2012-11-30T13:08:34-06:00 2011-12-31 990 2011-01-01 112167809 Ozanam Hall of Queens Nursing Home Inc OZAN 7184232000 4241 201st Street Bayside NY 113612550 James M Koniarski 7184232000 2012-11-23 2011 2016-02-24 21:20:13Z Sr M Joseph Catherine R 4241 201st Street Bayside NY 113612550 55583049 0 X www.ozanamhall.org X 1969 NY The most significant activities this year were to provide 151,949 nursing days to various residents and the Home rehabilitated and returned 221 residents back to the communities. 20 20 667 325 31257 31257 1054866 754475 49449533 52976242 50256 63416 668401 507364 51223056 54301497 0 0 0 0 37011918 36897534 0 0 0 15143453 16399073 52155371 53296607 -932315 1004890 101857789 100597221 47365318 45108407 54492471 55488814 X Ozanam Hall of Queens Nursing Home, Inc mission is to provide wholistic care to the aged and infirm in an atmosphere of Christian understanding and faith. We hold in reverential esteem the sanctity of life, believing that God has touched humankind in a personal and lasting manner by the gift of life. Sanctity of life does not depend upon the quality of life. Although mental and/or physical limitations may exist, the life of every human being is considerd sacred. Each one has, therefore, a moral responsibility to respect and protect that basic right to life. 0 0 45086596 52976242 Ozanam Hall is a 432 bed skilled nursing facility that provided 150,412 nursing days to various residents as follows: medicare: 14,608; medicaid: 109,285; private: 26,209; others: 1,847 nursing days. The rehab center rehabilitiated and returned 221 residents back to the community. We initiated a program called "love made visible" which impacted 209 alzheimer's residents. The program is extended to weekends. Our annual "memory screening", "Alzheimer Memorial Candle Lighting Ceremony" and "blood drive" continues. the dememtia training program for the public continues. Ozanam Hall also participates in the American Cancer Society's making Strides Against Breast Cancer fundraiser. 45086596 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 102 0 1 667 1 1 1 0 0 0 0 1 1 0 0 0 0 X 20 20 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X James M Koniarski 7184232000 4241 201st Street Bayside NY 113612550 Rev Msgr Austin P Bennett 0.50 X X 0 0 0 Rev Robert J Whelan 0.50 X X 0 0 0 Sr Michelle Anne Reho 0.50 X X 0 0 0 Rev Msgr Alfred P LoPinto 0.50 X X 0 0 0 Sr M Joseph Catherine Raymond 37.50 X X 0 0 0 Anne M Traynor 0.50 X 0 0 0 Sr M Kevin Patricia 0.50 X 0 0 0 Sr M Patrick Michael 0.50 X 0 0 0 Sr M Sean William 0.50 X 0 0 0 Patrick F Donnellan CPA 0.50 X 0 0 0 Mary P Giordano Esq 0.50 X 0 0 0 James J Daly Esq 0.50 X 0 0 0 Leslee A Devlin 0.50 X 0 0 0 Keith M Powers 0.50 X 0 0 0 Most Rev Nicholas DiMarzio 0.50 X 0 0 0 Mother M Mark Louis Randall 0.50 X 0 0 0 Sr M Ann Elizabeth Brown 0.50 X 0 0 0 Sr Maureen Murray 0.50 X 0 0 0 Sr M Anthony Veilleux 0.50 X 0 0 0 James M Koniarski 37.50 X 176558 0 36519 Margaret White 37.50 X 152206 0 36412 Harry C Itoka 37.50 X 138984 0 35675 Ann M Callaghan 37.50 X 132947 0 18193 Magdalene H Smolen 37.50 X 117750 0 26656 Madeline Suprena 37.50 X 115832 0 31630 834277 0 185085 11 0 1 0 RCDolner LLC Two Penn Plaza East Newark NJ 07105 Construction 2120555 Sodexho Inc & Affiliates PO Box 81049 Woburn MA 01813 Dietary Services 1657408 Alltown Construction Corp 205 Sycamore Avenue Bethpage NY 11714 Construction 505330 Ruffo Tabora Mainello & Mckay PC 311 Great Oaks Drive Albany NY 12203 Legal 173637 Ryan Biggs Associates PC 257 Ushers Road Clifton Park NY 12065 Architectural Service 125611 5 254475 500000 754475 Medicaid 623000 32314452 32314452 Private Income 623000 11439582 11439582 Medicare 623000 8096309 8096309 Private Insurance 623000 1125899 1125899 52976242 54008 54008 37905 6648 31257 31257 31257 1022685 40 1013317 0 9368 40 9408 9408 222190 254475 152987 69203 69203 144518 108600 35918 35918 Refund 900099 230826 230826 Collection Fees 900099 120048 120048 Contracted Services 900099 8887 8887 11225 11225 370986 54301497 52976242 31257 539523 401695 401695 24676383 19967796 4708587 1491202 1178049 313153 6746424 5329674 1416750 3581830 2829645 752185 552660 552660 174229 174229 41208 41208 27080 27080 1334505 1334505 6101 6101 952739 770957 181782 56458 56458 3927914 3927914 45719 41199 4520 4424881 4424881 NYS Assessment 2322091 2322091 0 0 Medical Supplies 1798946 1798946 0 0 Prescriptions 545720 545720 0 0 Bad Debt Expense 188822 0 188822 0 53296607 45086596 8210011 0 3803472 2796888 15715534 10336252 39417 39417 6386065 10004338 129629 122037 522693 399538 85417079 28872016 59109499 56545063 11669057 10686022 4482423 9667666 101857789 100597221 4209246 2904532 36455000 35410000 1225814 1485327 5475258 5308548 47365318 45108407 X 53592374 53693880 900097 1794934 54492471 55488814 101857789 100597221 X 1004890 -8547 X X 0 1 1 X 0 X 690887 126783 167920 1054866 754475 2794931 48328536 47936849 47605692 49783218 53198432 246852727 49019423 48063632 47773612 50838084 53952907 249647658 0 0 0 249647658 882538 346489 71919 63671 54008 1418625 31407 32793 30841 28653 31257 154951 913945 379282 102760 92324 85265 1573576 1719262 486272 307867 453844 515504 3482749 51652630 48929186 48184239 51384252 54553676 254703983 0.98010 0.96860 0.00620 0.01170 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 1092991 1092991 72558710 23155624 49403086 219245 184289 34956 10714473 5532103 5182370 831660 831660 56545063 Other Third Party Payor Receivable 5770495 Insurance Grossup 1960000 Other Current Assets 183445 Deferred Financing & Refinancing Costs, Net 1753726 9667666 Estimated Third Party Liabilities 1348180 Compensated Absences 461644 Bond Issuance Premium, Net 1538724 Insurance Claims 1960000 5308548 54301497 53296607 1004890 -8547 -8547 996343 54391698 -8547 -8547 54400245 -98748 -98748 54301497 53395355 0 53395355 -98748 -98748 53296607 Part IV, Line 2b: Residents' funds are held by the Home on behalf of the residents. Such funds represent living allowances received by residents and other residents' funds deposited with the Home for safekeeping. these funds are disbursed by the Home at the request of, or on behalf of, residents for their personal use. Description of Uncertain Tax Positions Under FIN 48: Part X: The Home recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Management has determined that the Home had no uncertain tax positions that would require financial statement recognition. The Home is no longer subject to examinations by the applicable taxing jurisdictions for periods prior to 2008. Expenses netted on Financial and grossup on 990 Gala 159491 50175 109316 23290 12103 Capital Campaign 195673 175100 20573 62329 821 2 121501 29200 92301 26803 27641 476665 254475 222190 62329 50093 40565 152987 69203 X X X X 0 0 0 0 0 0 0 0 0 James M Koniarski 176558 0 0 0 0 0 10500 0 26019 0 213077 0 0 0 Margaret White 152206 0 0 0 0 0 10500 0 25912 0 188618 0 0 0 Harry C Itoka 138984 0 0 0 0 0 9833 0 25842 0 174659 0 0 0 Ann M Callaghan 132947 0 0 0 0 0 9405 0 8788 0 151140 0 0 0 Dormitory Authority of the State of New York 166000293 64983Q7J2 2006-12-19 41443072 To fund the Home's capital renovation project. 0 0 0 41443072 3980435 2053732 35408905 2010 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 Form 990, Part VI, Section A, line 6 There shall be six (6) Members of the Corporation. The Members of this Corporation shall consist of the following individuals: The Superior General of the Community of Carmelite Sisters for the Aged and Infirm; the Ordinary of the Roman Catholic Diocese of Brooklyn, New York; two (2) members of the General Council of Carmelite Sisters to be selected by the Superior General of the Community; and two (2) member priests of the Brooklyn Diocese to be selected by the Ordinary of the Diocese of Brooklyn. Form 990, Part VI, Section A, line 7a (Governing Body and management) The Board of Directors of Ozanam Hall of Queens Nursing Home, Inc shall be elected by the Members at each annual meeting of the Members of the Corporation, except that the Superior General of the Community of Carmelite Sisters and the Ordinary of the Roman Catholic Diocese of Brooklyn may each appoint two (2) Members of the Corporation to be Directors of the Corporation(Member-Directors). Except as otherwise expressly provided herein, all standards applicable to Directors in the By-laws shall also apply to Member-Directors. Form 990, Part VI, Section A, line 7b The following powers are reserved exclusively to the Members of the Corporation: 1-Any amemdment of the By-laws as specified in Article XIII(The By-laws and/or the Certificate of Incorporation may be amended in whole or in part by a two-thirds vote of the whole of the Membership at a meeting called for such purpose, provided that written notice of such amendment has been given to the Membership no less than ten (10) days nor more than fifty (50) days prior to the meeting) 2-Amemdments of the Corporation's Certificate of Incorporation; 3-Approval or the appointment of the Administrator; 4-The approval of individuals eligible to be Officers of the Corporation; 5-The approval of individuals eligible to be members of the Executive, Finance and Nominating Committees; 6-The formulation and/or change from time to time of the philosophy, objectives and purposes of the Corporation as well as any change in the general character of the Corporation as a voluntary health facility for the aged