2014-10-14T09:56:20-05:00 2013-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2013-01-01 112284472 CABS NURSING HOME COMPANY INC CABS 7186380500 270 NOSTRAND AVENUE BROOKLYN NY 11205 DAVID WIEDER ADMINISTRATOR/EXEC VP 7186380500 2014-10-08 1 ISRAEL TANNENBAUM P01589203 2128674000 2013 2015-11-30 17:44:51Z DAVID WIEDER 270 NOSTRAND AVENUE BROOKLYN NY 11205 13470178 0 X NONE X 1972 NY NURSING HOME RENDERS IN-HOUSE NURSING CARE AND OUT-PATIENT SERVICES FOR AMBULATORY PATIENTS. 6 4 128 4 0 0 0 0 15184389 13289954 106467 83456 99035 96768 15389891 13470178 0 0 0 0 6489943 6450583 0 0 0 10294924 9463497 16784867 15914080 -1394976 -2443902 11276506 8758266 4148854 4166093 7127652 4592173 NURSING HOME RENDERS IN-HOUSE NURSING CARE AND OUT-PATIENT SERVICES FOR AMBULATORY PATIENTS. 0 0 11979234 11628017 SKILLED NURSING - THE HOME PROVIDED 53,752 DAYS OF SKILLED NURSING CARE TO RESIDENTS. 2173937 1661937 LONG-TERM HOME HEALTH CARE PROGRAM - IN 2008 THE HOME OPENED A LONG-TERM HOME HEALTH CARE PROGRAM. THE PROGRAM SERVICED 100 CLIENTS IN 2013. 14153171 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 13 0 128 1 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 NY X HARRY W ALFORD 7186380500 270 NOSTRAND AVENUE BROOKLYN NY 11205 WILLIAM ANDREWS DIRECTOR 10.00 X 0 0 0 JOSE MUNIZ DIRECTOR 10.00 X 0 0 0 SAMUEL DUNSTON DIRECTOR 10.00 X 0 0 0 LUCY VAZQUEZ DIRECTOR 10.00 X X 0 0 0 ADOLFO ALAYON PRESIDENT 35.00 X X 145660 0 10623 WILLIAM PERNISEK DIRECTOR OF PROGRAM DEVELO 35.00 X X 132791 0 29090 DAVID WIEDER ADMINISTRATOR/EXEC VICE PR 36.30 X 181698 0 32594 HARRY W ALFORD CONTROLLER 36.30 X 113686 0 27769 BASIL ALFOR DOUGLAS DIRECTOR OF NURSING SERVIC 36.30 X 108282 0 27334 AFEENA ALI ASST DIR OF NURSING SERV 35.00 X 106539 0 14793 788656 0 142203 6 0 1 0 MORRISON SENIOR DINING PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 1861430 REHAB WORKSSYMPHONYVTA PO BOX 99341 CHICAGO IL 60693 THERAPY 876521 MORRISON MANAGEMENT PO BOX 102289 ATLANTA GA 30368 HOUSEKEEPING / LINEN 753839 STAFF BLUE 1418 65TH ST BROOKLYN NY 11209 PROFESSIONAL MEDICAL STAFFING 430815 HEATHCARE STAT 256-10 UNION TPKE FLORAL PARK NY 11004 PROFESSIONAL MEDICAL STAFFING 198376 8 REVENUE FROM RESIDENTS 623000 11628017 11628017 LONG-TERM HOME HEALTH CARE PROGRA 623000 1661937 1661937 13289954 83456 83456 21684 0 21684 21684 21684 ADMINISTRATIVE CHARGES 561000 68839 68839 VENDING MACHINES 722210 4328 4328 MISCELLANEOUS 900099 1611 1611 306 306 75084 13470178 13289954 0 180224 X 673911 555977 117934 3991508 3281693 709815 310857 258892 51965 1124581 941566 183015 349726 285005 64721 78386 78386 71531 71531 730 730 2682446 2572363 110083 739074 715692 23382 10211 10211 544569 517341 27228 2142 2142 337290 320426 16864 273440 273440 CONTRACTED SERVICES 4083707 4083707 NYS ASSESSMENT 607426 607426 DOH FEES 32545 32545 15914080 14153171 1760909 0 2436 2126 5081146 3361099 3324686 2401417 52899 55946 213373 171914 12756362 10129562 2490229 2626800 78964 107978 32773 30986 11276506 8758266 2355835 2193520 1150914 855914 5550 636555 1116659 4148854 4166093 X 7127652 4592173 7127652 4592173 11276506 8758266 X -2443902 -40170 -51407 X X 0 1 X 1 0 X 135142 274398 409540 14031049 14873054 15677587 15184389 13289954 73056033 14166191 15147452 15677587 15184389 13289954 73465573 0 0 0 73465573 218298 173793 142250 127267 105140 766748 218298 173793 142250 127267 105140 766748 92977 104605 92820 78235 75084 443721 14477466 15425850 15912657 15389891 13470178 74676042 0.98380 0.98060 0.01030 0.01330 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME VENDING MACHINES MISCELLANEOUS SALES OF MEAL TICKETS ADMINISTRATIVE CHARGES 0 0 0 0 0 0 0 0 1 730 730 0 PART II-B, LINE 1: PORTION OF MEMBERSHIP DUES ASSOCIATED WITH LOBBYING ACTIVITIES 55106 55106 10217515 7961512 2256003 104655 52081 52574 2025095 1798698 226397 353991 317271 36720 2626800 RESIDENT FUNDS HELD IN TRUST 242209 DUE TO THIRD PARTIES 759575 ELLERY DEVELOPMENT FUNDS HELD IN TRUST 14875 DEPOSITS PAYABLE 100000 1116659 X 13378601 -40170 -51407 -91577 13470178 0 13470178 15914080 0 15914080 0 15914080 PART X, LINE 2: THE HOME HAS ADOPTED THE PROVISION PERTAINING TO UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2010 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON ABANDONMENT OF PROJECT -51,407. X X 0 0 0 0 0 0 0 0 0 ADOLFO ALAYON PRESIDENT 145660 0 0 0 0 0 10435 0 188 0 156283 0 0 0 WILLIAM PERNISEK DIRECTOR OF PROGRAM DEVELO 132791 0 0 0 0 0 9513 0 19577 0 161881 0 0 0 DAVID WIEDER ADMINISTRATOR/EXEC VICE PR 181698 0 0 0 0 0 13017 0 19577 0 214292 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE COMMITTEES REPORT TO THE BOARD OF DIRECTORS. THE BOARD THEN VOTES ON EACH ISSUE. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS SUBMITTED TO THE PRESIDENT OF THE BOARD FOR REVIEW PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. ANY CHANGES ARE COMMUNICATED TO THE OFFICERS AND DIRECTORS. EACH OFFICER AND DIRECTOR IS REQUIRED TO ACKNOWLEDGE IN WRITING THAT HE OR SHE REVIEWED THE CONFLICT OF INTEREST POLICY. EACH YEAR THE DISCLOSURE FORM MUST BE FILLED OUT TO IDENTIFY ANY RELATIONSHIP THAT COULD POTENTIALLY CREATE A CONFLICT OF INTEREST. ANY MEMBER HAVING A CONFLICT OF INTEREST CANNOT PARTICIPATE IN THE BOARD'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. ADDITIONALLY, SUCH A PERSON CANNOT BE COUNTED FOR PURPOSES OF THE VOTE. THIS PERSON MAY NOT VOTE ON THE CONTRACT OR TRANSACTION AND CANNOT BE PRESENT IN THE ROOM WHERE THE VOTE IS TAKING PLACE. INELIGIBILTY TO VOTE SHOULD BE REFLECTED IN THE MINUTES OF THE MEETING. IF THE MEMBER FAILS TO DISCLOSE POSSIBLE CONFLICTS OF INTEREST, IT CAN RESULT IN THE BOARD TAKING DISCIPLINARY ACTION. FORM 990, PART VI, SECTION C, LINE 19 OUR 990 FORM, GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT OUR OFFICE. FORM 990, PART IX, LINE 11G DENTAL: PROGRAM SERVICE EXPENSES 30,600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,600. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 468,837. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 468,837. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 385,748. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 385,748. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 57,651. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,651. MANAGEMENT CONSULTANT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 72,835. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,835. DATA PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 33,323. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,323. APPRAISING SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,925. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,925. NURSING: PROGRAM SERVICE EXPENSES 145,562. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 145,562. PERSONAL AIDS: PROGRAM SERVICE EXPENSES 1,177,553. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,177,553. BILLING: PROGRAM SERVICE EXPENSES 96,510. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,510. SOCIAL WORKER: PROGRAM SERVICE EXPENSES 17,784. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,784. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 90,065. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,065. PHARMACIST: PROGRAM SERVICE EXPENSES 15,120. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,120. NUTRITION: PROGRAM SERVICE EXPENSES 12,532. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,532. OTHER: PROGRAM SERVICE EXPENSES 74,401. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,401. FORM 990, PART XI, LINE 9: LOSS ON ABANDONEMENT -51,407. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. ELLERY COURT SENIOR HOUSING DEVELOPMENT CORPORATION 545 BROADWAY BROOKLYN NY 11206 113444948 TO PROVIDE HOUSING FOR LOW INCOME AND INDIGENT ELDERLY PEOPLE NY 501(C)3 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0