2015-11-30T12:40:26-06:00 2014-12-31 990 2014-01-01 112167809 Ozanam Hall of Queens Nursing Home Inc OZAN 7184232000 4241 201st Street Bayside NY 113612550 James M Koniarski CFO 7184232000 2015-11-30 2014 2016-04-25 22:37:26Z Sr M Joseph Catherine 4241 201st Street Bayside NY 113612550 54162470 0 X www.ozanamhall.org X 1969 NY The most significant activities this year were to provide 148,958 nursing days to various residents and the Home rehabilitated and returned 236 residents back to the communities. 17 17 704 415 0 0 217538 578539 49722460 51854192 422003 798205 668102 687104 51030103 53918040 0 0 0 0 36977982 37404579 0 0 0 16677719 17738941 53655701 55143520 -2625598 -1225480 94576634 91482147 42666650 41252816 51909984 50229331 X Ozanam Hall of Queens Nursing Home, inc mission is to provide wholistic care to the aged and infirm in an atmosphere of Christian understanding and faith. we hold in reverential esteem the sanctity of life, believing that God has touched humankind in a personal and lasting manner by the gift of life. Sanctity of life does not depend upon the quality of life. although mental and/or physical limitations may exist, the life of every human being is considred sacred. Each one has, therefore, a moral responsibility to respect and protect that basic right to life. 0 0 46454313 51872208 Ozanam Hall is a 432 bed skilled nursing facility that provided 148,958 nursing days to various residents as follows: medicare:15,285; medicaid: 110,932; private: 18,011; others: 4,731 nursing days. The rehab center rehabilitiated and returned 236 residents back to the community. We initiated a program called "love made visible" which impacted 215 alzheimer's residents. The program is extended to weekends. Our annual "memory screening" Alzheimer Memorial Candle Lighting Ceremony" and "blood drive" continues. The dementia training program for the public continues. Ozanam Hall also participates in the American Cancer society's making strides Against Breast Cancer fundraiser. 46454313 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 151 0 1 704 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 17 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X James M Koniarski 7184232000 4241 201st Street Bayside NY 113612550 X Rev Msgr Austin F Bennett Chair 0.50 X X 0 0 0 Rev Robert J Whelan Vice President 0.50 X X 0 0 0 Sr Michelle Anne Reho President 0.50 X X 0 0 0 Rev Msgr Alfred P Lopinto Treasurer 0.50 X X 0 0 0 Sr M Joseph Catherine Raymond Ceo/Secretary 37.50 X X 0 0 0 Sr M Kevin Patricia Member 0.50 X 0 0 0 Sr M Sean William Member 0.50 X 0 0 0 Patrick F Donnellan CPA Member 0.50 X 0 0 0 Mary P Giordano Esq Member 0.50 X 0 0 0 Leslee A Devlin Member 0.50 X 0 0 0 Keith M Powers Member 0.50 X 0 0 0 Most Rev Nicholas Dimarzio Member 0.50 X 0 0 0 Mother M Mark Louis Randall Member 0.50 X 0 0 0 Sr Maureen Murray Member 0.50 X 0 0 0 Sr M Anthony Veilleux Member 0.50 X 0 0 0 Sr Ann Elizabeth Brown Member 0.50 X 0 0 0 Sr Bernadette Therese Reilly Member 0.50 X 0 0 0 James M Koniarski CPA CFO 37.50 X 178197 0 46736 Margaret White Dir. of Rehabilitation 37.50 X 152172 0 46629 Harry C Itoka Controller 37.50 X 142743 0 38861 Madeleine Suprena RN 37.50 X 143124 0 37007 Luigi Capobianco Medical director 32.00 X 129625 0 54 745861 0 169287 20 0 1 0 ACSA Group Insurance PO box 416799 Boston MA 02241 Medical 6216856 RCDolner LLC Two Penn Plaza East Newark NJ 07105 Construction 1961269 The Carmelite System 646 Woods Road Germantown NY 12526 Medical 1949015 Sodexco Inc & Affiliates PO Box 81049 Woburn MA 01813 Dietary Services 1594821 31 178686 399853 578539 Medicaid 623000 31947009 31947009 medicare 623000 9719757 9719757 Private Income 623000 8124664 8124664 Private Insurance 623000 2062762 2062762 51854192 63090 63090 37498 0 37498 37498 37498 779340 44225 735115 735115 735115 156476 178686 76979 79497 79497 141242 123226 18016 18016 Other Income 900099 271366 271366 Refund 900099 225727 225727 Contracted Services 900099 55000 55000 552093 53918040 51872208 0 1467293 224933 224933 25122255 20083908 5038347 1404504 1123372 281132 7938067 6330799 1607268 2714820 2155296 559524 328398 328398 66237 66237 2414 2414 44190 44190 1769040 1769040 10445 10445 3321409 2928841 392568 4080394 4038662 41732 32799 21066 11733 4062277 3981991 80286 NYS Assessment 2429863 2429863 Medical Supplies 645835 645835 Prescriptions 620834 620834 Resident food Services 324806 324806 55143520 46454313 8689207 0 635043 1147402 7478548 3518313 7621313 8645093 140963 154378 310712 1154317 94219558 39984214 55244697 54235344 9336491 8688448 13808867 13938852 94576634 91482147 2912150 3206495 33175000 31985000 1151019 1069486 5428481 4991835 42666650 41252816 X 51300611 49595475 609373 633856 51909984 50229331 94576634 91482147 -1225480 -455173 0 X X 0 1 X 1 0 X 1054866 754475 294813 217538 578539 2900231 49783218 53198432 51081690 49869262 51995434 255928036 50838084 53952907 51376503 50086800 52573973 258828267 0 0 0 258828267 63671 54008 39790 72566 100588 330623 28653 31257 30614 29444 79497 199465 92324 85265 70404 102010 180085 530088 453844 