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CONCORD NURSING HOME INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CONCORD NURSING HOME INC (EIN 11-2290533)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201343169349305084
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

FieldValueIRS element (for citing)
Timestamp2013-11-12T17:47:57-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN271728945EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1O'CONNOR DAVIES LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 MAMARONECK AVENUEAddressLine1
CityHARRISONCity
StateNYState
ZIP Code105281633ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN112290533EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CONCORD NURSING HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCONCNameControl
Phone7186367500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 MADISON STREETAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11216ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLILLIE BRYANT-HOBBSName
TitleEXECUTIVE DIRECTORTitle
Phone7186367500Phone
Date Signed2013-08-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGARRETT M HIGGINSName
PTINP00543209PTIN
Phone9143818900Phone
Date Prepared2013-11-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1CONCORD NURSING AND REHABILITATION CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonLILLIE BRYANT-HOBBSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 MADISON STREETAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11216ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16395360GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionPROVIDE SKILLED NURSING SERVICES FOR PERSONS WHO ARE INFIRMED, OR AGED AND INFIRMED, WITHOUT REFERENCE TO RACE, SEX, RELIGION, COLOR OR NATURAL ORIGIN.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees155TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year24450ContributionsGrantsPriorYear
Contributions Grants Current Year26140ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14449854ProgramServiceRevenuePriorYear
Program Service Revenue CY16212700ProgramServiceRevenueCY
Investment Income Prior Year6141InvestmentIncomePriorYear
Investment Income Current Year5988InvestmentIncomeCurrentYear
Other Revenue Prior Year123273OtherRevenuePriorYear
Other Revenue Current Year150532OtherRevenueCurrentYear
Total Revenue Prior Year14603718TotalRevenuePriorYear
Total Revenue Current Year16395360TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7914376SalariesEtcPriorYear
Salaries Etc Current Year7464096SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8945371OtherExpensePriorYear
Other Expenses Current Year8893199OtherExpensesCurrentYear
Total Expenses Prior Year16859747TotalExpensesPriorYear
Total Expenses Current Year16357295TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2256029RevenuesLessExpensesPriorYear
Revenues Less Expenses CY38065RevenuesLessExpensesCY
Total Assets BOY16172373TotalAssetsBOY
Total Assets EOY17984943TotalAssetsEOY
Total Liabilities BOY24628366TotalLiabilitiesBOY
Total Liabilities EOY26402871TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-8455993NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-8417928NetAssetsOrFundBalancesEOY
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12648313Expense
Revenue12318044Revenue
DescriptionSKILLED 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 40,418 PATIENT DAYS OF MEDICAL CARE TO OVER 266 PATIENTS IN ITS SKILLED NURSING PROGRAM. THE CENTER HAD 141 ADMISSIONS AND 158 DISCHARGES DURING 2012.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1724770Expense
Revenue3894656Revenue
DescriptionVENTILATOR 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 5,581 PATIENT DAYS OF MEDICAL CARE TO OVER 66 PATIENTS IN ITS VENTILATOR NURSING PROGRAM. THE CENTER HAD 48 ADMISSIONS AND 49 DISCHARGES DURING 2012.Description
FieldValueIRS element (for citing)
Total Program Service Expense14373083TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109648NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees155NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LILLIE BRYANT-HOBBSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7186367500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 MADISON STREETAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11216ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DOROTHY STRAKER
CHAIRPERSON THRU 20121.00XX000
COZETTA H GREEN
VICE CHAIRPERSON1.00XX000
ELENA FRANKLIN
BOARD MEMBER1.00X000
JOHNNIE WHITE
BOARD MEMBER1.00X000
PAULA VAUGHAN-MILLER
BOARD MEMBER1.00X000
MARY ANDERSON
BOARD MEMBER1.00X000
GARY V SIMPSON
CORPORATE PRESIDENT1.00XX000
LILLIE BRYANT-HOBBS
EXECUTIVE DIRECTOR36.30X202884012656
DOMINIQUE ESTINVILLE
RESPIRATORY THERAPIST36.30100940012495X
DENISE ROSEMOND
DIRECTOR OF NURSING36.3011949902989X
FieldValueIRS element (for citing)
Total Reportable Comp From Org423323TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation28140TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HCP AGENCY
555 BROAD HALLOW RDMELVILLENY11747NURSING SERVICES696023
SHORE PHARMACEUTICAL
PO BOX 715280COLUMBUSOH43271PHARMACY SERVICES229858
SECURITAS SECURITY SERVICES
111 LIVINGSTON STREETBROOKLYNNY11201SECURITY GUARDS215204
UNITEXSHARED TEXTILE
161 MACQUESTEN PARKWAYMT VERNONNY10550LAUNDRY SERVICES157911
HORIZON HEALTHCARE STAFFING
20 JERUSALEM AVENUE 3RD FLOORHICKSVILLENY11801NURSING SERVICES128491
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
All Other Contributions26140AllOtherContributions
Total Contributions26140TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID REVENUE6230001420143614201436
MEDICARE REVENUE62300015595441559544
PRIVATE PAY623000451720451720
FieldValueIRS element (for citing)
Total Program Service Revenue16212700TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5988TotalRevenueColumn
Exclusion$5,988ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
RECOVERY OF PRIOR YEAR EXPENSES90009962773$62,773
REFUNDS/REBATES90009957908$57,908
MISCELLANEOUS90009929704$29,704

