RUTLAND NURSING HOME INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- RUTLAND NURSING HOME INC (EIN 11-2164674)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201333189349302118
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-11-14T09:50:15-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1185 AVENUE OF THE AMERICAS | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100362602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112164674 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RUTLAND NURSING HOME INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RUTL | NameControl |
| Phone | 7186045532 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 SCHENECTADY AVENUE | AddressLine1 |
| City | BROOKLYN | City |
| State | NY | State |
| ZIP Code | 11203 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN SCHMITT | Name |
| Title | CFO | Title |
| Phone | 7186045532 | Phone |
| Date Signed | 2013-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEVEN LAPSKER | Name |
| PTIN | P00850484 | PTIN |
| Phone | 2123721000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LINDA BRADY MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 SCHENECTADY AVENUE | AddressLine1 |
| City | BROOKLYN | City |
| State | NY | State |
| ZIP Code | 11203 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 69983771 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.KINGSBROOK.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1971 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 54 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 557793 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1641893 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 73386587 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 68198959 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 142789 | InvestmentIncomePriorYear |
| Investment Income Current Year | 142919 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 74087169 | TotalRevenuePriorYear |
| Total Revenue Current Year | 69983771 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 51605000 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 51317501 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 28309516 | OtherExpensePriorYear |
| Other Expenses Current Year | 31465697 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 79914516 | TotalExpensesPriorYear |
| Total Expenses Current Year | 82783198 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -5827347 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -12799427 | RevenuesLessExpensesCY |
| Total Assets BOY | 22084455 | TotalAssetsBOY |
| Total Assets EOY | 22988497 | TotalAssetsEOY |
| Total Liabilities BOY | 57338630 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 71042099 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -35254175 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -48053602 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 69779475 | Expense |
| Revenue | 68198959 | Revenue |
| Description | 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. | Description |
| Total Program Service Expense | 69779475 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 22 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicy |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN SCHMITT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7186045532 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 SCHENECTADY AVENUE | AddressLine1 |
| City | BROOKLYN | City |
| State | NY | State |
| ZIP Code | 11203 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| EDWARD LIEBERSTEIN | |||||||||
| CHAIRMAN | 2.00 | 2.00 | X | X | 0 | 0 | 0 | ||
| SEEMA GOLDSTEIN | |||||||||
| VICE CHAIRMAN | 1.50 | 2.00 | X | X | 0 | 0 | 0 | ||
| LINDA BRADY MD | |||||||||
| PRESIDENT & BOARD DIRECTOR | 12.00 | 36.50 | X | X | 0 | 1264636 | 60530 | ||
| HENNA WHITE | |||||||||
| BOARD DIRECTOR | 3.00 | 5.50 | X | 0 | 0 | 0 | |||
| GEOFFREY PATRICE MD | |||||||||
| BOARD DIRECTOR | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| RAFIQUE CHAUDRHY MD | |||||||||
| BOARD DIRECTOR | 1.00 | 1.00 | X | 0 | 1110766 | 0 | |||
| ROBERT REISS | |||||||||
| BOARD DIRECTOR | 1.50 | 2.00 | X | 0 | 0 | 0 | |||
| VALERIE BYNOE-KASDEN ESQ | |||||||||
| BOARD DIRECTOR | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| VICTOR AYALA PHD | |||||||||
| BOARD DIRECTOR | 2.00 | 3.00 | X | 0 | 0 | 0 | |||
| JOHN SCHMITT CPA | |||||||||
| CFO | 12.00 | 36.50 | X | 0 | 636105 | 145505 | |||
| MICHAEL MCDERMOTT | |||||||||
| GENERAL COUNSEL | 12.00 | 36.50 | X | 0 | 239487 | 60179 | |||
| ROBERT DUBICKI | |||||||||
| COO | 12.00 | 35.00 | X | 0 | 466804 | 49748 | |||
| HAROLD MCDONALD | |||||||||
| SVP | 12.00 | 35.00 | 0 | 411294 | 27002 | X | |||
| LOWELL FEIN | |||||||||
| ADMINISTRATOR | 40.00 | 0 | 216247 | 24195 | X | ||||
| LUCAS DEDRICK | |||||||||
| DIRECTOR OF NURSING | 40.00 | 0 | 136364 | 17388 | X | ||||
| MICHELLE EDWARDS | |||||||||
| ASSOCIATE DIRECTOR | 40.00 | 0 | 127244 | 29249 | X | ||||
| BETTY NAPON | |||||||||
| NURSE | 40.00 | 0 | 122708 | 4108 | X | ||||
| JOVILIA ATIENZA | |||||||||
| NURSE | 40.00 | 0 | 121625 | 23482 | X | ||||
| JEAN LACKAN | |||||||||
| NURSE | 40.00 | 0 | 118902 | 23482 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4972182 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 464868 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| EXCLUSIVE AMBULETTE SVC INC | |||||
| PO BOX 476 | LAWRENCE | NY | 11559 | PATIENT TRANSPORTATION FOR ADULT DAYCARE | 288631 |
| DEDICATED TRANSPORTATION INC | |||||
| 98-12 211TH STREET | QUEENS VILLAGE | NY | 11429 | PATIENT TRANSPORTATION FOR ADULT DAYCARE | 267831 |
| MILLER & MALONE | |||||
| 100 QUENTIN ROOSEVELT BLVD SUITE 2 | GARDEN CITY | NY | 11530 | LEGAL / COLLECTION SERVICES | 214226 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Government Grants | 1641893 | GovernmentGrants |
| Total Contributions | 1641893 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 623000 | 66633888 | 66633888 |
| MEDICARE DRUG BILLING | 524114 | 1565071 | 1565071 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 68198959 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 142919 | TotalRevenueColumn |
| Exclusion | $142,919 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 69983771 | TotalRevenueColumn |
| Related Or Exempt Function Income | 68198959 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $142,919 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37630101 | Total |
| Program Services | 32474777 | ProgramServices |
| Management And General | 5155324 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2792848 | Total |
| Program Services | 2410228 | ProgramServices |
| Management And General | 382620 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7454884 | Total |
| Program Services | 6433565 | ProgramServices |
| Management And General | 1021319 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3439668 | Total |
| Program Services | 2968433 | ProgramServices |
| Management And General | 471235 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2269912 | Total |
| Program Services | 1741023 | ProgramServices |
| Management And General | 528889 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52811 | Total |
| Management And General | 52811 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66361 | Total |
| Program Services | 50899 | ProgramServices |
| Management And General | 15462 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7065496 | Total |
| Program Services | 5459741 | ProgramServices |
| Management And General | 1605755 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1218289 | Total |
| Program Services | 934428 | ProgramServices |
| Management And General | 283861 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2074465 | Total |
| Program Services | 1591115 | ProgramServices |
| Management And General | 483350 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132580 | Total |
| Program Services | 101689 | ProgramServices |
| Management And General | 30891 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1392943 | Total |
| Program Services | 1068387 | ProgramServices |
| Management And General | 324556 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 971479 | Total |
| Program Services | 745124 | ProgramServices |
| Management And General | 226355 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 366307 | Total |
| Program Services | 280957 | ProgramServices |
| Management And General | 85350 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| NY STATE ASSESSMENT | 4181847 | 3207477 | 974370 |
| MEDICAL & PHARMACEUTICA | 4087944 | 4087944 | |
| MAINT & REPAIRS | 2772958 | 2126859 | 646099 |
| BAD DEBT EXP | 2349564 | 1802116 | 547448 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2462741 | Total |
| Program Services | 2294713 | ProgramServices |
| Management And General | 168028 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82783198 | Total |
| Program Services | 69779475 | ProgramServices |
| Management And General | 13003723 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2759798 | BOY |
| EOY | 3019292 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 240497 | BOY |
| EOY | 225059 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10022197 | BOY |
| EOY | 9801713 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 41178966 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 34211911 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6376146 | BOY |
