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RUTLAND NURSING HOME INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
RUTLAND NURSING HOME INC (EIN 11-2164674)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201123199349304397
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)
Timestamp2011-11-15T10:03:30-08:00Timestamp
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)
EIN112164674EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Rutland Nursing Home IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRUTLNameControl
Phone7186045532Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1585 Schenectady AvenueAddressLine1
CityBrooklynCity
StateNYState
ZIP Code11203ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJohn SchmittName
TitleCFOTitle
Date Signed2011-11-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameAngelo Pirozzi CPAName
Phone2123714446Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLinda Brady MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1585 Schenectady AvenueAddressLine1
CityBrooklynCity
StateNYState
ZIP Code11203ZIPCode
FieldValueIRS element (for citing)
Gross Receipts71383939GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.kingsbrook.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionOur 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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers235TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year48999ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year67382695ProgramServiceRevenuePriorYear
Program Service Revenue CY71238182ProgramServiceRevenueCY
Investment Income Prior Year158667InvestmentIncomePriorYear
Investment Income Current Year145757InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year67590361TotalRevenuePriorYear
Total Revenue Current Year71383939TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year47884969SalariesEtcPriorYear
Salaries Etc Current Year48860495SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year20902682OtherExpensePriorYear
Other Expenses Current Year27521225OtherExpensesCurrentYear
Total Expenses Prior Year68787651TotalExpensesPriorYear
Total Expenses Current Year76381720TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1197290RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4997781RevenuesLessExpensesCY
Total Assets BOY25485024TotalAssetsBOY
Total Assets EOY23598761TotalAssetsEOY
Total Liabilities BOY49914071TotalLiabilitiesBOY
Total Liabilities EOY53025589TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-24429047NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-29426828NetAssetsOrFundBalancesEOY
Mission DescriptionOur 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense64854640Expense
Revenue71238182Revenue
DescriptionRutland Nursing Home, located on the campus of Kingbrook Jewish Medical Center is a 538-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, dietitians and social workers augment the treatment team.Description
Total Program Service Expense64854640TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
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 StmtfalseIndependentAuditFinancialStmt
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 RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
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 With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
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
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJohn SchmittNamePerson
Telephone Number7186045532TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1585 Schenectady AvenueAddressLine1
CityBrooklynCity
StateNYState
ZIP Code11203ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
Victor Ayala PhD
Trustee2.00X000
valerie Bynoe-Kasden Esq
Trustee1.00X000
Susan Zinder
General Counsel12.00X024157923298X
Sonia Borra MD
Trustee1.00X0680296441
Sibte Burney MD
CMO12.00039704337370X
Seema Goldstein
Vice Chairman1.50X000
Robert Reiss
Trustee1.50X000
Robert Dubicki
COO from Nov12.000747639449X
Rafique Chaudrey MD
Trustee1.00X000
Mary Anne Rose
Vice President40.00024191426474X
Linda Brady MD
President & CEO12.00X0421573537142X
Kevin Molloy
COO Jan-Nov12.00077087637834X
John Schmitt CPA
CFO12.00X0376945114392X
Henna White
Trustee3.00X000
Harold McDonald
Senior VP12.000353273898X
Gwendolyn Bradham Lewis
Secretary1.00X000
Edward Lieberstein
Chairman2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs6422211TotalReportableCompFrmRltdOrgs
Total Other Compensation296298TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Life Transmed Inc
2667 Coney Island AveBrooklynNY11223Patient Transport126806
Exclusive Transportation Service Inc
945 East 108th StreetBrooklynNY11236Patient Transport243614
Dedicated Transportation Inc
9812 211th StreetQueens VillageNY11429Patient Transport281563
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Srvc RevDescription
Business Code623000BusinessCode
Total Revenue Column71238182TotalRevenueColumn
Related Or Exempt Function Income71238182RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue71238182TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column145757TotalRevenueColumn
Exclusion$145,757ExclusionAmount

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
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column71383939TotalRevenueColumn
Related Or Exempt Function Income71238182RelatedOrExemptFunctionIncome
Exclusion$145,757ExclusionAmount

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)
Total36872956Total
Program Services32103678ProgramServices
Management And General4769278ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1804391Total
Program Services1571005ProgramServices
Management And General233386ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7187151Total
Program Services6257539ProgramServices
Management And General929612ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2995997Total
Program Services2608483ProgramServices
Management And General387514ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total250702Total
Program Services198559ProgramServices
Management And General52143ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total132192Total
Program Services104698ProgramServices
Management And General27494ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total23138Total
Program Services18326ProgramServices
Management And General4812ManagementAndGeneral

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)
Total6347738Total
Program Services5027479ProgramServices
Management And General1320259ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total12116472Total
Program Services9596383ProgramServices
Management And General2520089ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1134669Total
Program Services898671ProgramServices
Management And General235998ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1705440Total
Program Services1350728ProgramServices
Management And General354712ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total298334Total
Program Services236284ProgramServices
Management And General62050ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total853120Total
Program Services675681ProgramServices
Management And General177439ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total394854Total
Program Services312729ProgramServices
Management And General82125ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
linens & Laundry Services42940334009289311
Housekeeping876926945318239
Dietary / Food Costs12626591000040262619
Bad Debt24848122484812

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total76381720Total
Program Services64854640ProgramServices
Management And General11527080ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7840099BOY
EOY4727487EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY220721BOY
EOY239035EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7214031BOY
EOY9112077EOY

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)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis38464635LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec32371059LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6737946BOY
EOY6093576EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY403907BOY
EOY291889EOY

