2015-11-10T15:50:19-06:00 2014-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2014-01-01 113188802 NEW YORK CONGREGATIONAL NURSING CENTER NEWY 7185767000 135 LINDEN BOULEVARD BROOKLYN NY 11226 CECELIA C ZUCKERMAN PRESIDENT/CEO 7185767000 2015-11-10 1 GARRETT M HIGGINS P00543209 9143818900 2015-11-10 2014 2016-03-07 17:11:31Z CECELIA C ZUCKERMAN 135 LINDEN BOULEVARD BROOKLYN NY 11226 22474156 0 X WWW.NYCNC.ORG X 1994 NY THE MISSION OF NEW YORK CONGREGATIONAL NURSING CENTER IS TO PROVIDE SKILLED NURSING CARE AND REHABILITATION THERAPY SERVICES FOR 200 RESIDENTS. ADDITIONALLY, THE CENTER HAS A LONG-TERM HOME HEALTH CARE PROGRAM WHICH PROVIDES NURSING, REHAB THERAPY, DIETARY, SOCIAL WORK AND HOME HEALTH AIDE/PERSONAL CARE SERVICES TO PERSONS LIVING IN THEIR OWN HOMES. 6 6 350 9 0 0 4603 727042 27952579 21650701 5334 4747 93958 81175 28056474 22463665 2600 0 0 0 16234244 16294018 0 0 0 12846573 8055318 29083417 24349336 -1026943 -1885671 20964075 19011701 21197758 21240618 -233683 -2228917 X THE MISSION OF NEW YORK CONGREGATIONAL NURSING CENTER IS TO PROVIDE SKILLED NURSING CARE AND REHABILITATION THERAPY SERVICES FOR 200 RESIDENTS. ADDITIONALLY, THE CENTER HAS A LONG-TERM HOME HEALTH CARE PROGRAM WHICH PROVIDES NURSING, REHAB THERAPY, DIETARY, SOCIAL WORK AND HOME HEALTH AIDE/PERSONAL CARE SERVICES TO PERSONS LIVING IN THEIR OWN HOMES. 0 0 19299486 20511741 NEW YORK CONGREGATIONAL NURSING CENTER OFFERS A WIDE RANGE OF SERVICES ADDRESSING THE NEEDS OF PEOPLE RECOVERING FROM POST SURGICAL CONDITIONS, ACUTE MEDICAL EVENTS AND OTHER SITUATIONS REQUIRING INTENSIVE NURSING CARE AND REHABILITATION. THESE SERVICES FOR THE MOST PART ARE PROVIDED ON-SITE OR DIRECTLY THROUGH CONSULTATION. TYPES OF SERVICES: - MEDICAL SERVICES INCLUDING: AUDIOLOGY, CARDIOLOGY, DENTAL, INFECTIOUS DISEASE, NEUROLOGY, ONCOLOGY, OPTOMETRY, PODIATRY, PSYCHIATRY, PHYSIATRY, PSYCHOLOGY, PULMONOLOGY, OPHTHALMOLOGY, SURGICAL, UROLOGY, AND VASCULAR - REHABILITATION THERAPY INCLUDING PHYSICAL, OCCUPATIONAL, SPEECH, AND DYSPHAGIA- NURSING INCLUDING INTRAVENOUS THERAPY, TRACHEOTOMY CARE, OXYGEN THERAPY, WOUND CARE, ALTERNATIVE FEEDING DELIVERY SYSTEMS, AND MANAGEMENT OF COMPLEX CONDITIONS- PSYCHO-SOCIAL COUNSELING - THERAPEUTIC DIETS - NUTRITIONAL COUNSELING - BEAUTY PARLOR SERVICES - PASTORAL CARE - DISCHARGE PLANNING INCLUDING COMPREHENSIVE EDUCATION AND PREPARATION FOR DISCHARGE, AND A HOME VISIT BEFORE DISCHARGE THE ORGANIZATION PROVIDED 70,672 DAYS OF CARE TO APPROXIMATELY 494 PATIENTS IN 2014. 1895646 1138960 LONG TERM HOME HEALTH CARE PROGRAM PROVIDING QUALITY CARE (200 SLOTS) TO ENABLE THE ELDERLY TO REMAIN IN THEIR OWN RESIDENCE. IN-HOME SERVICES INCLUDE:- NURSING ASSESSMENT & MANAGEMENT- PHYSICAL THERAPY- OCCUPATIONAL THERAPY - SPEECH THERAPY - RESPIRATORY THERAPY - SOCIAL WORK- NUTRITIONAL COUNSELING- PERSONAL CARE- HOUSEKEEPING- MEDICAL SUPPLIES AND MEDICAL EQUIPMENT THERE WERE 3,805 DAYS OF CARE IN 2014. 