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BISHOP HUCLES NURSING HOME INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BISHOP HUCLES NURSING HOME INC (EIN 11-3277961)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201123159349301712
Schema version
2010v3.2
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)
Timestamp2011-11-11T06:37:19-08:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHARLES A BARRAGATO & CO CPASBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1950 Third AvenueAddressLine1
CityNew YorkCity
StateNYState
ZIP Code100222705ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN113277961EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Bishop Hucles Nursing Home IncBusinessNameLine1
Business Name Line2co Episcopal Health Services IncBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlBISHNameControl
Phone5163494643Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 Hicksville RoadAddressLine1
CityBethpageCity
StateNYState
ZIP Code11714ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWilliam MooreName
TitleCFOTitle
Date Signed2011-11-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameAngelo Pirozzi CPAName
Phone2123714446Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRev Lawrence C ProvenzanoNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1700 Hicksville Road Suite 210AddressLine1
CityBethpageCity
StateNYState
ZIP Code11714ZIPCode
FieldValueIRS element (for citing)
Gross Receipts21820000GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.ehs.org/bhucWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionBishop Henry B. Hucles Nursing Home, Inc. is a not-for-profit voluntary corporation organized to provide nursing care and other health related services to sick, disabled and convalescent persons with low income. Bishop Hucles operates a 240 bed nursing home in Brooklyn, New York.ActivityOrMissionDescription
Nbr Voting Members Governing Body2NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees249TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year18000ContributionsGrantsPriorYear
Contributions Grants Current Year27000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22615000ProgramServiceRevenuePriorYear
Program Service Revenue CY21633000ProgramServiceRevenueCY
Investment Income Prior Year112000InvestmentIncomePriorYear
Investment Income Current Year67000InvestmentIncomeCurrentYear
Other Revenue Prior Year88000OtherRevenuePriorYear
Other Revenue Current Year93000OtherRevenueCurrentYear
Total Revenue Prior Year22833000TotalRevenuePriorYear
Total Revenue Current Year21820000TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14074233SalariesEtcPriorYear
Salaries Etc Current Year13603393SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9504767OtherExpensePriorYear
Other Expenses Current Year10114607OtherExpensesCurrentYear
Total Expenses Prior Year23579000TotalExpensesPriorYear
Total Expenses Current Year23718000TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-746000RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1898000RevenuesLessExpensesCY
Total Assets BOY35461000TotalAssetsBOY
Total Assets EOY34040000TotalAssetsEOY
Total Liabilities BOY33472000TotalLiabilitiesBOY
Total Liabilities EOY33949000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1989000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY91000NetAssetsOrFundBalancesEOY
Mission DescriptionBishop Henry B. Hucles Nursing Home, Inc. is a not-for-profit voluntary corporation organized to provide nursing care and other health related services to sick, disabled and convalescent persons with low income. Bishop Hucles operates a 240 bed nursing home in Brooklyn, New York.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense21653000Expense
Revenue20215000Revenue
DescriptionThe organization owns and operates a 240 bed nursing home which provides nursing and health related services to sick, disabled and convalescent individuals. Bishop Hucles provided 81,962 days of nursing service and patient care in 2010, operating at 93.6% occupancy.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense651000Expense
Revenue1418000Revenue
DescriptionThe organization operates an Adult Day Care program licensed to provide daily care programs to thirty senior adults. The program provided 7,837 days of care in 2010.Description
FieldValueIRS element (for citing)
Total Program Service Expense22304000TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccounttrueEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109651NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees249NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members2NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN MORAHANNamePerson
Telephone Number5163494643TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1700 Hicksville Rd Suite 210AddressLine1
CityBethpageCity
StateNYState
ZIP Code117143471ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeIndividual Trustee Or DirectorIndividualTrusteeOrDirector
Will Moore
CFO - PMA3.00X000
Robin Thompson
Dir of PT40.00101196019218X
Rev Lawrence C Provenzano
President & CEO1.00X0360006480X
Margaret Carpenter
Officer1.00000X
Luis Hernandez
CAO-Kurron1.00X000
Lillian A Jackson
Dir of Nursing40.00104076012715X
Jane Rosenthal
Adminis - PMA40.00X000
Estredida Martin
Asst Administrator40.00112666013070X
Ann Oswald
CFO Kurron3.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org317938TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs36000TotalReportableCompFrmRltdOrgs
Total Other Compensation51483TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
US SECURITY ASSOCIATES INC
PO BOX 931703ATLANTAGA31193SECURITY SERVICE209660
EXCLUSIVE TRANSPORTATION INC
PO BOX 476LAWRENCENY11559AMBULETTE SERVICE238147
ESSENTIAL NURSE RECRUITERS INC
471 NORTH BROADWAY H-387JERICHONY11753AGENCY NURSE SERVICE752242
CPA AGENCY INC
3220 AVENUE H SUITE 3NBROOKLYNNY11210AGENCY NURSE SERVICE126675
ANGELICA TEXTILE SERVICES
PO BOX 823283PHILADELPHIAPA19182LAUNDRY SERVICE223630
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions27000AllOtherContributions
Total Contributions27000TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Revenue6230002021500020215000
Adult Day Care Revenue62300014180001418000
FieldValueIRS element (for citing)
Total Program Service Revenue21633000TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column67000TotalRevenueColumn
Exclusion$67,000ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
VENDOR REBATES90009925000$25,000
CELLULAR ANTENA90009922000$22,000
ADULT DAY CARE MEALS62300039000$39,000