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)
BOY3068320BOY
EOY3134697EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25485024BOY
EOY23598761EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY684570BOY
EOY540866EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6062396BOY
EOY5099438EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY43167105BOY
EOY47385285EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY49914071BOY
EOY53025589EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-24429047BOY
EOY-29426828EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-24429047BOY
EOY-29426828EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25485024BOY
EOY23598761EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-4997781ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Minus1 Year48999CurrentTaxYearMinus1Year
Total48999Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years68065377CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65592253CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years66027895CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67382695CurrentTaxYearMinus1Year
Current Tax Year71238182CurrentTaxYear
Total338306402Total

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 Years68065377CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65592253CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years66027895CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67431694CurrentTaxYearMinus1Year
Current Tax Year71238182CurrentTaxYear
Total338355401Total

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 Total509338355401PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years265360CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years320362CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years238712CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year158667CurrentTaxYearMinus1Year
Current Tax Year145757CurrentTaxYear
Total1128858Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years265360CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years320362CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years238712CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year158667CurrentTaxYearMinus1Year
Current Tax Year145757CurrentTaxYear
Total1128858Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year48999CurrentTaxYearMinus1Year
Total48999Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years68330737CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65912615CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years66266607CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67639360CurrentTaxYearMinus1Year
Current Tax Year71383939CurrentTaxYear
Total339533258Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99650PublicSupportPercentage509
Prior Year Support Percentage0.99630PriorYearSupportPercentage
Investment Income Percentage0.00330InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00350PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 LegislatorstrueDirectContactLegislators
Direct Contact Legislators$17,040DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$6,098OtherActivitiesAmount
Total Lobbying Expenditures IIB23138TotalLobbyingExpendituresIIB
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
ExplanationRutland 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 2010 CCLC dues was $6,098.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 2010 Rutland Nursing Home paid $17,040 in connection with these services.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis825000OtherCostOrOtherBasis
Book Value825000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis31413281OtherCostOrOtherBasis
Depreciation27206341Depreciation
Book Value4206940BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6148485OtherCostOrOtherBasis
Depreciation5164718Depreciation
Book Value983767BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis77869OtherCostOrOtherBasis
Book Value77869BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6093576TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Other Assets1543689
Operating Escrow Account372144
Mortgage Repayment Escrow1949
FieldValueIRS element (for citing)
Total Book Value Other Assets3134697TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
FIN 47 Liability$79,200
Estimated 3rd Party Settlements$30,563,008
Due to Kingsbrook Jewish Medical Center$16,504,042
Cash Funds held in Trust for Residents$239,035
FieldValueIRS element (for citing)
Total Of Amounts47385285TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Susan Zinder
241579165006798264877
Sibte Burney MD
3284672327514095434413607237853
Mary Anne Rose
20711319676679826838834801
Linda Brady MD
7364812327513867425287724109032381642868835
Kevin Molloy
43575023275145598087103264578669
John Schmitt CPA
304281100525138674913375692815736

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part III, Additional InformationIdentifier
Return ReferencePart III, Additional InformationReturnReference
ExplanationPart II, Column (C) Retirement and other deferred compensation:The deferred compensation reported for three Kingsbrook Jewish Medical Center employees (John Schmitt, Kurt Kodroff, Kiran Batheja) includes accruals for the transition stabilization plan which was implemented in 2009. The value of the plan is subject to risk of forfeiture (pursuant to IRS regulations) until the employees meet 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 employees' total remuneration, based on advice provided by independent executive compensation consultants.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990 Part VII, Line 2Rutland 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 the form 941 filed by kingsbrook Jewish Medical Center under the employer identification number 11-1631759.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableUpon request, the organization will make available only those documents required to be disclosed under the public inspection laws.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE 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, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsRutland Nursing Home, Inc. follows Kingsbrook Jewish Medical Center's conflict of 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.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessThe CFO has conducted a detailed review of the 990 with the hospitals tax accountant and all appropriate changes have been made. The 990 is then reviewed with the CEO for any additional commentary, observations, or recommendations. The 990 is then reviewed with 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, Line 11
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyMembers may elect and appoint members of the governing board and board officers of the corporation.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderKingsbrook Healthcare System ("KHS") is the sole member of Rutland Nursing Home, Inc.Form 990, Part VI, Line 6

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Kingsbrook Jewish Medical Center Aux
585 Schenectady AvenueBrooklynNY11203113016121InactiveNY501(c)(3)11aN/Afalse
Kingsbrook Jewish Medical Ctr Foundation
585 Schenectady AvenueBrooklynNY11203112845058SupportNY501(c)(3)11afalseKingsbrook Jewish Medical Center
Kingsbrook Healthcare System
585 Schenectady AvenueBrooklynNY11203030464734SupportNY501 (c)(3)11AfalseNA
Kingsbrook Jewish Medical Center
585 Schenectady AvenueBrooklynNY11203111631759HospitalNY501(C)(3)3falseKingsbrook Healthcare System Inc

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
KHS Security Agency LLC
585 Schenectady AvenueBrooklynNY11203134297095InactiveNYKHS Inc0falsefalse
ATM Nurse Registry LLC
585 Schenectady AvenueBrooklynNY11203InactiveNYKSI Inc0falsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Singulab Inc
585 Schenectady AveBrooklynNY11203562327669InactiveDEKSI IncC-Corp
KSI Inc
585 Schenectady AveBrooklynNY11203562327654InactiveNYKHS IncC Corp
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 OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg