2017-11-21T13:30:58-06:00 2016-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2016-01-01 133070759 NORTHERN METROPOLITAN INC NORT 8453529000 225 MAPLE AVENUE MONSEY NY 10952 MORRIS KLEIN EXECUTIVE DIRECTOR 8453529000 2017-11-21 1 AARON SHAPIRO P01333816 2128674000 38.98.118.70 2017-11-21 11:31:11 ES 2633872017314034ae66 2017-11-10 P 225B73B148284D6C629F7CBF4AC09CDDFD7CF9F8 73A2BDB4DEE3E1301F7FB9DCBA9193E2BC5F7900 2016 2017-02-10 21:41:12Z X MORRIS KLEIN 2000 FOUNTAINVIEW DRIVE MONSEY NY 10952 16626118 0 X WWW.NORTHERNMET.COM X 1981 NY TO PROVIDE SKILLED CARE FOR THE ELDERLY 8 8 260 42 0 0 0 0 16013227 16483379 6192 25323 100 117416 16019519 16626118 226638 226738 0 0 8942310 8642773 0 0 0 5624201 6398807 14793149 15268318 1226370 1357800 7709239 10680733 4359081 5972775 3350158 4707958 TO PROVIDE SKILLED NURSING HOME FACILITY, ADULT DAYCARE CENTER, AND A SUPLEMENTAL NUTRITION PROGRAM FOR THE ELDERLY. 0 0 10017779 226738 12999914 NURSING HOME: PROVIDE SKILLED NURSING CARE TO THE ELDERLY 2536948 3368397 ADULT DAYCARE PROGRAM: PROVIDE OUTPATIENT CARE TO THE ELDERLY 86665 115068 SNAP PROGRAM: DISTRIBUTIONS OF FOOD TO THE NEEDY 12641392 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 112 0 260 1 0 0 0 0 0 0 0 0 0 0 X 8 8 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 0 1 0 0 NY X MICHAEL ITZKOWITZ 8453569880 2000 FOUNTAINVIEW DRIVE MONSEY NY 10952 STUART MEYERS CHAIRMAN 0.10 0.90 X X 0 3250 0 LEON STEINMETZ BOARD MEMBER 0.10 0.90 X 0 4000 0 RABBI SIMON LAUBER BOARD MEMBER 0.10 0.90 X 0 3000 0 HINDI GINSBERG BOARD MEMBER 0.10 0.90 X 0 500 0 CHARLES F KENNY ESQ BOARD MEMBER 0.10 0.90 X 0 500 0 ABRAHAM ZACHARIASH BOARD MEMBER 0.10 0.90 X 0 0 0 RABBI HERSHAL HAGER BOARD MEMBER 0.10 0.90 X 0 0 0 ISRAEL ORZEL BOARD MEMBER 0.10 0.90 X 0 3000 0 MORRIS KLEIN EXECUTIVE DIRECTOR 6.00 29.00 X 116579 563462 172276 GEDALIA KLEIN CHIEF OPERATING OFFICER 3.00 14.50 X 22639 109423 23060 MICHAEL NOWICKI COMPLIANCE OFFICER 6.00 29.00 X 33392 161392 0 JOCELYN PALMA DIRECTOR OF NURSING 35.00 X 112828 0 0 LINDA SCHULMAN PHYSICAL THERAPIST DIR 35.00 X 114495 0 0 BARBARA ULLMAN DNS 35.00 X 118450 0 0 SHARON STOLBACH OCCUPATIONAL THERAPIST DIR 35.00 X 101850 0 3862 620233 848527 199198 5 0 1 0 CHEVRA LIADY NUSACH HOARY 1578 53RD STREET BROOKLYN NY 11219 ADMINISTRATIVE SERVICES 269139 CENTERS FOR CARE 4770 WHITE PLAINS ROAD BRONX NY 10470 CONSULTING SERVICES 225977 2 NURSING FACILITY 623000 12999914 12999914 ADULT DAY CARE PROGRAM 623000 3368397 3368397 SNAP REVENUE 624120 115068 115068 16483379 25323 25323 OTHER 900099 117416 117416 117416 16626118 16483379 0 142739 226738 226738 206096 206096 6698981 6465804 233177 294050 262512 31538 897140 759628 137512 546506 451071 95435 895358 46630 848728 37131 37131 41500 41500 634169 326356 307813 86212 86212 781643 531944 249699 63077 52061 11016 768089 633947 134142 55259 42840 12419 2977 2977 528684 436352 92332 568005 468806 99199 FOOD 802782 802782 NYS CASH RECEIPTS ASSES 629715 629715 MEDICAL SUPPLIES 504206 504206 15268318 12641392 2626926 0 1228149 1429372 416918 450108 4157033 4047854 328757 986167 9321251 5554019 1578382 3767232 7709239 10680733 2012417 2550554 132351 168748 89473 25393 2124840 3228080 4359081 5972775 X 3350158 4707958 3350158 4707958 7709239 10680733 1357800 0 X X 0 1 X 1 0 X 3252603 3252603 16301691 16151426 15859805 16013227 16483379 80809528 19554294 16151426 15859805 16013227 16483379 84062131 0 0 0 84062131 135 235 1556 6192 25323 33441 135 235 1556 6192 25323 33441 16556 715 100 117416 134787 19554429 16168217 15862076 16019519 16626118 84230359 0.99800 0.99960 0.00040 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER 0 1 X 6323182 3222265 3100917 2962444 2331754 630690 35625 35625 3767232 ESTIMATED LIABILITIES TO THIRD-PARTY PAYORS 49243 DUE TO RELATED PARTIES 3178837 3228080 X 16626118 0 16626118 0 16626118 15041580 0 15041580 226738 226738 15268318 PART IV, LINE 2B: RESIDENT FUNDS ARE MAINTAINED IN ACCOUNTS SEPARATE FROM NORTHERN METROPOLITAN'S ACCOUNTS. INTEREST EARNED ON RESIDENT FUNDS IS CREDITED TO THE RESIDENTS' ACCOUNTS. PART X, LINE 2: NORTHERN METROPOLITAN HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2013 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANTS TO RELATED ENTITY 226,738. 