2015-11-16T13:40:42-06:00 2014-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2014-01-01 113277669 PECONIC LANDING AT SOUTHOLD INC PECO 6314773800 1500 BRECKNOCK ROAD GREENPORT NY 11944 STEVEN CARROLL CFO 6314773800 2015-11-16 1 GARRETT M HIGGINS P00543209 9143818900 2015-11-11 2014 2016-03-07 17:11:31Z ROBERT SYRON 1500 BRECKNOCK ROAD GREENPORT NY 11944 30171208 0 4305 X WWW.PECONICLANDING.ORG X 1994 NY PECONIC LANDING STRIVES TO BE A PREEMINENT SENIOR SERVICES PROVIDER. GUIDED BY OUR CORE VALUES, AND PHILOSOPHY OF INNOVATION, WE ARE COMMITTED TO WORK IN PARTNERSHIP WITH ALL TO ACHIEVE OUR VISION. 11 10 250 115 0 0 869396 505320 17217153 17565572 1369854 1007202 1641247 1256076 21097650 20334170 0 0 0 0 11144754 11606777 0 0 0 9218652 8969706 20363406 20576483 734244 -242313 126179352 129013079 153801403 156891501 -27622051 -27878422 X PECONIC LANDING STRIVES TO BE ONE OF THE PREEMINENT CONTINUING CARE RETIREMENT COMMUNITIES IN THE UNITED STATES. WE ARE ACHIEVING OUR GOALS BY OPERATING AS A PARTNERSHIP WITH RESIDENTS, BOARD OF TRUSTEES, MANAGEMENT AND STAFF. 0 0 16908947 17565572 PECONIC LANDING IS A SENIOR LIFECARE COMMUNITY IN GREENPORT, PROVIDING SUPPORTIVE HOUSING, CARE AND AMENITIES TO 370+ SENIORS, INCLUDING INDEPENDENT, SKILLED NURSING AND ENRICHED LIVING HERE ON OUR CAMPUS, DEPENDING ON NEED. THE NURSING CENTER OFFERS MEDICAL, NURSING AND AN INTERDISCIPLINARY TEAM FOR EACH RESIDENT BASED ON AN INDIVIDUAL CARE PLAN.THE RESIDENTS OF PECONIC LANDING PROVIDE ENORMOUS BENEFIT TO THE HOSPITAL, NOT ONLY THROUGH UTILIZATION OF THE HOSPITAL, ANCILLARY AND PHYSICIAN SERVICES BUT ALSO AS GENEROUS DONORS TO OUR FOUNDATION - WHICH PROVIDES CRUCIAL SUPPORT TO THIS HOSPITAL. AS AN ORGANIZATION, PECONIC LANDING HAS BECOME A VALUED RESOURCE ON THE NORTH FORK, PROVIDING CULTURAL AND EDUCATIONAL PROGRAMS, COMMUNITY-WIDE SUPPORT FOR A MULTITUDE OF NON-PROFITS AND AS A WILLING PARTNER TO THE VILLAGE, TOWN AND HOSPITAL DURING TIMES OF NEED. PL IS FULLY CCAC ACCREDITED, FITCH-RATED, AND WINNER OF BEST PRACTICES AWARD FOR 2010 AND 2012. IN ADDITION, WE ARE A MEDICARE 5-STAR NURSING HOME, THE HIGHEST RATING GIVEN AND AN HONOR EARNED BY ONLY 18% OF NYS NURSING HOMES. 16908947 1 1 0 1 0 0 0 0 1 0 1 1 0 1 1 1 0 1 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 1 1 0 0 1 32 0 250 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X X STEVEN CARROLL 6314773800 1500 BRECKNOCK ROAD GREENPORT NY 11944 ROSAMOND BAIZ BOARD MEMBER 1.00 1.00 X 0 0 0 LUKE BABCOCK BOARD MEMBER 1.00 X 0 0 0 PAUL J CONNOR VICE PRESIDENT 1.00 1.00 X X 0 0 0 THOMAS DOOLAN SECRETARY 1.00 2.00 X X 0 0 0 GREGORY FERRARIS TREASURER 1.00 X X 0 0 0 ROBERT GOLDMAN BOARD MEMBER 1.00 1.00 X 0 0 0 REV PETER LARSEN BOARD MEMBER THRU MAY 2014 1.00 1.00 X 0 0 0 JOHN M MAY PRESIDENT 1.00 X X 0 0 0 SANDRA NOVICK BOARD MEMBER 1.00 X 0 0 0 EDWARD WELLINGTON WEBB II BOARD MEMBER 1.00 1.00 X 0 0 0 THOMAS MCCARTHY BOARD MEMBER 1.00 1.00 X 0 0 0 PATRICIA STEWART BOARD MEMBER THRU SEPT 2014 1.00 X 0 0 0 THOMAS MURRAY BOARD MEMBER THRU MARCH 2014 1.00 X 0 0 0 ROBERT SYRON CEO/ PRESIDENT 38.00 2.00 X X 401258 0 59372 STEVEN CARROLL CFO 38.00 2.00 X 245872 0 45714 GREGORY GARRETT EXECUTIVE VP - ADM. HEALTH 38.00 2.00 X 272680 0 51648 PATRICIA LUTZKY V.P. RESIDENT SERVICES 38.00 2.00 X 149153 0 41616 DARRYL VOLINSKI DIR. OF ENVIRON. SERVICES 38.50 1.50 X 206296 0 46839 DIANE BIANCULLI NURSE PRACTITIONER 40.00 X 110630 0 0 WILLIAM BJORNHOLM DIR. OF FINE DINING 40.00 X 115099 0 12751 LAURELLE CASSONE DIRECTOR OF MARKETING 38.50 1.50 X 133615 0 42493 1634603 0 300433 10 0 1 0 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 303536922 FOOD SERVICES 1325680 LECESSE CONSTRUCTION 75 THURWAY PARK DRIVE 1 WEST HENRIETTA NY 14586 CONSTRUCTION SERVICES 1215970 PERKINS EASTMAN ARCHITECTS PC 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECTURAL DESIGN 442114 RATSEY CONSTRUCTION 413 WIGGINS ST GREENPORT NY 11944 CONSTRUCTION SERVICES 430327 EASTERN LONG ISLAND HOSPITAL 201 MANOR LANE GREENPORT NY 11944 PHYSICAL THERAPISTS 204849 8 505320 505320 PRIVATE PATIENT REVENUE 623000 15923272 15923272 MEDICARE REVENUE 632000 1301996 1301996 MEDICAID REVENUE 623000 340304 340304 17565572 689346 689346 36249 0 36249 36249 36249 10154894 9837038 317856 317856 317856 REMARKETING FEE 900099 648188 648188 LATE FEES 900099 95302 95302 CAFETERIA INCOME 900099 92525 92525 383812 383812 1219827 20334170 17565572 0 2263278 1076544 829349 247195 7714539 5943137 1771402 176854 136245 40609 1771374 1364634 406740 867466 668280 199186 143272 139122 4150 27195 270 26925 95991 95991 1782 1782 377863 348125 29738 100660 100660 628187 316056 312131 113121 82488 30633 1958744 1869175 89569 56925 18512 38413 31705 11124 20581 352840 342493 10347 2664326 2636501 27825 97813 43653 54160 FOOD 1160150 1160150 PURCHASED AND CONTRACTE 283614 233049 50565 REPAIRS & MAINTENANCE 279352 265136 14216 MEDICAL SUPPLIES 188180 188180 407986 313268 94718 20576483 16908947 3667536 0 2907666 2318399 6140655 5298095 1432637 1690210 492620 572825 44247 54072 882844 1099996 62000036 24911300 34776095 37088736 55134709 55137709 24367879 25753037 126179352 129013079 2403830 3073738 3853348 3947868 28019846 27593040 10173800 10816317 109350579 111460538 153801403 156891501 X -28614578 -27970330 992527 91908 -27622051 -27878422 126179352 129013079 -242313 -14058 0 X X 0 1 X 1 0 X 461135 798400 735270 869396 505320 3369521 16098263 16841117 16859379 17217153 17565572 84581484 16559398 17639517 17594649 18086549 18070892 87951005 0 0 0 87951005 751851 826457 1425987 1367750 725595 5097640 751851 826457 1425987 1367750 725595 5097640 416456 541351 1035173 967197 1219827 4180004 17727705 19007325 20055809 20421496 20016314 97228649 0.90460 0.90780 0.05240 0.05530 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2010 AMOUNT: $ 416,456. 2011 AMOUNT: $ 541,351. 2012 AMOUNT: $ 460,745. 2013 AMOUNT: $ 347,509. 2014 AMOUNT: $ 79,933. REMARKETING FEE - 2012 AMOUNT: $ 496,060. 2013 AMOUNT: $ 451,834. 2014 AMOUNT: $ 648,188. GUEST ROOM MEALS - 2012 AMOUNT: $ 78,368. 2013 AMOUNT: $ 90,339. 2014 AMOUNT: $ 91,028. LATE FEES - 2013 AMOUNT: $ 77,515. 2014 AMOUNT: $ 95,302. REAL ESTATE ASSESSMENT - 2014 AMOUNT: $ 39,660. PARKING INCOME - 2014 AMOUNT: $ 11,933. CONVENIENCE STORE - 2014 AMOUNT: $ 61,647. BEAUTY SHOP - 2014 AMOUNT: $ 19,406. TELEVISION INCOME - 2014 AMOUNT: $ 80,205. CAFETERIA INCOME - 2014 AMOUNT: $ 92,525. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1782 1782 0 PART II-B, LINE 1: COST ARE INCURRED AS PART OF DUES PAID TO NURSING HOME INDUSTRY ORGANIZATIONS. 0 1 X 11034275 11034275 34365915 16261959 18103956 11095520 8649341 2446179 5504326 5504326 37088736 INV. IN PECONIC LANDING HOUSING 55137709 C 55137709 ASSETS LIMITED TO USE 22288425 OTHER FINANCING COST, NET 1160314 DUE FROM RELATED PARTIES 1994418 FUNDED PENSION COSTS 309880 25753037 REFUNDABLE DEPOSIT/ACCRUED INT 110064571 OPTIONS & UPGRADE LIABILITY 1258937 BOND INTEREST PAYABLE 137030 111460538 X 23848191 -14058 4168655 4154597 19693594 640575 640575 20334169 26373136 6437228 6437228 19935908 640575 640575 20576483 PART IV, LINE 2B: THE ESCROW LIABILITY ACCOUNTS REPRESENT THE ESCROW TO BE USED TO PURCHASE ANOTHER COOPERATIVE UNIT IF THE RESIDENT CAN LIVE INDEPENDENTLY AGAIN OR BE PAID UPON A RESIDENT'S DEATH TO THE RESIDENT'S ESTATE, AS DIRECTED BY THE RESIDENT'S WILL. PART X, LINE 2: THE COMPANY, THE FOUNDATION AND THE COOPERATIVE FILE INCOME TAX RETURNS IN THE U.S. FEDERAL AND NEW YORK STATE JURISDICTIONS AND RECOGNIZE THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT NONE OF THE ENTITIES HAD UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ENTITIES ARE NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2011. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE ATTRIBUTABLE TO CONSOLIDATED & RELATED ENTITIES 4,168,655. PART XI, LINE 4B - OTHER ADJUSTMENTS: ELIMINATING ENTRY 640,575. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES ATTRIBUTABLE TO CONSOLIDATED & RELATED ENTITIES 6,437,228. PART XII, LINE 4B - OTHER ADJUSTMENTS: ELIMINATING ENTRY 640,575. X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 ROBERT SYRON CEO/ PRESIDENT 263758 0 137500 0 0 0 28581 0 30791 0 460630 0 0 0 STEVEN CARROLL CFO 178420 0 67452 0 0 0 17025 0 28689 0 291586 0 0 0 GREGORY GARRETT EXECUTIVE VP - ADM. HEALTH 192680 0 80000 0 0 0 25426 0 26222 0 324328 0 0 0 PATRICIA LUTZKY V.P. RESIDENT SERVICES 132153 0 17000 0 0 0 23759 0 17857 0 190769 0 0 0 DARRYL VOLINSKI DIR. OF ENVIRON. SERVICES 149022 0 57274 0 0 0 18150 0 28689 0 253135 0 0 0 LAURELLE CASSONE DIRECTOR OF MARKETING 113615 0 20000 0 0 0 14169 0 28324 0 176108 0 0 0 PART I, LINE 7 BONUSES WERE PAID TO VARIOUS OFFICERS, KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES FOR ADDITIONAL RESPONSIBILITIES AND EXTRAORDINARY ACHIEVEMENT. THESE BONUSES WERE APPROVED BY THE BOARD AND SIGNED OFF BY THE PRESIDENT OF THE BOARD. A SUFFOLK COUNTY ECONOMIC DEVELOPMENT CORPORATION 273722095 86476RAD6 2010-12-08 29173331 REFUNDING 0 0 0 A 29173331 583467 28406165 183699 2010 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 1 1 0 0 1 GE CAPITAL CORPORATION 30.000000000000 1 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE MEETS WITH A DESIGNATED BOARD MEMBER WHO HAS BEEN ASSIGNED BY OTHER BOARD MEMBERS TO REVIEW THE FORM 990. THE FORM 990 IS PRESENTED TO THE DESIGNATED BOARD MEMBER AND THE FULL EXTENT OF THE FORM AND ITS PREPARATION IS EXPLAINED AT THE TIME. THE DESIGNATED BOARD MEMBER THEN REVIEWS AND APPROVES THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C IN THE EVENT A MEMBER OF THE BOARD OF TRUSTEES OF PECONIC LANDING AT SOUTHOLD, INC., OR THE MEMBER'S SPOUSE, CHILD, PARENT OR SIBLING, AS A RESULT OF A TRANSACTION, INVESTMENT OR ACTIVITY (HEREIN REFERRED TO AS A MATTER) WITH OR INVOLVING PECONIC LANDING AT SOUTHOLD, INC., PECONIC LANDING HOUSING ASSOCIATION COOPERATIVE, INC., PECONIC LANDING FOUNDATION, INC. (REFERRED TO IN THE AGGREGATE AS PECONIC LANDING) WILL RECEIVE ANY PROFIT OR GAIN, WHETHER DIRECTLY OR INDIRECTLY, THEN THE MEMBER SHALL PROMPTLY DISCLOSE THAT INTEREST TO THE BOARD AND SHALL NOT PARTICIPATE IN ANY DECISION ON SUCH A MATTER. THE MEMBER SHALL NOT VOTE ON, AND SHALL REMOVE HIM OR HERSELF FROM THE MEETING DISCUSSING SUCH A MATTER. THE MEMBER SHALL ALSO DISCLOSE ANY KNOWN SIGNIFICANT REASON(S) THAT SUCH A MATTER MIGHT NOT BE IN THE BEST INTERESTS OF PECONIC LANDING. THE MEMBER'S ABSTENTION FROM THE MEETING AND VOTE AND THE REASON FOR IT WILL BE RECORDED IN THE MINUTES OF ANY MEETING AT WHICH SUCH A MATTER OR MATTERS ARE DISCUSSED. EACH MEMBER IS REQUIRED TO SUBMIT AN ANNUAL DISCLOSURE STATEMENT AT THE BEGINNING OF EACH CALENDAR YEAR, AND WITHIN THIRTY (30) DAYS FOLLOWING THE EFFECTIVE DATE OF THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES OF PECONIC LANDING AT SOUTHOLD, INC. SHALL HAVE THE SOLE RESPONSIBILITY FOR ESTABLISHING ALL MATTERS PERTAINING TO EXECUTIVE COMPENSATION. THE BOARD RECOGNIZES THAT IT IS CHARGED WITH ESTABLISHING A TOTAL COMPENSATION PACKAGE NECESSARY TO ATTRACT THE BEST TALENT POSSIBLE WHILE BEING FULLY COGNIZANT OF ITS FIDUCIARY RESPONSIBILITY TO THE ORGANIZATION. THE BOARD, THEREFORE, ASSURES THAT DECISIONS INVOLVING EXECUTIVE COMPENSATION SHALL BE REASONABLE AND MEET THE REQUIREMENTS FOR A TAX-EXEMPT ENTITY, WHICH ARE: (1) SHALL BE BASED ON RELIABLE MARKET COMPARABILITY DATA; (2) THE BASIS TO SUPPORT EXECUTIVE COMPENSATION SHALL BE DOCUMENTED; AND (3) ALL MATTERS RELATED TO EXECUTIVE COMPENSATION ARE MADE FREE FROM ANY DIRECT OR INDIRECT CONFLICTS OF INTEREST. THE BOARD OF PECONIC LANDING AT SOUTHOLD, INC. APPOINTS THE FINANCE COMMITTEE TO NEGOTIATE ON BEHALF OF THE BOARD ALL MATTERS OF EXECUTIVE COMPENSATION, INCLUDING BASE WAGE, INCENTIVES, BONUSES, MERIT INCREASES, PERQUISITES, AND BENEFITS. THE COMMITTEE SHALL HAVE THE AUTHORITY TO NEGOTIATE BUT SHALL MAKE NO WARRANTY ON BEHALF OF THE BOARD IN MATTERS RELATING TO COMPENSATION. THE FINANCE COMMITTEE SHALL PRESENT ITS RECOMMENDATIONS CONCERNING EXECUTIVE COMPENSATION TO THE BOARD IN WRITING, INCLUDING; (1) DATA OR SOURCES USED IN DETERMINING COMPENSATION RECOMMENDATIONS; (2) A REVIEW OF EXECUTIVE PERFORMANCE; AND (3) FULL DISCLOSURE OF ANY POTENTIAL CONFLICTS OF INTEREST. THE FINANCE COMMITTEE SHALL MAKE ASSURANCE THAT FINAL EXECUTIVE COMPENSATION RECOMMENDATIONS ARE INDEPENDENTLY APPROVED BY COMMITTEE MEMBERS ACTING ON BEHALF OF THE BOARD IN A NON-CONFLICT OF INTEREST POSITION. - TO ENSURE THE REASONABLENESS OF EXECUTIVE COMPENSATION, THE FINANCE COMMITTEE SHALL BASE AND DOCUMENT ITS RECOMMENDATIONS ON THE FOLLOWING CRITERIA: MARKET DATA COMPARISONS; FUNCTIONAL REQUIREMENTS OF THE POSITION; CURRENT MARKET TRENDS; REGIONAL ECONOMIC INDICATORS; EDUCATION, CAREER BACKGROUND AND EXPERIENCE OF THE PERSON IN THE POSITION. THE FINANCE COMMITTEE MAY SEEK ADVICE AND COUNSEL FROM EXTERNAL, UNRELATED SOURCES, INCLUDING BUT NOT LIMITED TO: MANAGEMENT CONSULTANTS, EXECUTIVE RECRUITERS; NATIONAL AND STATE ORGANIZATIONS SUCH AS AAHSA AND NYAHSA; SALARY RESEARCH RESOURCES AND DATA BASES; AND OTHER SOURCES WHICH MAY PROVIDE ACCURATE, RELIABLE, VERIFIABLE WAGE DATA. COMPENSATION CONCERNING INCENTIVES AND BONUSES SHALL BE BASED ON QUANTITATIVE PERFORMANCE CRITERIA APPLIED TO THE ACHIEVEMENT OF PRE-ESTABLISHED GOALS. MERIT INCREASES SHALL BE MADE AT THE DISCRETION OF THE BOARD BASED ON PERFORMANCE IMPROVEMENT OVER A SPECIFIED PERIOD OF TIME. BENEFITS, INCLUDING HEALTH INSURANCE, LIFE INSURANCE, VACATION AND OTHER TIME OFF, SHALL BE PROPORTIONATE WITH THE BENEFITS POLICIES AND PACKAGE IN EFFECT FOR LEADERSHIP PERSONNEL AT PECONIC LANDING AT SOUTHOLD, INC. ON THE EFFECTIVE DATE OF BOARD APPROVAL OF THE TOTAL COMPENSATION PACKAGE. ALLLLLL MATTERS PERTAINING TO EXECUTIVE COMPENSATION MUST BE IN WRITTEN FORM. 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, CONFLICT OF INTEREST POLICY, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. 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. BRECKNOCK HALL FOUNDATION 1500 BRECKNOCK ROAD GREENPORT NY 11944 200350364 FOR SUPPORT NY 501(C)(3) PF PECONIC LANDING AT SOUTHHOLD INC 1 PECONIC LANDING HOME HEALTH SERVICES INC 1500 BRECKNOCK ROAD GREENPORT NY 11944 454566737 HOME HEALTH SERVICES NY 501(C)(3) 9 PECONIC LANDING AT SOUTHHOLD INC 1 THE SHORES AT PECONIC LANDING ASSISTED LIVING RESIDENCE 1500 BRECKNOCK ROAD GREENPORT NY 11944 454977274 ASSISTED LIVING NY 501(C)(3) 9 PECONIC LANDING AT SOUTHHOLD INC 1 PECONIC LANDING HOUSING ASSOCIATION CO-OP 1500 BRECKNOCK ROAD GREENPORT NY 11944 020575501 HOUSING ASSOC NY PECONIC LANDING AT SOUTHOLD INC C 3339797 33071993 1.00000 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 PECONIC LANDING HOUSING ASSOCIATION A 640575 COST