2013-11-06T04:54:01-06:00 2012-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2012-01-01 112284472 CABS NURSING HOME COMPANY INC CABS 7186380500 270 NOSTRAND AVENUE BROOKLYN NY 11205 DAVID WIEDER 7186380500 2013-11-01 1 FREDERICK H ROTHMAN P01275277 2128674000 2012 2016-02-25 16:41:14Z DAVID WIEDER 270 NOSTRAND AVENUE BROOKLYN NY 11205 15389891 0 X NONE X 1972 NY NURSING HOME RENDERS IN-HOUSE NURSING CARE AND OUT-PATIENT SERVICES FOR AMBULATORY PATIENTS. 6 4 134 4 0 0 0 0 15677587 15184389 123050 106467 105731 99035 15906368 15389891 0 0 0 0 6704048 6489943 0 0 0 9922493 10294924 16626541 16784867 -720173 -1394976 13236263 11276506 4719863 4148854 8516400 7127652 NURSING HOME RENDERS IN-HOUSE NURSING CARE AND OUT-PATIENT SERVICES FOR AMBULATORY PATIENTS. 0 0 12149975 12099520 SKILLED NURSING - THE HOME PROVIDED 55,573 DAYS OF SKILLED NURSING CARE TO RESIDENTS. 2910082 3084869 LONG-TERM HOME HEALTH CARE PROGRAM - IN 2008 THE HOME OPENED A LONG-TERM HOME HEALTH CARE PROGRAM. THE PROGRAM SERVICED 79 CLIENTS IN 2012. 15060057 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 12 0 134 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 10.00 X 0 0 0 JOSE MUNIZ 10.00 X 0 0 0 SAMUEL DUNSTON 10.00 X 0 0 0 LUCY VAZQUEZ 10.00 X 0 0 0 ADOLFO ALAYON 35.00 X X 145660 0 11587 WILLIAM PERNISEK 35.00 X X 132291 0 27667 DAVID WIEDER 36.30 X 181698 0 31126 HARRY W ALFORD 36.30 X 113686 0 26413 BASIL ALFOR DOUGLAS 36.30 X 116123 0 26205 THEFNIE BOYCE 35.00 X 100940 0 5531 790398 0 128529 6 0 1 0 MORRISON SENIOR DINING PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 1778315 REHAB WORKSSYMPHONYVTA PO BOX 99341 CHICAGO IL 60693 THERAPY 1178811 MORRISON MANAGEMENT PO BOX 102289 ATLANTA GA 30368 HOUSEKEEPING / LINEN 745430 STAFF BLUE 1418 65TH ST BROOKLYN NY 11209 PROFESSIONAL MEDICAL STAFFING 388384 HEATHCARE STAT 256-10 UNION TPKE FLORAL PARK NY 11004 PROFESSIONAL MEDICAL STAFFING 276255 8 REVENUE FROM RESIDENTS 623000 12099520 12099520 LONG-TERM HOME HEALTH CARE PROGRA 623000 3084869 3084869 15184389 106467 106467 20800 0 20800 20800 20800 ADMINISTRATIVE CHARGES 561000 68929 68929 VENDING MACHINES 722210 4673 4673 MISCELLANEOUS 900099 4237 4237 396 396 78235 15389891 15184389 0 205502 X 676757 536658 140099 4040306 3345445 694861 298856 247491 51365 1104207 919510 184697 369817 305099 64718 2953 2953 56590 56590 3669147 3559072 110075 574324 548634 25690 19689 19689 591549 565403 26146 11694 2882 8812 333181 316522 16659 293676 293676 CONTRACTED SERVICES 4032105 4032105 NYS ASSESSMENT 571238 571238 DOH FEES 32505 32505 106273 90309 15964 16784867 15060057 1724810 0 2561 2436 5977506 5081146 4126429 3324686 39194 52899 304285 213373 12282501 9792272 2671270 2490229 81992 78964 33026 32773 13236263 11276506 1841777 2355835 1445914 1150914 12006 5550 1420166 636555 4719863 4148854 X 8516400 7127652 8516400 7127652 13236263 11276506 -1394976 6228 0 X X 0 1 X 1 0 X 411882 135142 274398 821422 13824325 14031049 14873054 15677587 15184389 73590404 14236207 14166191 15147452 15677587 15184389 74411826 0 0 0 74411826 349088 218298 173793 142250 127267 1010696 349088 218298 173793 142250 127267 1010696 92046 92977 104605 92820 78235 460683 14677341 14477466 15425850 15912657 15389891 75883205 0.98060 0.97630 0.01330 0.01850 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 1 535 535 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: PORTION OF MEMBERSHIP DUES ASSOCIATED WITH LOBBYING ACTIVITIES 55106 55106 9729427 7705353 2024074 1987918 1733175 254743 510050 353744 156306 2490229 RESIDENT FUNDS HELD IN TRUST 224521 DUE TO THIRD PARTIES 397159 ELLERY DEVELOPMENT FUNDS HELD IN TRUST 14875 636555 X 15396119 6228 6228 15389891 0 15389891 16784867 0 16784867 0 16784867 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2009 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. X X 0 0 0 0 0 0 0 0 0 ADOLFO ALAYON 145660 0 0 0 0 0 10196 0 1391 0 157247 0 0 0 WILLIAM PERNISEK 132291 0 0 0 0 0 9260 0 18407 0 159958 0 0 0 DAVID WIEDER 181698 0 0 0 0 0 12719 0 18407 0 212824 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. OTHER FEES 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 615,489. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 615,489. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 531,706. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 531,706. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 70,450. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,450. MANAGEMENT CONSULTANT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 21,492. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,492. DATA PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 29,437. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,437. APPRAISING SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,850. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,850. NURSING: PROGRAM SERVICE EXPENSES 154,116. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 154,116. PERSONAL AIDS: PROGRAM SERVICE EXPENSES 1,829,801. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,829,801. BILLING: PROGRAM SERVICE EXPENSES 84,656. MANAGEMENT AND GENERAL EXPENSES 55,296. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 139,952. SOCIAL WORKER: PROGRAM SERVICE EXPENSES 22,080. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,080. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 92,006. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,006. PHARMACIST: PROGRAM SERVICE EXPENSES 15,120. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,120. NUTRITION: PROGRAM SERVICE EXPENSES 113,048. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 113,048. 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