515504 653086 716186 693335 3031955 51384252 54553676 52099993 50904996 53447393 262390310 0.98640 0.98790 0.00200 0.00180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1092991 1092991 87935 47087 40848 88365040 37911745 50453295 4673592 2025382 2648210 54235344 Other Third party Payor Receivable 9564115 Insurance Grossup 2898125 Other Current Assets 68872 Deferred Financing & Refinancing Costs, Net 1407740 13938852 Estimated Third Party Liabilities 359849 Compensated Absences 440876 Bond Issuance Premium, Net 1292985 Insurance Claims 2898125 4991835 X 53462867 -455173 -455173 53918040 0 53918040 55143520 0 55143520 0 55143520 Part IV, Line 2b: Residents' funds are held by the Home on behalf of the residents. such funds represent living allowances received by residents and other residents' funds deposited with the home for safekeeping. These funds are disbursed by the Home at the request of, or on behalf of, residents for their personal used. Part X, Line 2: The Home recognizes the effect of income tax positions only if those positions are more likely than not to be sustained. Management has determined that the Home had no uncertain tax positions that would require financial statement recognition or disclosure. the Home is no longer subject to examinations by the applicable taxing jurisdictions for periods prior to 2010. Golf Outing 85075 38950 46125 30885 10763 Annual Fund Raising 225411 138051 87360 22031 2 24676 1685 22991 13300 335162 178686 156476 30885 46094 76979 79497 X X X X 0 0 0 0 0 0 0 0 0 James M Koniarski CPA CFO 178197 0 0 0 0 0 10500 0 36236 0 224933 0 0 0 Margaret White Dir. of Rehabilitation 152172 0 0 0 0 0 10500 0 36129 0 198801 0 0 0 Harry C Itoka Controller 142743 0 0 0 0 0 10110 0 28751 0 181604 0 0 0 Madeleine Suprena RN 143124 0 0 0 0 0 8554 0 28453 0 180131 0 0 0 Part I, Line 3 A compensation policy was developed by the Board to govern compensation arrangements between the organization and covered individuals, defined as those in a position to exercise substantial influence over the affairs of the organization. the compensation committee consists of at least three independent individuals appointed by the Board, who themselves are members of the Board of directors. the committee meets yearly and recommends to the Board the compensation for covered individuals based on relevant data including comparability compensation for similarly situated entities and independent compensation surveys compiled ny independent firms as deemed necessary. A Dormitory Authority of the State of New York 166000293 64983Q7J2 2006-12-19 41443072 To fund the Home's capital renovation project. 0 0 0 A 41443072 3980435 2053732 35408905 2010 0 0 0 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 Form 990, Part VI, Section A, line 6 Form 990, part VI, Section A, line 6 There shall be six(6) members of the Corporation. The members of this Corporation shall consist of the following individuals: The Superior General of the community of Carmelite sisters for the Aged and infirm; The Ordinary of the Roman Catholic Diocese of Brooklyn, New York;two(2) members of the General Council of Carmelite sisters to be selected by the superior General of the community; and two(2) member priests of the Brooklyn Diocese to be selected by rhwe Ordinary of the Diocese of Brooklyn. Form 990, Part VI, Section A, line 7a Form 990, Part VI, Section a, line 7a Governing Body and Management) The Board of Directors of Ozanam Hall of Queens Nursing Home, shall be elected by the Members at each annual meeting of the Members of the corporation, except that the Superior General of the Community of Carmelite Sisters and the Ordinary of the Roman Catholic Diocese of Brooklyn may each appoint two(2) members of the Corporation to be directors of the Corporation(member-Directors). Except as otherwise expressly provided herein, all standards applicable to Directors in the By-Laws shall also apply to Members-Directors. Form 990, Part VI, Section A, line 7b Form 990, Part VI, Section A, line 7b: The following powers are reserved exclusively to the Members of the Corporation: 1-Any amendment of the By-laws as specified in Article XIII (The By-laws and/or the Certificate of Incorporation may be amended in whole or in part by a two-third vote of the whole of the Membership at a meeting called for such purpose, provided that written notice of such amendment has been given to the membership no less than ten(10) days nor more than fifty(50) days prior to the meeting). 2-amendments of the Corporation's Certificate of Incorporation; 3-Approval or the appointment of the administrator; 4-The approval of individuals eligible to be officers of the corporation; 5-The approval of individuals eligible to be members of the executive, finance and nominating committees; 6-The formulation and/or change from time to time of the philosophy, objectives and purposes of the corporation as well as any change in the general character of the corporation as a voluntary health faciltiy for the aged under the auspices of the Roman Catholic Church; 7-The purchase, sale, mortgage or lease of real property of the corporation, or the sale of all or substantially all of its assets; 8-Consolidation of the corporation with another not-for-profit corporation organized for similar purposes; 9-The approval of any plan for the dissolution of the corporation. Form 990, Part VI, Section B, line 11 Form 990, Part VI, Section B, line 11a: Policies- Form 990 is presented to the finance committee for review. The finance committee reports to the board of directors regarding the review, and a copy of form 990 is provided to the boards members before it is filed Form 990, Part VI, Section B, line 12c The organization is strongly committed to a policy of complaince with all conflict of interest provisions under the law. such compliance is of critical importance to the non-profit, charitable mission and activities of Ozanam Hall. Ozanam Hall requires that any Board Members, Officers, Directors, Key employees or Trustees must disclore his/her relationship or interest to the full Board of Directors who will be acting upon or considering any contract or transaction with the business in which the member, director, officer trustee or key employee holds interest. No director so interested shall participate in the discussions and deliberations regarding such contract or transaction, nor vote on such contract or transaction. disclosure shall be made as soon as the board member becomes aware of the potential for a conflict. such disclosure shall be provided to the Executive Committee and recorded in the minutes of the first scheduled board meeting after the disclosure is made. Any decisions as to imposing restrictions on persons with any conflict of interests which could potentially prohibit them from participating in the governing body's deliberations and decisions will be determined by the Board of Directors. Each board member or officer signs a disclosure statement annually. Form 990, Part VI, Section B, line 15 form 990, Part VI, section B, line 15a: A compensation policy was developed by the board to govern compensation arrangements between the organization and covered individuals, defined as those in a position to exercise substantial influence over the affairs of the organization. The compensation committee consists of at least of at least three independent individuals appointed by the board, who themselves are members of the board of directors. The committee meets yearly and recommends to the full board the compensation for covered individuals based on relevant data including comparability compensation for similarly situated entities. The board also relies on compensation surveys compiled by independent firms as deemed necessary. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents; conflict of interest policy, financial statements, and tax filings available to the public upon request. The organization also files reports with various governmental agencies as a requirement for participation in government programs, which the agencies may make available to the public. the organization's Form 990 is available to the public on Guidestar's website and other similar websites. Form 990, Part VI, Section C, line 19: Explanation: The conflict of interest disclosure policy requires all officers and board members to complete an annual disclosure statement. In addition, should an officer or board member assume new external interests, that potentially conflict with his or her role with the organization, such individual is required to disclosure in writing the nature of such external interests. the disclosure statement is provided to the board chair for review. conflicts are resolved by making a required disclosure, and may resuly in restricting the officer or board member in any related activity or process as determined appropriate to the circumstances of the conflict. Failure to disclose a conflict or interest is in violation of the adopted policy and can result in disciplinary action or removal. Form 990, Part XII, line 2c: Explanation: The Board of directors has designated a committee to manage the process of selection and oversight of the Audit and Indepedent Accountant. the committee meets with management and the independent auditors to review the engagement proposal; results of the audit; draft audit report; management letter. The committee may meet with the independent auditors in executive session before concluding its review and acceptance of the annual audit report. The committee reports its findings and makes recommendation to the Board of directors. Form 990, Part XII, Line 2c: The board of directors has designated a committee to manage the process of selection and oversight of the audit and independent accountant. The committee meets with management and the independent auditors to review the engagement proposal; results of the audit; draft audit reports and management letter. The committee may meet with the independent auditors in executive session before concluding its review and acceptance of the annual audit report. The committee reports its findings and makes recommendation to the full board of directors