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column147TotalRevenueColumn
Exclusion$147ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue150532TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16395360TotalRevenueColumn
Related Or Exempt Function Income16212700RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$156,520ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total219122Total
Management And General219122ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5246394Total
Program Services4823648ProgramServices
Management And General422746ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total282136Total
Program Services255597ProgramServices
Management And General26539ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1053221Total
Program Services940822ProgramServices
Management And General112399ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total663223Total
Program Services587079ProgramServices
Management And General76144ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total122232Total
Management And General122232ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total203045Total
Management And General203045ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total14275Total
Management And General14275ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1680431Total
Program Services1603922ProgramServices
Management And General76509ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total11439Total
Management And General11439ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total762731Total
Program Services673800ProgramServices
Management And General88931ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total568914Total
Program Services469124ProgramServices
Management And General99790ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total12000Total
Program Services9247ProgramServices
Management And General2753ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1059867Total
Program Services934935ProgramServices
Management And General124932ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1095461Total
Program Services961622ProgramServices
Management And General133839ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total195920Total
Management And General195920ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NYS CASH RECEIPTS ASSES849157849157
BAD DEBT EXPENSE820000820000
PURCHASED AND CONTRACTE63700260338533617
MEDICAL SUPPLIES324778324778

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total535947Total
Program Services515967ProgramServices
Management And General19980ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16357295Total
Program Services14373083ProgramServices
Management And General1984212ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY300379BOY
EOY391461EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY385498BOY
EOY326039EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3448460BOY
EOY1885423EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY26798BOY
EOY25850EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY94966BOY
EOY92369EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis24881751LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16077471LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9772905BOY
EOY8804280EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2143367BOY
EOY6459521EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16172373BOY
EOY17984943EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4139585BOY
EOY4709230EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY16814569BOY
EOY16262238EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY169888BOY
EOY156850EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3504324BOY
EOY5274553EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24628366BOY
EOY26402871EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-8455993BOY
EOY-8417928EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-8455993BOY
EOY-8417928EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16172373BOY
EOY17984943EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses38065ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years53126CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4025CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years48370CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24450CurrentTaxYearMinus1Year
Current Tax Year26140CurrentTaxYear
Total156111Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17708466CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16438066CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15131050CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14449854CurrentTaxYearMinus1Year
Current Tax Year16212700CurrentTaxYear
Total79940136Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17761592CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16442091CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15179420CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14474304CurrentTaxYearMinus1Year
Current Tax Year16238840CurrentTaxYear
Total80096247Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50980096247PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10668CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9342CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8110CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6141CurrentTaxYearMinus1Year
Current Tax Year5988CurrentTaxYear
Total40249Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10668CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9342CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8110CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6141CurrentTaxYearMinus1Year
Current Tax Year5988CurrentTaxYear
Total40249Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years406587CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years193220CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17190CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year123273CurrentTaxYearMinus1Year
Current Tax Year150532CurrentTaxYear
Total890802Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18178847CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16644653CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15204720CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14603718CurrentTaxYearMinus1Year
Current Tax Year16395360CurrentTaxYear
Total81027298Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98850PublicSupportPercentage509
Prior Year Support Percentage0.99010PriorYearSupportPercentage
Investment Income Percentage0.00050InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00060PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$14,275OtherActivitiesAmount
Total Lobbying Expenditures IIB14275TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationCOSTS ARE INCURRED AS PART OF DUES PAID TO NURSING HOME INDUSTRY ORGANIZATIONS.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis745000OtherCostOrOtherBasis
Book Value745000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20697434OtherCostOrOtherBasis
Depreciation13650133Depreciation
Book Value7047301BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis63431OtherCostOrOtherBasis
Depreciation63227Depreciation
Book Value204BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3375886OtherCostOrOtherBasis
Depreciation2364111Depreciation
Book Value1011775BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8804280TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
ASSESTS LIMITED AS TO USE - OPERATING ESCROW FUND130
DEFERRED REFINANCING FEES, NET1308857
ASSESTS LIMITED AS TO USE - RESERVE FUND FOR REPLACEMENTS533001
ASSESTS LIMITED AS TO USE - OTHER HUD REQUIRED ESCROW ACCOUNTS237852
SECURITY DEPOSITS42820
DUE TO THIRD PARTY PAYORS4336861
FieldValueIRS element (for citing)
Total Book Value Other Assets6459521TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYORS$5,198,169
ACCRUED INTEREST$76,384
FieldValueIRS element (for citing)
Total Of Amounts5274553TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt16395360TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal16395360RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99016395360TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16357295TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal16357295ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016357295TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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, 2009.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonLILLIE BRYANT-HOBBSNamePerson
TitleEXECUTIVE DIRECTORTitle
Base Compensation Filing Org202884BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org4821DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org7835NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org215540TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DORMITORY AUTHORITY OF THE STATE OF NEW YORKBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN146000293IssuerEIN
CUSIP Number64983Q7P8CUSIPNumber
Date Issued2007-10-25DateIssued
Issue Price19620489IssuePrice
Description Of PurposeREFINANCINGDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds19620489TotalProceeds
Refunding Escrow19029213RefundingEscrow
Issuance Costs From Proceeds392410IssuanceCostsFromProceeds
Credit Enhancement198866CreditEnhancement
Year Of Subst Completion2007YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonERIC GARNERNamePerson
FieldValueIRS element (for citing)
RelationshipSON-IN-LAW OF THE EXECUTIVE DIRECTORRelationship
Amount Of Transaction69525AmountOfTransaction
Description Of TransactionCONSULTANT HIRED TO PERFORM SOME OF THE DUTIES OF THE MAINTENANCE DIRECTOR.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CALL 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 15THE 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 18THE 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 19THE 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 IX, LINE 11GCONSULTING: PROGRAM SERVICE EXPENSES 1,603,922. MANAGEMENT AND GENERAL EXPENSES 76,509. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,680,431.OTHER FEES
FORM 990, PART XII, LINE 2CTHE 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.