CONCORD NURSING HOME INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CONCORD NURSING HOME INC (EIN 11-2290533)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202223199349325657
Schema version
2021v4.0
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)
Return2022-11-15T14:41:52-08:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN112513584PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Martin Friedman CPA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12600 Nostrand AveAddressLine1Txt
CityBrooklynCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN112290533EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONCORD NURSING HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCONCBusinessNameControlTxt
Phone7186367500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 MADISON STREETAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11216ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEitan NatPersonNm
Person TitleAdministratorPersonTitleTxt
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstEitanPersonFirstNm
Person LastNatPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGerry AdestPreparerPersonNm
PTINP02163197PTIN
Phone7183386900PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 MADISON STREETAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11216ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$21,158,053GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionPROVIDE SKILLED NURSING SERVICES FOR PERSONS WHO ARE INFIRMED, OR AGED AND INFIRMED, WITHOUT REFERENCE TO RACE, SEX, RELIGION, COLOR, OR NATURAL ORIGIN.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee172TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,397,395PYContributionsGrantsAmt
CY Contributions Grants$1,732,643CYContributionsGrantsAmt
PY Program Service Revenue$17,035,317PYProgramServiceRevenueAmt
CY Program Service Revenue$19,414,206CYProgramServiceRevenueAmt
PY Investment Income$4,470PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$214,367PYOtherRevenueAmt
CY Other Revenue$11,204CYOtherRevenueAmt
PY Total Revenue$21,651,549PYTotalRevenueAmt
CY Total Revenue$21,158,053CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,913,372PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,984,897CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,423,497PYOtherExpensesAmt
CY Other Expenses$8,880,029CYOtherExpensesAmt
PY Total Expenses$17,336,869PYTotalExpensesAmt
CY Total Expenses$16,864,926CYTotalExpensesAmt
PY Revenues Less Expenses$4,314,680PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,293,127CYRevenuesLessExpensesAmt
Total Assets BOY$12,004,414TotalAssetsBOYAmt
Total Assets EOY$18,221,221TotalAssetsEOYAmt
Total Liabilities BOY$24,426,333TotalLiabilitiesBOYAmt
Total Liabilities EOY$26,350,013TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$12,421,919NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$8,128,792NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE SKILLED NURSING SERVICES FOR PERSONS WHO ARE INFIRMED, OR AGED AND INFIRMED, WITHOUT REFERENCE TO RACE, SEX, RELIGION, COLOR, OR NATURAL ORIGIN.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$12,049,946ExpenseAmt
Revenue$16,593,827RevenueAmt
DescSKILLED NURSING CARE INCLUDES PROVIDING RESIDENTS OF CONCORD WITHMEALS, BEDS, SKILLED NURSING CARE RECREATION, SOCIAL SERVICES, MEDICALCARE AND REHABILITATION PROGRAMS FOR THOSE THAT NEED THAT TYPE OF CARE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,468,061ExpenseAmt
Revenue$2,820,379RevenueAmt
DescVENTILATOR ASSISTANCE AND RESPIRATORY THERAPY SERVICES:CONCORD PROVIDES A FULL SERVICES 24 HOUR UNIT FOR THOSE RESIDENTS THAT REQUIRE VENTILATOR ASSISTANCE TO BREATH DUE TO RESPIRATORY FAILURE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$14,518,007TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document14IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee172EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAVI GARRITANOPersonNm
Phone7189319700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14770 WHITE PLAINS ROADAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10470ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
Eitan Nat
Administrator37.250.00$226,942$0$0
Juliana Ninvalle
Dir. Of Nursing37.250.00$137,222$0$0
Guy Louis-Jacques
Resp Therapist37.250.00$135,903$0$0
Dorothea St Clair
Nurse Supervisor37.250.00$126,711$0$0
Suezette Washington
RN Supervisor37.250.00$113,810$0$0
Rev Dr Gary Simpson
Chairman0.000.00$0$0$0Yes (X)Yes (X)
Albert Wiltshire
Treasurer0.000.00$0$0$0Yes (X)Yes (X)
Sefer Balickchi
Secretary0.000.00$0$0$0Yes (X)Yes (X)
Deidre Pilgrim
Board Member0.000.00$0$0$0Yes (X)Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$740,588TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Centers For Care
4770 White Plains RdBronxNY10470Office Consulting$662,812
LI Script
333 Crossways Park DrWoodburyNY11797Pharmacy$227,919
Supplyline Medical
1750 Cedarbridge AveLakewoodNJ08701Medical Supplies$243,276
Towne Nursing
1413 38th StreetBrooklynNY11218Nursing Staff$970,055
Citi Security
78 Bedford StrretBrooklyn NYNY10014Security$256,846
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
Government Grants$1,732,643GovernmentGrantsAmt
Total Contributions$1,732,643TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SNF Revenue623000$16,593,827$16,593,827
Vent Unit Revenue623000$2,820,379$2,820,379
FieldValueIRS element (for citing)
Total Program Service Revenue$19,414,206TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINSURANCE REFUNDDesc
Business524298BusinessCd
Total Revenue Column$11,204TotalRevenueColumnAmt
Exclusion$11,204ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,204OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,158,053TotalRevenueColumnAmt
Related Or Exempt Func Income$19,414,206RelatedOrExemptFuncIncomeAmt
Exclusion$11,204ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,158,120TotalAmt
Program Services$5,542,308ProgramServicesAmt
Management And General$615,812ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,337,655TotalAmt
Program Services$1,203,889ProgramServicesAmt
Management And General$133,766ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$489,122TotalAmt
Program Services$440,210ProgramServicesAmt
Management And General$48,912ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$149,264TotalAmt
Management And General$149,264ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$441TotalAmt
Management And General$441ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,933,283TotalAmt
Program Services$1,368,737ProgramServicesAmt
Management And General$564,546ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,338TotalAmt
Management And General$7,338ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$508,986TotalAmt
Program Services$312,972ProgramServicesAmt
Management And General$196,014ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$78,077TotalAmt
Management And General$78,077ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,199,188TotalAmt
Program Services$1,079,269ProgramServicesAmt
Management And General$119,919ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$826TotalAmt
Management And General$826ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$361,839TotalAmt
Program Services$325,655ProgramServicesAmt
Management And General$36,184ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,189,827TotalAmt
Program Services$1,070,844ProgramServicesAmt
Management And General$118,983ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$224,347TotalAmt
Management And General$224,347ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Fees, Supplies & Drugs$1,177,273$1,177,273
Assessment$948,974$948,974
DIETARY & HOUSEKEEPING$575,469$575,469
IRS Settlements$524,897$472,407$52,490

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,864,926TotalAmt
Program Services$14,518,007ProgramServicesAmt
Management And General$2,346,919ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,341,162BOYAmt
EOY$14,343,857EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,539,125BOYAmt
EOY$1,630,285EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$20,806BOYAmt
EOY$20,806EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$80,438BOYAmt
EOY$132,405EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$26,834,116LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,300,256LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,542,467BOYAmt
EOY$1,533,860EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$10,500BOYAmt
EOY$7,500EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$469,916BOYAmt
EOY$552,508EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,004,414BOYAmt
EOY$18,221,221EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,686,207BOYAmt
EOY$3,458,079EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
EOY$1,766,845EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,950,795BOYAmt
EOY$13,026,395EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$115,277BOYAmt
EOY$212,915EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,000,000BOYAmt
EOY$2,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,674,054BOYAmt
EOY$5,885,779EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,426,333BOYAmt
EOY$26,350,013EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$12,421,919BOYAmt
EOY-$8,128,792EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$12,421,919BOYAmt
EOY-$8,128,792EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,004,414BOYAmt
EOY$18,221,221EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,293,127ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$68,348CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$439,486CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,281,883CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,397,395CurrentTaxYearMinus1YearAmt
Current Tax Year$1,732,643CurrentTaxYearAmt
Total$9,919,755TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,256,022CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,056,201CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,122,037CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,035,317CurrentTaxYearMinus1YearAmt
Current Tax Year$19,414,206CurrentTaxYearAmt
Total$81,883,783TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,324,370CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,495,687CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,403,920CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,432,712CurrentTaxYearMinus1YearAmt
Current Tax Year$21,146,849CurrentTaxYearAmt
Total$91,803,538TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$91,803,538PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$996CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,623CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,316CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,470CurrentTaxYearMinus1YearAmt
Total$14,405TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$996CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,623CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,316CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,470CurrentTaxYearMinus1YearAmt
Total$14,405TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,212CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$896CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$214,367CurrentTaxYearMinus1YearAmt
Current Tax Year$11,204CurrentTaxYearAmt
Total$259,766TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,358,578CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,502,206CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,407,323CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,651,549CurrentTaxYearMinus1YearAmt
Current Tax Year$21,158,053CurrentTaxYearAmt
Total$92,077,709TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99700PublicSupportCY509Pct
Public Support PY5090.99650PublicSupportPY509Pct
Investment Income CY0.00020InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$745,000OtherCostOrOtherBasisAmt
Book Value$745,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,355,653OtherCostOrOtherBasisAmt
Depreciation$22,846,153DepreciationAmt
Book Value$509,500BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,733,463OtherCostOrOtherBasisAmt
Depreciation$2,454,103DepreciationAmt
Book Value$279,360BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,533,860TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED INTEREST$636,168
DUE TO THIRD PARTY PAYORS$5,249,611
FieldValueIRS element (for citing)
Total Liability$5,885,779TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$19,762,039TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$581,799OtherRevenueAmt
Revenue Not Reported-$581,799RevenueNotReportedAmt
Revenue Subtotal$20,343,838RevenueSubtotalAmt
Other Revenues Not Included$814,215OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$814,215RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$21,158,053TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,468,912TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$814,215OtherExpensesIncludedAmt
Expenses Not Reported-$814,215ExpensesNotReportedAmt
Expenses Subtotal$16,283,127ExpensesSubtotalAmt
Other Expenses Not Included$581,799OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$581,799ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$16,864,926TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SEMPLOYEE RETENTION CREDIT $814215
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/STax Settlements $524897 Pharmacy Expenses $56902

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonEitan NatPersonNm
TitleAdministratorTitleTxt
Base Compensation Filing Org$226,942BaseCompensationFilingOrgAmt
Total Compensation Filing Org$226,942TotalCompensationFilingOrgAmt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Dormitory Authority NYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN146000293BondIssuerEIN
CUSIP64983Q7P8CUSIPNum
Bond Issued2007-10-25BondIssuedDt
Issue Price$18,690,000IssuePriceAmt
PurposeREFINANCINGPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$5,787,647RetiredAmt
Total Proceeds$18,704,407TotalProceedsAmt
In Reserve Fund$327,219InReserveFundAmt
Issuance Costs From Proceeds$375,985IssuanceCostsFromProceedsAmt
Working Capital Expenditures$9,166,051WorkingCapitalExpendituresAmt
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsYes (true)RefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessCONCORD NURSING HOME, INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDEACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURETHAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THEINTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD FORAPPROVAL. ONCE THE BOARD HAS APPROVED THE RETURN IT IS FILED WITH THEINTERNAL REVENUE SERVICE.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES OF THE FACILITY MUST ATTEMPTTO AVOID ANY ACTIONS THAT RESULT IN A DIRECT OR INDIRECT CONFLICT BETWEENHIS OR HER PERSONAL INTERESTS AND THOSE OF THE CENTER. BOARD MEMBERS,OFFICERS, AND KEY EMPLOYEES SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY.ALL POTENTIAL CONFLICTS ARE MONITORED AT BOARD MEETINGS THROUGHOUT THEYEAR. IF A POTENTIAL CONFLICT WERE TO ARISE, THE PERSON WOULD DISCLOSE THECONFLICT TO THE GOVERNING BOARD. THE DISINTERESTED BOARD MEMBERS WOULDREVIEW THE CONFLICT, AND COME TO A RESOLUTION. THE RESOLUTION WOULD BEDOCUMENTED IN THE MINUTES TO THE MEETING.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementTHE BOARD HAS A COMPENSATION COMMITTEE THAT REVIEWS 990'S FOR OTHERSURROUNDING AREA'S SKILLED NURSING FACILITIES FOR COMPARISON OFCOMPENSATION. THE COMPENSATION COMMITTEE ALSO REVIEWS THE EXECUTIVEDIRECTOR'S RESPONSIBILITIES AND DUTIES OF THE OTHER FACILITIES COMPARED TOTHEIR OWN EXECUTIVE DIRECTOR'S RESPONSIBILITIES AND DUTIES. THECOMPENSATION COMMITTEE PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THEBOARD OF DIRECTORS. THE BOARD OF DIRECTORS VOTES ANNUALLY ON THECOMPENSATION COMMITTEE'S RECOMMENDATIONS, A MAJORITY VOTE IS NEEDED FORAPPROVAL.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE ORGANIZATION MAKES ALL ITS GOVERNING DOCUMENTS, CONFLICT OF INTERESTPOLICY AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE DURING REGULAR BUSINESS HOURS AT 300 MADISON STREET, BROOKLYN, NY 11216. THE ORGANIZATION ALSO FILES A COST REPORT WITH NYS DEPARTMENT OF HEALTH THAT CONTAINS FINANCIAL STATEMENTS AND NOTE DISCLOSURES, WHICH IS ALSO AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part XII, Line 2: Change of Oversight or Selection ProcessTHE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THESELECTION & OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS ANDSELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGEFROM THE PRIOR YEAR.

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