1 CHEVRA LIADY NUSACH HOARY 1580 53RD STREET BROOKLYN NY 11219 113133470 501 (C) 3 226738 TO SUPPORT THE RELIGIOUS MISSION OF CHEVRA LIADY NUSACH HOARY 1 0 PART I, LINE 2: NORTHERN METROPOLITAN, INC. MAINTAINS RECORDS TO TRACK THE AMOUNT OF GRANTS AWARDED. THE ENTITY RECEIVING THE GRANT MUST BE A NON-PROFIT. 0 1 0 0 0 0 0 0 0 MORRIS KLEIN EXECUTIVE DIRECTOR 105162 508280 0 0 11417 55182 24009 116043 5524 26700 146112 706205 0 0 GEDALIA KLEIN CHIEF OPERATING OFFICER 21405 103457 0 0 1234 5966 0 0 3953 19107 26592 128530 0 0 MICHAEL NOWICKI COMPLIANCE OFFICER 32296 156096 0 0 1096 5296 0 0 0 0 33392 161392 0 0 PART I, LINE 4B MORRIS KLEIN, $140,052 FORM 990, PART VI, SECTION A, LINE 2 CHIEF OPERATING OFFICER, GEDALIA KLEIN, IS RELATED TO EXECUTIVE DIRECTOR, MORRIS KLEIN. FORM 990, PART VI, SECTION A, LINE 6 NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE, INC. IS THE SOLE CORPORATE MEMBER OF NORTHERN METROPOLITAN. FORM 990, PART VI, SECTION A, LINE 7A NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE, INC. MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY OF NORTHERN METROPOLITAN. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FINAL FORM 990 IS CIRCULATED TO THE ENTIRE BOARD AND REVIEWED BY MANAGEMENT PRIOR TO FILING. ANY QUESTIONS OR COMMENTS BY THE BOARD ARE BROUGHT TO THE AUDITOR'S ATTENTION AND ADDRESSED. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER, DIRECTOR, AND OFFICER IS PROVIDED WITH THE CONFLICT OF INTEREST POLICY, AND IS REQUIRED TO FILL OUT A FORM WHICH WILL DISCLOSE ANY CONFLICT OF INTEREST. IF THERE IS A CONFLICT, THE BOARD MEMBER WILL RECUSE HIM/HERSELF FROM VOTING ON ANY ISSUE THAT CREATES THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A A PRICE WATERHOUSE STUDY REVIEWED AND SUBSTANTIATED THE TOP MANAGEMENT COMPENSATION. THE LAST SALARY DETERMINATION FOR TOP MANAGEMENT COMPENSATION TOOK PLACE IN JUNE 2011. THE STUDY WAS CONDUCTED BY THE SOLE CORPORATE MEMBER NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE, INC. ON BEHALF OF NORTHERN METROPOLITAN. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED SINCE PRIOR YEAR. FORM 990, PAGE ONE, BOX B, AMENDED RETURN: THE DECEMBER 31, 2016 FORM 990 WAS AMENDED DUE TO AN ADDITION TO PART VII, SECTION B. NORTHERN MANOR MULTICARE CENTER INC 199 MIDDLETOWN ROAD NANUET NY 10954 133623600 NURSING HOME NY 501 (C)(3) LINE 10 NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC 0 NORTHERN RIVERVIEW HEALTH CARE CENTER INC 87 SOUTH ROUTE 9W HAVERSTRAW NY 10927 133832251 NURSING HOME NY 501 (C)(3) LINE 10 NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC 0 ASSISTED LIVING AT NORTHERN RIVERVIEW INC 89 SOUTH ROUTE 9W HAVERSTRAW NY 10927 133976617 ASSISTED LIVING FOUNDATION NY 501 (C)(3) LINE 10 NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC 0 FOUNTAINVIEW AT COLLEGE ROAD INC 2000 FOUNTAINVIEW DRIVE MONSEY NY 10952 133935070 INDEPENDANT LIVING FACILITY NY 501 (C)(3) LINE 10 NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC 0 NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC 2000 FOUNTAINVIEW DRIVE MONSEY NY 10952 113354023 CHARITABLE FOUNDATION AND ADMINISTRATIVE SUPPORT ORGANIZATION NY 501 (C)(3) LINE 12A, I CHEVRA LIADY NUSACH 0 NORTHERN SERVICES GROUP INC 2000 FOUNTAINVIEW DRIVE MONSEY NY 10952 134120014 ADMINISTRATIVE SUPPORT ORGANIZATION NY 501 (C)(3) LINE 10 NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC 0 LIFESTYLE OPTIONS FOR SENIORS FOUNDATION INC 2000 FOUNTAINVIEW DRIVE MONSEY NY 10952 134133472 CHARITABLE FOUNDATION NY 501 (C)(3) LINE 10 NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC 0 CHEVRA LIADY NUSACH HOARY 1580 53RD STREET BROOKLYN NY 11219 113133470 RELIGOUS ENTITY NY 501 (C)(3) LINE 1 N/A 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0