2015-11-13T16:35:29-06:00 2014-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2014-01-01 113237619 BUENAVIDA CORP BUENA VIDA CONT CAREREHAB CTR BUEN 7184556200 48 CEDAR STREET BROOKLYN NY 11221 MICHAEL KLIDAS CFO 7184556200 2015-11-12 1 GARRETT M HIGGINS P00543209 9143818900 2015-11-12 2014 2016-04-25 22:37:26Z BUENA VIDA CONTINUING CARE & REHABILITATION CENTER JAMES CAMERON 48 CEDAR STREET BROOKLYN NY 11221 23658355 0 X WWW.BUENAVIDACENTER.ORG X 1994 NY MAINTAINING AND OPERATING OF A RESIDENTIAL HEALTH CARE FACILITY. 8 7 392 100 0 0 0 194153 24132865 23125202 41388 10755 733236 328245 24907489 23658355 0 0 0 0 17839801 17844234 0 0 0 10605581 9031701 28445382 26875935 -3537893 -3217580 25504320 23044759 34940269 35698288 -9435949 -12653529 TO BE THE PROVIDER OF CHOICE FOR THE CULTURALLY DIVERSE COMMUNITIES OF BROOKLYN AND QUEENS, BY PROVIDING OUTSTANDING LONG TERM AND REHABILITATIVE HEALTH CARE SERVICES IN AN ENVIRONMENT THAT FOSTERS CULTURAL SENSITIVITY. 0 0 24136222 23125202 OUR SNF OFFERS SHORT TERM REHABILITATION, LONG TERM CARE, SUBACUTE SERVICES, RESPITE CARE, PALLIATIVE AND IN-PATIENT HOSPICE TO THE OLDER ADULTS OF OUR COMMUNITY. OUR CARE IS PERSON-CENTERED, FOCUSING ON ALL THE NEEDS OF EACH INDIVIDUAL - PHYSICAL, SPIRITUAL, PSYCHOLOGICAL AND SOCIAL. WE HAD 539 ADMISSIONS IN 2014. WE DISCHARGED 211 RESIDENTS BACK TO THEIR HOMES. WE RENDERED 83,791 DAYS OF RESIDENT CARE, CONTINUED TO EXTEND THE BOUNDARIES OF THE HOME TO THE COMMUNITY AT LARGE, SHARING EXPERTISE, PROGRAMS AND RESOURCES THROUGH INTERNSHIP PROGRAMS, COMMUNITY INFORMATION PROGRAMS, HEALTH FAIR PARTICIPATION AND OTHER OUTREACH EFFORTS. 24136222 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 28 0 392 1 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X MICHAEL KLIDAS 7184556200 48 CEDAR STREET BROOKLYN NY 11221 JAMES D CAMERON CEO/ CHAIRPERSON 3.00 43.00 X X 0 331478 15035 VIRGINIA TORRES SECRETARY 1.00 2.00 X X 0 0 0 FRANK RUSSO TREASURER 1.00 2.00 X X 0 0 0 RAMOND CALDERON DIRECTOR 1.00 X 0 0 0 EMILY KURTZ SECRETARY- THRU JULY 2014 1.00 40.00 X X 0 127877 22192 ELENA ZULLO TREASURER- THRU JULY 2014 1.00 49.00 X X 0 154174 7601 HON WAYNE SAITTA DIRECTOR 1.00 X 0 0 0 HON RICHARD VELASQUEZ DIRECTOR 1.00 X 0 0 0 SONIA RIVERA DIRECTOR- THRU JULY 2014 1.00 34.00 X 0 55312 7344 BARBARA ORTIZ DIRECTOR- THRU JULY 2014 1.00 2.00 X 0 0 0 AVELLAR HANSLEY DIRECTOR 1.00 X 0 0 0 CUMANADA ANGUSTIA DIRECTOR 1.00 X 0 0 0 BARBARA MCFADDEN PRESIDENT/ADMINISTRATOR 34.00 1.00 X 190335 0 17915 EDWIN EFFUNE VICE PRESIDENT/FINANCE 35.00 X 176992 0 36159 MICHAEL KLIDAS CHIEF FINANCIAL OFFICER 3.00 44.00 X 0 197747 24175 ANITA HARVEY EDWARDS VICE PRESIDENT/HR 35.00 X 146504 0 15128 JUDY P GRIFFITH DIRECTOR OF NURSING 35.00 X 101367 0 11878 JUDY MANALILI DR. REHAB SERVICES 35.00 X 102529 0 12059 717727 866588 169486 5 0 1 0 MILLENIUM RESTORATIO 36-14 11TH STREET LONG ISLAND CITY NY 11106 BUILDING CONTRACTORS 428527 OMNICARE PO BOX 715268 COLUMBUS OH 43271 PHARMACY 410661 ISLAND WHOLESALE MEATS & FOODS 27 DUBON CT FARMINGDALE NY 11735 FOOD SERVICES 227980 FDR SERVICES CORP ONE AMES COURT SUITE 204 PLAINVIEW NY 11803 LAUNDRY SERVICES 217238 PRIME PROTECTIVE 26 COURT STREET SUITE 2204 BROOKLYN NY 11242 SECURITY SERVICE 192400 9 194153 194153 MEDICAID 623000 18523655 18523655 MEDICARE 623000 4137336 4137336 PRIVATE, PATIENT AND OTHER 623000 464211 464211 23125202 10755 10755 DIETARY REIMBURSEMENT 900099 152142 152142 INSURANCE REIMBURSEMENT 900099 78408 78408 MANAGEMENT FEES 900099 60000 60000 37695 37695 328245 23658355 23125202 0 339000 421401 391200 30201 11787884 10943073 844811 1050639 975342 75297 2815781 2613980 201801 1768529 1641782 126747 28950 28950 87600 87600 3576 3576 1347462 947304 400158 2087 2087 1567333 1502174 65159 186047 186047 1537401 1439603 97798 5775 1077 4698 118300 118300 1603349 1545495 57854 340396 340396 NYS CASH RECEIPTS ASSES 1193674 1193674 MEDICATIONS 454464 454464 PURCHASED & CONTRACTED 177192 177192 BAD DEBTS EXPENSE 150000 150000 228095 159862 68233 26875935 24136222 2739713 0 11189 8004 3063826 2287420 3522455 2851367 245490 212314 38217029 23778226 15285679 14438803 3375681 3246851 25504320 23044759 4614746 4834292 27952042 26360502 246123 217234 2127358 4286260 34940269 35698288 X -9435949 -12653529 -9435949 -12653529 25504320 23044759 -3217580 0 X X 0 1 X 1 0 X 17472 194153 211625 26403927 25206435 25545839 24132865 23125202 124414268 26421399 25206435 25545839 24132865 23319355 124625893 0 0 0 124625893 85723 81623 107537 41388 10755 327026 85723 81623 107537 41388 10755 327026 27357 77032 179709 733236 328245 1345579 26534479 25365090 25833085 24907489 23658355 126298498 0.98680 0.98850 0.00260 0.00320 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2010 AMOUNT: $ 27,357. 2011 AMOUNT: $ 16,699. 2012 AMOUNT: $ 28,655. 2013 AMOUNT: $ 106,540. 2014 AMOUNT: $ 2,941. MANAGEMENT FEES - 2011 AMOUNT: $ 20,000. 2012 AMOUNT: $ 60,000. 2013 AMOUNT: $ 60,000. 2014 AMOUNT: $ 60,000. VENDING - 2011 AMOUNT: $ 2,016. 2012 AMOUNT: $ 2,952. 2013 AMOUNT: $ 3,262. 2014 AMOUNT: $ 1,630. DIETARY REIMBURSEMENT - 2011 AMOUNT: $ 10,836. 2012 AMOUNT: $ 88,102. 2013 AMOUNT: $ 151,894. 2014 AMOUNT: $ 152,142. RECOVERY OF EXPENSES - 2011 AMOUNT: $ 26,918. 2013 AMOUNT: $ 394,914. 2014 AMOUNT: $ 20,381. DISCOUNTS - 2011 AMOUNT: $ 563. CAFETERIA - 2013 AMOUNT: $ 16,626. 2014 AMOUNT: $ 9,317. INSURANCE REIMBURSEMENT - 2014 AMOUNT: $ 78,408. FUEL REIMBURSEMENT - 2014 AMOUNT: $ 3,426. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3576 3576 0 PART II-B, LINE 1: CONTRIBUTIONS PAID TO NURSING HOME ASSOCIATIONS AND THE 1199 SEIU THAT IS RELATED TO LOBBYING. 0 1 X 66000 66000 24050902 12823869 11227033 14100127 10954357 3145770 14438803 CASH-RESIDENTS' FUNDS 217234 DUE FROM AFFILIATES 51229 ASSETS HELD BY TRUSTEES 2068728 DEFERRED FINANCING COSTS, NET 909660 3246851 DUE TO THIRD PARTY PAYORS 3351160 DUE TO AFFILIATES 935100 4286260 X 23658355 0 23658355 0 23658355 26875935 0 26875935 0 26875935 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. 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 PERIODS PRIOR TO 2011. X X 0 0 0 0 0 0 0 0 0 JAMES D CAMERON CEO/ CHAIRPERSON 0 331478 0 0 0 0 0 14255 0 780 0 346513 0 0 EMILY KURTZ SECRETARY- THRU JULY 2014 0 127877 0 0 0 0 0 0 0 22192 0 150069 0 0 ELENA ZULLO TREASURER- THRU JULY 2014 0 154174 0 0 0 0 0 0 0 7601 0 161775 0 0 BARBARA MCFADDEN PRESIDENT/ADMINISTRATOR 190335 0 0 0 0 0 3900 0 14015 0 208250 0 0 0 EDWIN EFFUNE VICE PRESIDENT/FINANCE 176992 0 0 0 0 0 3700 0 32459 0 213151 0 0 0 MICHAEL KLIDAS CHIEF FINANCIAL OFFICER 0 197747 0 0 0 0 0 8735 0 15440 0 221922 0 0 ANITA HARVEY EDWARDS VICE PRESIDENT/HR 146504 0 0 0 0 0 3000 0 12128 0 161632 0 0 0 A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 649907RF1 2013-07-03 25100000 REFUNDING 0 0 0 A 25100000 103315 24996685 2013 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 1 1 0 0 1 DORMITORY AUTHORITY OF THE STATE OF NEW 30.000000000000 1 0 1 A 1 SCHEDULE K, PART I, COLUMN (C) CUSIP # THE FOLLOWING ARE ALL CUSIP NUMBERS FOR THE ELEVEN DIFFERENT MATURITY DATES. 649907QV7 07/01/2014 649907QW5 07/01/2015 649907QX3 07/01/2016 649907QY1 07/01/2017 649907QZ8 07/01/2018 649907RA2 07/01/2019 649907RB0 07/01/2020 649907RC8 07/01/2021 649907RD6 07/01/2022 649907RE4 07/01/2023 649907RF1 07/01/2028 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS RIDGEWOOD-BUSHWICK SENIOR CITIZENS COUNCIL, INC. FORM 990, PART VI, SECTION A, LINE 7A RIDGEWOOD-BUSHWICK SENIOR CITIZENS COUNCIL, INC , THE MEMBER, HAS THE EXCLUSIVE POWER TO ELECT DIRECTORS OF THE CORPORATION THE MEMBER ELECTS DIRECTORS TO FILL VACANCIES ON THE BOARD AT THE ANNUAL MEETINGS OF THE MEMBER OR AT INTERVENING REGULAR OR SPECIAL MEETINGS OF THE MEMBER, IN THE EVENT A VACANCY ARISES IN THE INTERIM BETWEEN SUCH ANNUAL MEETINGS. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD SHALL NOT, WITHOUT THE PRIOR APPROVAL OF THE MEMBER, UNDERTAKE OR IMPLEMENT ANY OF THE FOLLOWING ACTIONS MERGING, SELLING SUBSTANTIALLY ALL OF THE ASSETS OF, OR CONSOLIDATING OR DISSOLVING THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 THE DRAFT 990 IS REVIEWED BY THE PRESIDENT AND VP OF FINANCE FOR APPROPRIATENESS OF THE NUMBERS AND CLASSIFICATIONS USED ONCE THIS REVIEW IS COMPLETED, A COPY OF THE DRAFT 990 IS EMAILED TO THE BOARD OF DIRECTORS FOR FURTHER REVIEW. THE PRESIDENT OR VP OF FINANCE WILL RESPOND TO AND ADDRESS ANY ISSUES RAISED BY ANY MEMBER OF THE BOARD OF DIRECTORS. AFTER ALL ISSUES HAVE BEEN ADDRESSED AND RESOLVED, THE 990 IS APPROVED FOR ELECTRONIC FILING BY THE PRESIDENT. IF ANY CHANGES WERE MADE TO THE DRAFT 990 A NEW COPY OF THE 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATION'S CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AND A WRITTEN ACKNOWLEDGEMENT IS OBTAINED FROM EACH BOARD MEMBER, OFFICER AND SENIOR PERSONNEL IF THERE WAS NO GOOD FAITH DISCLOSURE, THE CORPORATION MAY VOID THE CONTRACT OR TRANSACTION THE BOARD MAKES EVERY EFFORT TO AVOID CONTRACTS WHICH MAY INVOLVE A CONFLICT OF INTEREST. THE PRESIDENT AND CHIEF COMPLIANCE OFFICER SUMMARIZE ANY IDENTIFIED CONFLICTS AND ENSURE THAT ANY CONFLICTED INDIVIDUALS DO NOT PARTICIPATE IN DECISIONS ON MATTERS IN WHICH THEY MAY BE CONFLICTED. FORM 990, PART VI, SECTION B, LINE 15 THE VICE PRESIDENT OF HUMAN RESOURCES COLLECTS COMPARATIVE DATA. COMPARABLE SALARY DATA IS OBTAINED FROM OTHER 990'S, COMPARABLE FACILITIES, VARIOUS ASSOCIATIONS THAT REPRESENT LONG TERM NURSING FACILITIES AND COLLEAGUES IN THE INDUSTRY. A RECOMMENDATION IS MADE TO THE EXECUTIVE COMMITTEE FOR REVIEW AND APPROVAL. THE EXECUTIVE COMMITEE THEN MAKES A RECOMMENDATION TO THE ENTIRE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL FOR COMPENSATION MODIFICATIONS, IF ANY. THIS PROCESS WAS LAST DONE IN 2014. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE BY POSTING IT ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITIEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR. 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