2014-11-13T18:14:34-06:00 2013-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2013-01-01 113188802 NEW YORK CONGREGATIONAL NURSING CENTER NEWY 7185767000 135 LINDEN BOULEVARD BROOKLYN NY 11226 CELIA C ZUCKERMAN PRESIDENT/CEO 7185767000 2014-11-13 1 GARRETT M HIGGINS P00543209 9143818900 2014-11-13 2013 2015-11-30 17:44:51Z CECELIA C ZUCKERMAN 135 LINDEN BOULEVARD BROOKLYN NY 11226 28056474 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 6 250 6 0 0 26648 4603 28423994 27952579 8054 5334 117717 93958 28576413 28056474 5550 2600 0 0 16054687 16234244 0 0 0 12908536 12846573 28968773 29083417 -392360 -1026943 21331599 20964075 21546573 21197758 -214974 -233683 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 17973744 2600 20307324 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 70,605 DAYS OF CARE TO APPROXIMATELY 469 PATIENTS IN 2013. 8017964 7645255 LONG TERM HOME HEALTH CARE PROGRAM PROVIDING QUALITY CARE (125 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 81,480 DAYS OF CARE IN 2013. 25991708 1 0 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 1 211 0 250 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 1.00 X X 0 0 0 DR ESTHER SIEGEL VICE CHAIRPERSON 0.50 1.00 X X 0 0 0 MICHAEL ROBINSON SECRETARY/TREASURER 0.50 1.00 X X 0 0 0 ROBERT R GAINER DIRECTOR 0.50 1.00 X 0 0 0 DR MARGARET L MCCLURE DIRECTOR 0.50 1.00 X 0 0 0 JAMES WAECHTER DIRECTOR 0.20 1.00 X 0 0 0 CECELIA C ZUCKERMAN PRESIDENT/CEO 35.00 0.50 X 405971 0 23492 FLORENCE KATZ SENIOR VP/COO 35.00 0.50 X 208125 0 35270 FRANK CIANCIOTTO SENIOR VP/CFO 35.00 0.50 X 249182 0 37280 DAVETH FORBES-THOMAS VP CLINICAL SERVICES/DIREC 35.00 X 170004 0 9767 SEEMA DIWAN MSD MANAGER 35.00 X 112115 0 26931 MOHAMMAD CHOWDHURY VP FINANCE & IT 35.00 X 145600 0 39846 ROUANDY PASCAL LTH ADMINSTRATOR/DPS 35.00 X 158913 0 25691 ADRIAN COX VP FACILITIES 35.00 X 137248 0 7956 1587158 0 206233 8 0 1 0 ATTENTIVE HOME CARE 2774 CONEY ISLAND AVE BROOKLYN NY 11235 HOME HEALTHCARE AGENCY 699252 CARING PROFESSIONS 70-20 AUSTIN STREET SUITE 135 FOREST HILL NY 11375 HOME HEALTHCARE AGENCY 634739 FRIENDLY HOME CARE 2002 CONEY ISLAND AVE BROOKLYN NY 11223 HOME HEALTHCARE AGENCY 390535 S&A UNIFIED HOME 424 KINGS HIGHWAY BROOKLYN NY 11223 HOME HEALTHCARE AGENCY 318735 HOME HEALTH CARE SERVICE 1650 CONEY ISLAND AVENUE BROOKLYN NY 11230 HOME HEALTHCARE AGENCY 207089 5 4603 4603 MEDICAID 623000 21375873 21375873 MEDICARE 623000 3751979 3751979 OTHER NET PATIENT REVENUE 623000 2734727 2734727 PRIVATE PAY REVENUE 623000 90000 90000 27952579 5334 5334 CASH DISCOUNTS 900099 65746 65746 MISCELLANEOUS REVENUE 900099 17683 17683 VENDING MACHINE REVENUE 900099 5568 5568 4961 4961 93958 28056474 27952579 0 99292 X 2600 2600 959380 839678 119702 11117824 9730646 1387178 604205 528650 75555 2152972 1883764 269208 1399863 1224834 175029 74909 74909 61821 61821 1329 1329 5622157 5587230 34927 4757 2728 2029 1187656 1008322 179334 60710 60710 1426847 1396283 30564 13967 1807 12160 8606 1398 7208 1492995 1443262 49733 374837 374837 NYS CASH RECEIPTS ASSES 1078477 1078477 PURCHASED AND CONTRACTE 806768 658199 148569 MEDICAL SUPPLIES 293221 293221 BAD DEBT EXPENSE 120000 120000 217516 190609 26907 29083417 25991708 3091709 0 152470 795064 2173652 1476230 5928590 6575153 76441 47484 214886 142741 34305360 26597468 8925788 7707892 3859772 4219511 21331599 20964075 4206741 5584887 13840000 13065000 164478 167417 49877 44527 3285477 2335927 21546573 21197758 X -214974 -233683 -214974 -233683 21331599 20964075 X -1026943 540 1007694 X X 0 1 X 1 0 X 16118 11533 35175 26648 4603 94077 24838777 25266978 26256038 28423994 27952579 132738366 24854895 25278511 26291213 28450642 27957182 132832443 0 0 0 132832443 35066 14064 9671 8054 5334 72189 35066 14064 9671 8054 5334 72189 14955 90209 98926 117717 93958 415765 24904916 25382784 26399810 28576413 28056474 133320397 0.99630 0.99630 0.00050 0.00100 X 0 0 0 0 0 0 0 0 1 1329 1329 0 PART II-B, LINE 1: COSTS ARE INCURRED AS PART OF DUES PAID TO NURSING HOME INDUSTRY ORGANIZATIONS. 0 1 X 44462 44462 28758370 21702451 7055919 5502528 4895017 607511 7707892 DUE FROM RELATED PARTIES 1580174 RESIDENT'S FUNDS 167417 DEFERRED MORTGAGE COSTS 666675 DUE FROM MEDICAID 1805245 4219511 DEFERRED COMPENSATION PAYABLE 159334 DUE TO THIRD PARTIES 332734 INTEREST RATE SWAP LIABILITY 1843859 2335927 X 28057014 540 540 28056474 0 28056474 29083417 0 29083417 0 29083417 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 2010. X X X X X X 0 0 0 0 0 0 0 1 0 CECELIA C ZUCKERMAN PRESIDENT/CEO 367600 0 20000 0 18371 0 12750 0 10742 0 429463 0 0 0 FLORENCE KATZ SENIOR VP/COO 198125 0 10000 0 0 0 10531 0 24739 0 243395 0 0 0 FRANK CIANCIOTTO SENIOR VP/CFO 227182 0 10000 0 12000 0 12569 0 24711 0 286462 0 0 0 DAVETH FORBES-THOMAS VP CLINICAL SERVICES/DIREC 170004 0 0 0 0 0 8500 0 1267 0 179771 0 0 0 MOHAMMAD CHOWDHURY VP FINANCE & IT 145600 0 0 0 0 0 3910 0 35936 0 185446 0 0 0 ROUANDY PASCAL LTH ADMINSTRATOR/DPS 156413 0 2500 0 0 0 8090 0 17601 0 184604 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 2012 W-2S. - CECILIA ZUCKERMAN, $35,000 - FRANK CIANCIOTTO, $15,000 - FLORENCE KATZ, $20,000 - ROBERT MUNFA, $20,000 - ROUANDY PASCAL, $ 5,000 - MOHAMMAD CHOWDHURY, $ 5,000 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 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 IX, LINE 11G THERAPISTS: PROGRAM SERVICE EXPENSES 446,990. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 446,990. CONSULTANT: PROGRAM SERVICE EXPENSES 421,127. MANAGEMENT AND GENERAL EXPENSES 34,927. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 456,054. MEDICAL RECORD FEES: PROGRAM SERVICE EXPENSES 400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 400. NURSING STAFF: PROGRAM SERVICE EXPENSES 3,828. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,828. HOME HEALTH AIDES: PROGRAM SERVICE EXPENSES 89,517. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 89,517. PERSONAL CARE AIDES: PROGRAM SERVICE EXPENSES 4,437,229. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,437,229. SOCIAL SERVICES: PROGRAM SERVICE EXPENSES 34,639. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,639. DENTAL FEES: PROGRAM SERVICE EXPENSES 153,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 153,500. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP LIABILITY 1,007,694. 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