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column7000TotalRevenueColumn
Exclusion$7,000ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue93000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21820000TotalRevenueColumn
Related Or Exempt Function Income21633000RelatedOrExemptFunctionIncome
Exclusion$160,000ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9850617Total
Program Services9259580ProgramServices
Management And General591037ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total604307Total
Program Services568049ProgramServices
Management And General36258ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2397599Total
Program Services2253743ProgramServices
Management And General143856ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total750870Total
Program Services705818ProgramServices
Management And General45052ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total71005Total
Program Services66745ProgramServices
Management And General4260ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total98000Total
Management And General98000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total3284Total
Management And General3284ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1401057Total
Program Services1316994ProgramServices
Management And General84063ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total11892Total
Program Services11892ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1163425Total
Program Services1093620ProgramServices
Management And General69805ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1947739Total
Program Services1830875ProgramServices
Management And General116864ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6245Total
Program Services5870ProgramServices
Management And General375ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total351215Total
Program Services330142ProgramServices
Management And General21073ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1700830Total
Program Services1598780ProgramServices
Management And General102050ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total171836Total
Program Services161526ProgramServices
Management And General10310ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Provision for Bad Debt673000673000
Patient Transportation245779245779
Other Purchased Services105566199232163340
Laundry Service219828219828
Food Cost593567593567

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total400244Total
Program Services375871ProgramServices
Management And General24373ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23718000Total
Program Services22304000ProgramServices
Management And General1414000ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3646000BOY
EOY13000EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1000000BOY
EOY5823000EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3593000BOY
EOY3189000EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY791000BOY
EOY680000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis45448000LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec29845000LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY16735000BOY
EOY15603000EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9696000BOY
EOY8732000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY35461000BOY
EOY34040000EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2719000BOY
EOY2910000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY26379000BOY
EOY25080000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4374000BOY
EOY5959000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY33472000BOY
EOY33949000EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1989000BOY
EOY91000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1989000BOY
EOY91000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35461000BOY
EOY34040000EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1898000ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years327000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18000CurrentTaxYearMinus1Year
Current Tax Year27000CurrentTaxYear
Total429000Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23956000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23667000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23615000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22615000CurrentTaxYearMinus1Year
Current Tax Year21633000CurrentTaxYear
Total115486000Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24283000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23698000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23641000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22633000CurrentTaxYearMinus1Year
Current Tax Year21660000CurrentTaxYear
Total115915000Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509115915000PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years267000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years270000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years202000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year112000CurrentTaxYearMinus1Year
Current Tax Year67000CurrentTaxYear
Total918000Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years267000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years270000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years202000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year112000CurrentTaxYearMinus1Year
Current Tax Year67000CurrentTaxYear
Total918000Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-348000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years101000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years87000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year88000CurrentTaxYearMinus1Year
Current Tax Year93000CurrentTaxYear
Total21000Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24202000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24069000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23930000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22833000CurrentTaxYearMinus1Year
Current Tax Year21820000CurrentTaxYear
Total116854000Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99200PublicSupportPercentage509
Prior Year Support Percentage0.98520PriorYearSupportPercentage
Investment Income Percentage0.00790InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00930PriorYrInvestIncomePercentage
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)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$3,284OtherActivitiesAmount
Total Lobbying Expenditures IIB3284TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationBishop Hucles Nursing Home pays dues to Continuing Care Leadership Coalition (CCLC)and NYASHA. In accordance with section 6033 (e) of the Internal Revenue Code, and as reported by CCLC and NYASHA, a portion of these dues payments are attributable to lobbying activities. The lobbying activities applicable to 2010 CCLC and NYASHA dues was $3,284..Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis685000OtherCostOrOtherBasis
Book Value685000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22312000OtherCostOrOtherBasis
Depreciation12634000Depreciation
Book Value9678000BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1226000OtherCostOrOtherBasis
Depreciation926000Depreciation
Book Value300000BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis21225000OtherCostOrOtherBasis
Depreciation16285000Depreciation
Book Value4940000BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15603000TotalOfBookValueLandBuildings

Other Assets OtherAssets (11 entries)

DescriptionDescriptionBook ValueBookValue
Residents Surety Bond170000
Operating Escrow Checking1000
Operating Escrow - MM5332000
Loan to Related Party525000
Funds Held In Trust For Residents298000
Due from third-party payers
Debt Service Reserve Fund833000
Debt Service Fund1261000
Cost of Issuance Fund
Construction Fund290000
Bond Escrow Fund22000
FieldValueIRS element (for citing)
Total Book Value Other Assets8732000TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Proffessional & Self Insurance Liabiliti$154,000
Funds Held In Trust For Residents$298,000
Due to Third Party Payors$5,498,000
Due to Related Party$9,000
FieldValueIRS element (for citing)
Total Of Amounts5959000TotalOfAmounts
Total Revenue21820000TotalRevenue
Total Expenses23718000TotalExpenses
Excess Or Deficit For Year-1898000ExcessOrDeficitForYear
Excess Or Deficit Per FS-1898000ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt21820000TotRevenueEtcAuditedFinclStmt
Revenue Subtotal21820000RevenueSubtotal
Total Revenue Per Form99021820000TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23718000TotExpensesEtcAuditedFinclStmt
Expenses Subtotal23718000ExpensesSubtotal
Total Expenses Per Form99023718000TotalExpensesPerForm990

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Dormitory Authority of the State New YorkBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN146000293IssuerEIN
CUSIP Number64983QQ28CUSIPNumber
Date Issued2006-05-24DateIssued
Issue Price29895099IssuePrice
Description Of PurposeBuilding MortgageDescriptionOfPurpose
DefeasedtrueDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired4600000AmountRetired
Total Proceeds29895099TotalProceeds
Amount In Reserve Fund2094257AmountInReserveFund
Issuance Costs From Proceeds676691IssuanceCostsFromProceeds
Capital Expenditures27854991CapitalExpenditures
Amount Unspent311256AmountUnspent
Year Of Subst Completion1997YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementstrueAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00360PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00380PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00740TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
ExplanationBishop Hucles pays a fee to the dormitory authority of New York State which covers various administrative and other services, inclusive of the bond arbitrage review.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableUpon request, the organization will make available those documents required to be disclosed under the public inspection laws.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe compensation of key employees is determined and/or approved after comparison of compensation paid for comparable positions in the organization's region.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe Board reviews all annual conflict of interest questionnaires. Positive responses are reviewed and additional information is gathered to determine if a conflict exists. If a conflict exists, appropriate action is taken to eliminate the conflict, including such steps as reassignment of responsibilities or establishment of protective agreements. If a matter involves a board member or officer, appropriate action, including recusal and additional disclosures, will be determined by the Board.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe Director of Finance and Chief Financial Officer reviewed the Form 990 and required schedules with the Board appointed Audit Committee in a specially scheduled Committee meeting on November 8, 2011. Parts VI (Governance, Management and Disclosure) and VII (Officers and Directors compensation), as well as Schedule J (Compensation) were specifically reviewed due to their disclosure of board members' identities. Any questions regarding the filing and/or Form 990 content were addressed at the meeting.
Form 990, Part VI, Line 8Form 990, Part VI, Line 8 : Explanation of No Contemporaneously Documentation of Meetings8b) There are no separate committees with authority to act on behalf of the governing body.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderEpiscopal Health Services Inc. is the sole member.
Form 990, Part VI, Line 3Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyEpiscopal Health Services Inc. engaged the services of Kurron Shares of America, Inc. (Kurron), an unrelated company, to provide day-to-day management consulting services until mid-November 2010. Pitts Management Associates Inc. (PMA), an unrelated company, replaced Kurron and currently provides day-to-day management consulting services. Remuneration paid to Kurron and PMA during 2010 are reported in Part VII, section B - Independent Contractors. The applicable names and titles of Kurron and PMA personnel are disclosed on Part VII - section A - Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Church Charity Corporation
700 HICKSVILLE RD SUITE 210BethpageNY11714112797706Plan, Develop & Coordinate Charitable ActivitiesNY501(c)(3)N/Afalse
St Johns Emergency Medical Svcs PC
700 HICKSVILLE RD SUITE 210BethpageNY11714262884115Physician Emergency Room ServicesNY501(c)(3)false11AEpiscopal Health Services Inc
St Johns Medical Services PC
700 HICKSVILLE RD SUITE 210BethpageNY11714542164621Physician ServicesNY501(c)(3)false11AEpiscopal Health Services Inc
EPISCOPAL HEALTH SERVICES INC
700 HICKSVILLE RD SUITE 210BETHPAGENY11714111665825Diversified Healthcare ServicesNY501(c)(3)N/Afalse3
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg