILLIE BRYANT-HOBBS EXECUTIVE DIRECTOR 7186367500 2014-11-17 1 GARRETT M HIGGINS P00543209 9143818900 2014-11-17 2013 2015-11-30 17:44:51Z CONCORD NURSING AND REHABILITATION CENTER INC LILLIE BRYANT-HOBBS 300 MADISON STREET BROOKLYN NY 11216 15000121 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. 5 5 142 10 0 0 26140 13050 16212700 14705827 5988 9673 150532 271571 16395360 15000121 0 0 0 0 7464096 7760391 0 0 0 8893199 8366434 16357295 16126825 38065 -1126704 17984943 18502318 26402871 28046950 -8417928 -9544632 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 13077125 11173156 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 41,407 PATIENT DAYS OF MEDICAL CARE TO OVER 271 PATIENTS IN ITS SKILLED NURSING PROGRAM. THE CENTER HAD 163 ADMISSIONS AND 165 DISCHARGES DURING 2013. 1173627 3532671 VENTILATOR ASSISTANCE AND RESPIRATORY THERAPY SERVICES: CONCORD PROVIDES A FULL SERVICES 24 HOUR UNIT FOR THOSE RESIDENTS THAT REQUIRE VENTILATOR ASSISTANCE TO BREATH DUE TO RESPIRATORY FAILURE. THE CENTER WAS ABLE TO RENDER APPROXIMATELY 4,808 PATIENT DAYS OF MEDICAL CARE TO OVER 67 PATIENTS IN ITS VENTILATOR NURSING PROGRAM. THE CENTER HAD 50 ADMISSIONS AND 50 DISCHARGES DURING 2013. 14250752 1 1 0 1 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 52 0 142 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 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 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 36.30 X 191074 0 10236 DOMINIQUE ESTINVILLE RESPIRATORY THERAPIST 36.30 X 119256 0 11806 DENISE ROSEMOND DIRECTOR OF NURSING 36.30 X 133499 0 6868 REIMA CELOSO NURSE MANAGER 36.30 X 105724 0 0 MICHAEL DOBBINS ASST. ADMINISTRATOR 36.30 X 106376 0 7787 655929 0 36697 5 0 1 0 HCP AGENCY 555 BROAD HALLOW RD MELVILLE NY 11747 NURSING SERVICES 883260 DANKNER MILSTEIN & RUFFO PC 595 MADISON AVE SUITE 301 NEW YORK NY 10022 LEGAL SERVICES 274909 O'CONNOR DAVIES 500 MAMARONECK AVENUE HARRISON NY 10528 ACCOUNTING 258830 HORIZON HEALTHCARE STAFFING 20 JERUSALEM AVENUE 3RD FLOOR HICKSVILLE NY 11801 NURSING SERVICES 241465 SECURITAS SECURITY SERVICES 111 LIVINGSTON STREET BROOKLYN NY 11201 SECURITY GUARDS 221718 7 13050 13050 MEDICAID REVENUE 623000 12592835 12592835 MEDICARE REVENUE 623000 1737342 1737342 PRIVATE PAY 623000 375650 375650 14705827 9673 9673 REIMBURSEMENTS 900099 271571 271571 271571 15000121 14705827 0 281244 201310 201310 5284647 4646478 638169 282671 246798 35873 1053090 919446 133644 938673 819549 119124 124458 124458 123775 123775 52224 52224 1514213 1390786 123427 11405 11405 700478 681927 18551 719347 621177 98170 9089 7237 1852 921223 869532 51691 1081242 1029698 51544 213773 213773 NYS CASH RECEIPTS ASSES 1002658 1002658 PURCHASED AND CONTRACTE 793205 743437 49768 BAD DEBT EXPENSE 600000 600000 MEDICATIONS 153585 153585 345759 304671 41088 16126825 14250752 1876073 0 391461 1130232 326039 577101 1885423 2089785 25850 25850 92369 155974 25047074 17076381 8804280 7970693 6459521 6552683 17984943 18502318 4709230 3355897 16262238 15678509 156850 113290 170117 5274553 8729137 26402871 28046950 X -8417928 -9544632 -8417928 -9544632 17984943 18502318 -1126704 0 X X 0 1 X 1 1 1 X 4025 48370 24450 26140 13050 116035 16438066 15131050 14449854 16212700 14705827 76937497 16442091 15179420 14474304 16238840 14718877 77053532 0 0 0 77053532 9342 8110 6141 5988 9673 39254 9342 8110 6141 5988 9673 39254 193220 17190 123273 150532 271571 755786 16644653 15204720 14603718 16395360 15000121 77848572 0.98980 0.98850 0.00050 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 52224 52224 0 PART II-B, LINE 1: COSTS ARE INCURRED AS PART OF DUES PAID TO NURSING HOME INDUSTRY ORGANIZATIONS. 0 1 X 745000 745000 20741697 13762728 6978969 63431 63431 0 3387936 3250222 137714 109010 109010 7970693 ASSETS LIMITED AS TO USE - OPERATING ESCROW FUND 101 DEFERRED REFINANCING FEES, NET 1226525 ASSESTS LIMITED AS TO USE - RESERVE FUND FOR REPLACEMENTS 575184 ASSESTS LIMITED AS TO USE - OTHER HUD REQUIRED ESCROW ACCOUNTS 253437 SECURITY DEPOSITS 42820 DUE TO THIRD PARTY PAYORS 528682 ASSETS LIMITED AS TO USE - BOARD DESIGNATED DEBT SERVICE FUNDS 4250 INSURANCE RECOVERY RECEIVABLE 3921684 6552683 DUE TO THIRD PARTY PAYORS 4731069 ACCRUED INTEREST 76384 INSURANCE GROSS UP LIABILITY 3921684 8729137 X 15000121 0 15000121 0 15000121 16126825 0 16126825 0 16126825 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 IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 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 191074 0 0 0 0 0 1580 0 8656 0 201310 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 67500 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 15 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 KEY EMPLOYEES. THE HUMAN RESOURCE COMMITTEE THEN INVESTIGATES SURROUNDING AREA NURSING HOME SALARIES FOR SUCH KEY 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 18 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE TO THE PUBLIC DURING REGULAR BUSINESS HOURS AT 300 MADISON STREET, BROOKLYN, NY 11216. THE ORGANIZATION 990 IS ALSO AVAILABLE TO THE PUBLIC ON GUIDESTAR WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 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 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.