under the auspices of the Roman Catholic Church; 7-The purchase, sale, mortgage or lease of real property of the Corporation, or the sale of all or substantially all of its assets; 8-Consolidation of the Corporation with another not-for-profit corporation organized for similar purposes; 9-the approval of any plan for the dissolution of the Corporation. Form 990, Part VI, Section B, line 11 (Policies) Form 990 is presented to the Finance Committee for review. The Finance Committee reports to the Board of Directors regarding the review, and a copy of form 990 is provided to the Board before it is filed. Form 990, Part VI, Section B, line 12c (Policies) The organization is strongly committed to a policy of compliance with all conflict of interest provisions under the law. Such compliance is of critical importance to the non-profit, charitable mission and activities of Ozanam Hall. Ozanam Hall requires that any Board Members, Officers, Directors, key employees or trustees must disclose his/her relationship or interest to the full Board of Directors who will be acting upon or considering any contract or transaction with the business in which the member, director, officer, trustee or key employee holds an interest. No director so interested shall participate in the discussions and deliberations regarding such contract or transaction, nor vote on such contract or transaction. Disclosure shall be made as soon as the board member becomes aware of the potential for a conflict. Such disclosure shall be provided to the Executive Committee and recorded in the minutes of the first scheduled board meeting after the disclosure is made. Any decisions as to imposing restrictions on persons with any conflict of interests which could potentially prohibit them from participating in the governing body's delibrations and decisions will be determined by the Board of Directors. Each Board Member or officer signs a disclosure statement annually. Form 990, Part VI, Section B, line 15 (Compensation Committee) A compensation policy was developed by the Board to govern compensation arrangements between the organization and covered individuals, defined as those in a position to exercise substantial influence over the affairs of the organization. The compensation committee consists of at least three independent individuals appointed by the Boards, who themselves are members of the Board of Directors. The committee meets yearly and recommends to the Board the compensation for covered individuals based on relevant data including comparability compensation for similarly situated entities and independent compensation surveys compiled by independent firms as deemed necessary. Form 990, Part VI, Section C, line 18 Part VI, Section C, Line 19: (Public Access)The organization makes its governing documents; conflict of interest policy, financial statements, and tax filings available to the public upon request. The organization also files reports with various governmental agencies as a requirement for participation in government programs, which the agencies may make available to the public. The organization's Form 990 is available to the public on Guidestar's website. Form 990, Part VI, Section C, line 19 Part VI, Section B, Line 12: (Conflict of Interest Policy) The conflict of interest disclosure policy requires all Officers and Board Members to complete an annual disclosure statement. In addition, should an officer or Board member assume new external interests that potentially conflict with his or her role with the organization, such individual is required to disclose in writing the nature of such external interests. The disclosure statement is provided to the Board Chair for review. Conflicts are resolved by making a required disclosure, and may result in restricting the Officer or Board Member in any related activity or process as determined appropriate to the circumstances of the conflict. Failure to disclose a conflict on interest is in violation of the adopted policy and can result in disciplinary action or removal. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -8547. Part XII, Line 2c: (Oversight of Audit and Selection of Independent Accountant) The Board of Directors has designated a committee to manage the process of selection and oversight of the Audit and Indepedent Accountant. The committee meets with management and the independent auditors to review the engagement proposal; results of the audit; draft audit report; management letter. The committee may meet with the independent auditors in executive session before concluding its review and acceptance of the annual audit report. The committee reports its findings and makes its recommendation to the Board of Directors.