21195132 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 12 0 350 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X X FRANK CIANCIOTTO 7185767000 135 LINDEN BOULEVARD BROOKLYN NY 11226 KENDALL CHRISTIANSEN CHAIRPERSON 0.20 0.90 X X 0 0 0 DR ESTHER SIEGEL VICE CHAIRPERSON 0.20 X X 0 0 0 MICHAEL ROBINSON SECRETARY/TREASURER 0.20 X X 0 0 0 ROBERT R GAINER DIRECTOR 0.20 X 0 0 0 DR MARGARET L MCCLURE DIRECTOR 0.20 X 0 0 0 JAMES WAECHTER DIRECTOR 0.20 0.70 X 0 0 0 CECELIA C ZUCKERMAN PRESIDENT/CEO 33.50 1.50 X 413525 0 49667 FLORENCE KATZ SENIOR VP/COO 34.50 0.50 X 221458 0 42957 FRANK CIANCIOTTO SENIOR VP/CFO 34.50 0.50 X 248895 0 44766 DAVETH FORBES-THOMAS VP OF NURSING 35.00 X 169980 0 12283 ROUANDY PASCAL VP OF HOME CARE PROGRAMS 35.00 X 159656 0 28388 WEIJUN HUANG DIRECTOR OF FINANCE 35.00 X 139600 0 2141 ADRIAN COX VP OF FACILITIES MANAGEMENT 35.00 X 133369 0 12151 BRENDA PITKOFF DIRECTOR OF REHAB 35.00 X 123106 0 8359 1609589 0 200712 10 0 1 0 ATTENTIVE HOME CARE 2774 CONEY ISLAND AVE BROOKLYN NY 11235 HOME HEALTHCARE AGENCY 258303 EPIC SECURITY CORP 2067 BROADWAY NEW YORK NY 10023 SECURITY GUARDS 187842 THERALINKS 36-36 33RD STREET LONG ISLAND CITY NY 11106 PHYSICAL AND OCCUPATIONAL THERAPY 143598 TEKCONN SERVICES INC 237 WEST 35TH STREET NEW YORK NY 10001 IT SERVICES 140095 THE BROOKLYN HOSPITAL CENTER 121 DEKALB AVENUE BROOKLYN NY 11201 MEDICAL DIRECTOR SERVICES 125432 11 727042 727042 MEDICAID 623000 15695273 15695273 MEDICARE 623000 3133328 3133328 OTHER NET PATIENT REVENUE 623000 2724900 2724900 PRIVATE PAY REVENUE 623000 97200 97200 21650701 4747 4747 12645 10491 2154 2154 CASH DISCOUNTS 900099 73750 73750 VENDING MACHINE REVENUE 900099 3358 3358 MEDICAL RECORDS FEES 900099 1420 1420 493 493 79021 22463665 21650701 0 85922 1021268 892387 128881 11265871 9847415 1418456 604401 527001 77400 2119218 1847829 271389 1283260 1118924 164336 1500 1500 41087 2075 39012 86316 86316 1578 1578 1369520 1258789 110731 26703 19265 7438 1276817 1090880 185937 294666 102590 192076 1420849 1392220 28629 16632 4234 12398 17016 4160 12856 1128183 1091321 36862 348645 348645 NYS CASH RECEIPTS ASSES 1067558 1067558 MEDICAL SUPPLIES 284598 284598 REPAIRS & MAINTENANCE 235083 235083 MEDICATIONS 149307 149307 289260 257996 31264 24349336 21195132 3154204 0 795064 1007860 1476230 1297522 3000 6575153 4750088 47484 47484 142741 123578 34579549 27668556 7707892 6910993 4219511 4871176 20964075 19011701 5584887 4725260 13065000 12245000 167417 170093 44527 36258 2335927 4064007 21197758 21240618 X -233683 -2228917 -233683 -2228917 20964075 19011701 X -1885671 -881 -108682 X X 0 1 X 1 0 X 11533 35175 26648 4603 727042 805001 25266978 26256038 28423994 27952579 21650701 129550290 25278511 26291213 28450642 27957182 22377743 130355291 75 75 0 75 75 130355216 14064 9671 8054 5334 4747 41870 14064 9671 8054 5334 4747 41870 2154 2154 90209 98926 117717 93958 79021 479831 25382784 26399810 28576413 28056474 22463665 130879146 0.99600 0.99630 0.00030 0.00050 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2010 AMOUNT: $ 90,209. 2011 AMOUNT: $ 15. 2012 AMOUNT: $ 27,465. 2013 AMOUNT: $ 17,683. CASH DISCOUNTS - 2011 AMOUNT: $ 84,515. 2012 AMOUNT: $ 75,593. 2013 AMOUNT: $ 65,746. 2014 AMOUNT: $ 73,750. VENDING MACHINE INCOME - 2011 AMOUNT: $ 12,208. 2012 AMOUNT: $ 10,909. 2013 AMOUNT: $ 5,568. 2014 AMOUNT: $ 3,358. MEDICAL RECORDS FEE - 2011 AMOUNT: $ 2,188. 2012 AMOUNT: $ 3,750. 2013 AMOUNT: $ 4,926. 2014 AMOUNT: $ 1,420. CAFETERIAL MEAL CHARGE - 2013 AMOUNT: $ 35. 2014 AMOUNT: $ 33. PLANTS FLOWERS - 2014 AMOUNT: $ 460. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1578 1578 0 PART II-B, LINE 1: COSTS ARE INCURRED AS PART OF DUES PAID TO NURSING HOME INDUSTRY ORGANIZATIONS. 0 1 X 44462 44462 28845590 22469065 6376525 5689497 5199491 490006 6910993 DUE FROM RELATED PARTIES 1391099 RESIDENT'S FUNDS 170093 DEFERRED MORTGAGE COSTS 609580 DUE FROM THIRD PARTY PAYORS 1646111 INSURANCE RECOVERIES RECEIVABLE 1054293 4871176 DEFERRED COMPENSATION PAYABLE 213173 DUE TO THIRD PARTY PAYORS 844000 INTEREST RATE SWAP LIABILITY 1952541 INSURANCE CLAIMS PAYABLES 1054293 4064007 X 22462784 -881 -881 22463665 0 22463665 24349336 0 24349336 0 24349336 PART IV, LINE 2B: RESIDENTS' FUNDS ARE HELD BY THE CENTER ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE CENTER FOR SAFEKEEPING. THE FUNDS ARE DISBURSED BY THE CENTER AT THE REQUEST OF, OR ON BEHALF OF RESIDENTS FOR THEIR PERSONAL USE. RESIDENT PERSONAL FUNDS ARE MAINTAINED IN BANK ACCOUNTS AND INVESTMENTS SEPARATE FROM THE CENTER'S ACCOUNTS. INTEREST EARNED ON RESIDENT FUNDS IS CREDITED TO THE RESIDENTS' ACCOUNTS. PART X, LINE 2: THE CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE CENTER HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE CENTER IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR TAX YEARS PRIOR TO 2011. X X X X X 0 0 0 0 0 0 0 1 0 CECELIA C ZUCKERMAN PRESIDENT/CEO 370679 0 25000 0 17846 0 35700 0 13967 0 463192 0 0 0 FLORENCE KATZ SENIOR VP/COO 195829 0 15000 0 10629 0 15677 0 27280 0 264415 0 0 0 FRANK CIANCIOTTO SENIOR VP/CFO 224123 0 10000 0 14772 0 17625 0 27141 0 293661 0 0 0 DAVETH FORBES-THOMAS VP OF NURSING 169640 0 0 0 340 0 11899 0 384 0 182263 0 0 0 ROUANDY PASCAL VP OF HOME CARE PROGRAMS 159184 0 0 0 472 0 11519 0 16869 0 188044 0 0 0 PART I, LINE 7 THE ORGANIZATION AWARDED THE FOLLOWING INDIVIDUALS A BONUS THAT WAS SUBJECT TO BOARD DISCRETION AND APPROVAL. THE BONUSES WERE INCLUDED IN THEIR 2014 W-2S. - CECILIA ZUCKERMAN, $25,000 - FRANK CIANCIOTTO, $10,000 - FLORENCE KATZ, $15,000 A NEW YORK CITY INDUSTRIAL DEVELOPMENT AGENCY CIVIC FACILITY REVENUE SERIES 2 132906040 649438BE7 2006-07-27 17075000 REFUND FOR PRIOR ISSUE (8/17/95) AND RENOVATIONS FOR FACILITY 0 0 0 A 2085000 17103440 324425 275697 780630 15722688 2006 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 1 0 1 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS NEW YORK CONGREGATIONAL COMMUNITY SERVICES. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE ORGANIZATION APPOINTS THE BOARD OF DIRECTORS AT ITS ANNUAL MEETING. A VACANCY ON THE BOARD ARISING AT ANY TIME AND FROM ANY CAUSE MAY BE FILLED FOR THE UNEXPIRED TERM BY THE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B ANY DIRECTOR MAY BE REMOVED WITH OR WITHOUT CAUSE BY THE SOLE MEMBER. IN ADDITION, THE SOLE MEMBER SHALL HAVE THE POWER TO MAKE, ALTER, AMEND, AND REPEAL THE BY-LAWS AND CERTIFICATE OF INCORPORATION OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 NEW YORK CONGREGATIONAL NURSING CENTER HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE FINANCE COMMITTEE FOR ANY COMMENTS. A MEETING WOULD BE CALLED AFTER RECEIPT AND WOULD DEPEND ON THE MEMBERS OF THE COMMITTEE'S SCHEDULES. MINUTES OF THIS MEETING AND REVIEW WOULD BE KEPT WITH THE BOARD MEETING MINUTES. ANY COMMENTS OR QUESTIONS FROM THE FINANCE COMMITTEE ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, DEPARTMENT DIRECTORS, MANAGEMENT STAFF, AND KEY EMPLOYEES UPON HIRING AND ANNUALLY THEREAFTER ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. THIS DISCLOSURE STATES THAT THE INDIVIDUAL RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, UNDERSTANDS IT, WILL COMPLY WITH THE RULES, AND THAT THEY COMPLETED THE CORPORATE COMPLIANCE PROGRAM IN-SERVICE. ADDITIONALLY, THEY MUST MAKE FULL DISCLOSURE OF ANY ACTIVITIES THAT COULD RESULT IN A POSSIBLE CONFLICT OF INTEREST. IF A CONFLICT IS DEEMED TO EXIST, THE PRESIDENT MUST BE MADE AWARE AND POSSIBLE DISCIPLINARY ACTION OR EVEN TERMINATION IS POSSIBLE UPON REVIEW WITH THE HR DIRECTOR AND OUR RISK MANAGEMENT COUNCIL. THERE IS ALSO A COMPLIANCE HELPLINE WHICH IS A TOTAL-FREE AND COMPLETELY CONFIDENTIAL SERVE WHERE AN INDIVIDUAL CAN REPORT POSSIBLE VIOLATIONS TO THE POLICY. FORM 990, PART VI, SECTION B, LINE 15A THE CEO COMPENSATION IS BASED ON A 2004 STUDY BY JAMES ROCCO ASSOCIATES WHICH INCLUDED SIMILAR COMPENSATION FOR CEO'S IN SIMILAR SIZED NURSING HOMES. BASED ON THEIR RECOMMENDATION, A TEN YEAR CONTRACT WAS FORMALIZED AND APPROVED BY THE BOARD, WHICH INCLUDES ANNUAL SALARY INCREMENTS. THE CONTRACT REMAINED IN EFFECT THROUGH THE ENTIRE YEAR OF 2014. THE CFO COMPENSATION IS RECOMMENDED BY THE CEO TO THE FINANCE COMMITTEE OF THE BOARD WHO SUBSEQUENTLY REVIEWS IT FOR APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, ARTICLES OF INCORPORATION, FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. THE ORGANIZATION ALSO FILES AN ANNUAL COST REPORT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH WHICH CONTAINS FINANCIAL STATEMENTS AND RELATED NOTE DISCLOSURES. THIS COST REPORT IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP LIABILITY -108,682. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. NEW YORK CONGREGATIONAL CENTER FOR COMMUNITY LIFE 135 LINDEN BLVD BROOKLYN NY 11226 200483447 OPERATE A COMMUNITY CENTER AND PROVIDE SOCIAL SUPPORT SERVICES NY 501(C)3 9 NEW YORK CONGREGATIONAL COMMUNITY SERVICES 0 NEW YORK CONGREGATIONAL HOME FOR THE AGED 135 LINDEN BLVD BROOKLYN NY 11226 111631799 SUPPORT THE ACTIVITIES OF THE NY CONGREGATIONAL NURSING CENTER NY 501(C)3 PF NEW YORK CONGREGATIONAL COMMUNITY SERVICES 0 NEW YORK CONGREGATIONAL HOME FOR THE AGED FOUNDATION 135 LINDEN BLVD BROOKLYN NY 11226 200276760 SUPPORT THE ACTIVITIES OF THE NY CONGREGATIONAL NURSING CENTER DE 501(C)3 TYPE I NEW YORK CONGREGATIONAL COMMUNITY SERVICES 0 NEW YORK CONGREGATIONAL COMMUNITY SERVICES 135 LINDEN BLVD BROOKLYN NY 11226 113519798 SUPPORT THE NY CONGREGATIONAL NURSING CENTER AND ITS AFFILIATES NY 501(C)3 TYPE II N/A 0 NEW YORK CONGREGATIONAL COMMUNITY PROPERTIES 135 LINDEN BLVD BROOKLYN NY 11226 550791344 MANAGE REAL PROPERTY FOR THE NY CONGREGATIONAL COMMUNITY SERVICES NY 501(C)3 PF NEW YORK CONGREGATIONAL COMMUNITY SERVICES 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0