| EOY | 6967055 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 312644 | BOY |
| EOY | 419293 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2373173 | BOY |
| EOY | 2556085 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22084455 | BOY |
| EOY | 22988497 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 850594 | BOY |
| EOY | 905400 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4114828 | BOY |
| EOY | 2309828 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52373208 | BOY |
| EOY | 67826871 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57338630 | BOY |
| EOY | 71042099 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -35254175 | BOY |
| EOY | -48053602 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -35254175 | BOY |
| EOY | -48053602 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22084455 | BOY |
| EOY | 22988497 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -12799427 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 48999 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus1 Year | 557793 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1641893 | CurrentTaxYear |
| Total | 2248685 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 66027895 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 67382695 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 71238182 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 73386587 | CurrentTaxYearMinus1Year |
| Current Tax Year | 68198959 | CurrentTaxYear |
| Total | 346234318 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 66027895 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 67431694 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 71238182 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 73944380 | CurrentTaxYearMinus1Year |
| Current Tax Year | 69840852 | CurrentTaxYear |
| Total | 348483003 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 348483003 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 238712 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 158667 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 145757 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 142789 | CurrentTaxYearMinus1Year |
| Current Tax Year | 142919 | CurrentTaxYear |
| Total | 828844 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 238712 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 158667 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 145757 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 142789 | CurrentTaxYearMinus1Year |
| Current Tax Year | 142919 | CurrentTaxYear |
| Total | 828844 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 66266607 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 67590361 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 71383939 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 74087169 | CurrentTaxYearMinus1Year |
| Current Tax Year | 69983771 | CurrentTaxYear |
| Total | 349311847 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99760 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99710 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00240 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00290 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $60,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $6,361 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 66361 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | OTHER ACTIVITIES RUTLAND NURSING HOME PAYS DUES TO CONTINUING CARE LEADERSHIP COALITION (CCLC). IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY CCLC, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO THE 2012 CCLC DUES WAS $6,361. ADDITIONALLY, THE ORGANIZATION HAS A CONTRACT WITH A LOBBYIST WHO WAS ENGAGED TO LOBBY LEGISLATORS ON BEHALF OF THE ORGANIZATION, REGARDING POLICIES WHICH IMPACT THE ORGANIZATION'S EXEMPT PURPOSE AND WHICH PERTAIN TO PUBLIC HEALTH CARE. DURING 2012 RUTLAND NURSING HOME PAID $60,000 IN CONNECTION WITH THESE SERVICES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 825000 | OtherCostOrOtherBasis |
| Book Value | 825000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 33431870 | OtherCostOrOtherBasis |
| Depreciation | 28567827 | Depreciation |
| Book Value | 4864043 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6671428 | OtherCostOrOtherBasis |
| Depreciation | 5644084 | Depreciation |
| Book Value | 1027344 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 250668 | OtherCostOrOtherBasis |
| Book Value | 250668 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6967055 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OPERATING ASSETS | 1551979 |
| OPERATING ESCROW ACCOUNT | 896017 |
| MORTGAGE REPAYMENT ESCROW | 108089 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2556085 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO KINGSBROOK JEWISH MEDICAL CENTER | $41,880,218 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $25,629,194 |
| CASH FUNDS HELD IN TRUST FOR RESIDENTS | $225,059 |
| FIN 47 LIABILITY | $92,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 67826871 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITION FOR ALL OPEN TAX YEARS AND HAS CONCLUDED THAT THE ORGANIZATION 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. THE ORGANIZATION IS SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR FISCAL YEARS ENDED DECEMBER 31, 2009 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LINDA BRADY MD | ||||||||||||||
| PRESIDENT & BOARD DIRECTOR | 0 | 767675 | 0 | 404151 | 0 | 92810 | 0 | 23750 | 0 | 36780 | 0 | 1325166 | 0 | 0 |
| RAFIQUE CHAUDRHY MD | ||||||||||||||
| BOARD DIRECTOR | 0 | 1110766 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1110766 | 0 | 0 |
| JOHN SCHMITT CPA | ||||||||||||||
| CFO | 0 | 318119 | 0 | 294943 | 0 | 23043 | 0 | 108725 | 0 | 36780 | 0 | 781610 | 0 | 0 |
| MICHAEL MCDERMOTT | ||||||||||||||
| GENERAL COUNSEL | 0 | 237800 | 0 | 0 | 0 | 1687 | 0 | 23659 | 0 | 36520 | 0 | 299666 | 0 | 0 |
| ROBERT DUBICKI | ||||||||||||||
| COO | 0 | 364089 | 0 | 77151 | 0 | 25564 | 0 | 23750 | 0 | 25998 | 0 | 516552 | 0 | 0 |
| HAROLD MCDONALD | ||||||||||||||
| SVP | 0 | 342686 | 0 | 46291 | 0 | 22317 | 0 | 23750 | 0 | 3252 | 0 | 438296 | 0 | 0 |
| LOWELL FEIN | ||||||||||||||
| ADMINISTRATOR | 0 | 214560 | 0 | 0 | 0 | 1687 | 0 | 20425 | 0 | 3770 | 0 | 240442 | 0 | 0 |
| LUCAS DEDRICK | ||||||||||||||
| DIRECTOR OF NURSING | 0 | 135968 | 0 | 0 | 0 | 396 | 0 | 8077 | 0 | 9311 | 0 | 153752 | 0 | 0 |
| MICHELLE EDWARDS | ||||||||||||||
| ASSOCIATE DIRECTOR | 0 | 126972 | 0 | 0 | 0 | 272 | 0 | 8369 | 0 | 20880 | 0 | 156493 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL INFORMATION | PART III | PART II, COLUMN (C) RETIREMENT AND OTHER DEFERRED COMPENSATION: THE DEFERRED COMPENSATION REPORTED FOR KINGSBROOK JEWISH MEDICAL CENTER EMPLOYEE JOHN SCHMITT INCLUDES ACCRUALS FOR THE TRANSITION STABILIZATION PLAN WHICH WAS IMPLEMENTED IN 2012. THE VALUE OF THE PLAN IS SUBJECT TO RISK OF FORFEITURE (PURSUANT TO IRS REGULATIONS) UNTIL THE EMPLOYEE MEETS SPECIFIC AND DOCUMENTED FUTURE SERVICE REQUIREMENTS. THE PLAN WAS REVIEWED DISCUSSED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE JOINT BOARD OF TRUSTEES/DIRECTORS TO ENHANCE THE RETENTION OF KEY EXECUTIVES AND TO MAINTAIN LEADERSHIP STABILITY AS KINGSBROOK JEWISH MEDICAL CENTER PURSUES OPPORTUNITIES FOR SUSTAINED VIABILITY. THE PLAN IS CONSISTENT WITH TYPICAL MARKET PRACTICES AND REASONABLE IN THE CONTEXT OF THE EMPLOYEE'S TOTAL REMUNERATION, BASED ON ADVICE PROVIDED BY INDEPENDENT EXECUTIVE COMPENSATION CONSULTANTS. THE AGREEMENT EXPIRES 12/31/2014 AND WILL PAID OUT IN JANUARY 2015. THE PAYMENT WILL BE REPORTED AS COMPENSATION IN 2015 AND WILL BE SUBJECT TO ALL APPLICABLE WITHHOLDING AND EMPLOYMENT TAXES. |
| SUPPLEMENTAL INFORMATION | PART III | GENERAL COMPENSATION NOTE: RAFIQUE CHAUDHRY, MD - THE COMPENSATION WAS PAID FOR SERVICES PROVIDED AS CHIEF OF ANAESTHESIOLOGY BY KINGSBROOK JEWISH MEDICAL CENTER. NO COMPENSATION WAS PAID FOR BOARD TRUSTEE POSITION. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 BY THE CEO FOR ANY ADDITIONAL COMMENTARY, OBSERVATIONS, OR RECOMMENDATIONS. THE 990 IS THEN REVIEWED BY THE CHAIRMAN OF THE AUDIT AND COMPLIANCE COMMITTEE 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. | |
| 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 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 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 | KINGSBROOK JEWISH MEDICAL CENTER HAS A WRITTEN WHISTLEBLOWER POLICY WHICH APPLIES TO THE ACTIVITIES OF RUTLAND NURSING HOME INC. | WHISTLEBLOWER POLICY: |
| FORM 990, PART VI, LINE 14 | KINGSBROOK JEWISH MEDICAL CENTER'S DOCUMENT RETENTION AND DESTRUCTION POLICY APPLIES TO ALL BOOKS AND RECORDS HELD BY RUTLAND NURSING HOME INC. | DOCUMENT RETENTION POLICY: |
| 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
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| KINGSBROOK JEWISH MEDICAL CENTER (KJMC) | |||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 111631759 | HOSPITAL | NY | 501(C)(3) | LINE 3 | KHCF INC | 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 (KHCF) | |||||||||||
| 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 | KHCF INC | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| 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 Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |