2014-11-17T14:11:40-06:00 2013-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2013-01-01 113277669 PECONIC LANDING AT SOUTHOLD INC PECO 6314773800 1500 BRECKNOCK ROAD GREENPORT NY 11944 STEVEN CARROLL CFO 6314773800 2014-11-14 1 GARRETT M HIGGINS P00543209 9143818900 2014-07-10 2013 2015-11-30 17:44:51Z ROBERT SYRON 1500 BRECKNOCK ROAD GREENPORT NY 11944 36460048 0 4305 X WWW.PECONICLANDING.ORG X 1994 NY 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. 13 12 226 30 0 0 735270 869396 16859379 17217153 951262 1369854 1712017 1641247 20257928 21097650 0 0 0 0 10781628 11144754 0 0 0 9285853 9218652 20067481 20363406 190447 734244 124183499 126179352 146883697 153801403 -22700198 -27622051 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 17447216 17217153 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. 17447216 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 24 0 226 1 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 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 1.00 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 1.00 1.00 X 0 0 0 JOHN M MAY BOARD CHAIR 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 X 0 0 0 THOMAS MURRAY BOARD MEMBER 1.00 X 0 0 0 ROBERT SYRON CEO/ PRESIDENT 38.00 2.00 X X 303378 0 50097 STEVEN CARROLL CFO 38.00 2.00 X 192957 0 37518 GREGORY GARRETT EXECUTIVE VP - ADM. HEALTH SER. 38.00 2.00 X 212562 0 48228 PATRICIA LUTZKY V.P. RESIDENT SERVICES 38.00 2.00 X 140977 0 30259 DARRYL VOLINSKI DIR. OF ENVIRON. SERVICES 38.50 1.50 X 164600 0 38857 DIANE BIANCULLI NURSE PRACTITIONER 40.00 X 106605 0 10343 DOROTHY LOCKRIDGE DIRECTOR OF NURSING 40.00 X 121259 0 12707 LAURELLE CASSONE DIRECTOR OF MARKETING 38.50 1.50 X 111424 0 36840 1353762 0 264849 8 0 1 0 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 303536922 FOODSERVICE 1363138 PERKINS EASTMAN ARCHITECTS PC 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECTURAL DESIGN 452371 EASTERN LONG ISLAND HOSPITAL 201 MANOR LANE GREENPORT NY 11944 PHYSICAL THERAPISTS 263400 GREENBRIER DEVELOPMENT 3232 MCKINNEY AVENUE SUITE 1160 DALLAS TX 75204 SENIOR LIVING CONSULTANTS 199692 THE ASBURY GROUP 20030 CENTURY BLVD 300 GERMANTOWN MD 20874 SENIOR LIVING CONSULTANTS 178363 7 869396 869396 PRIVATE PATIENT REVENUE 623000 15204257 15204257 MEDICARE REVENUE 632000 1597332 1597332 MEDICAID REVENUE 623000 415564 415564 17217153 693700 693700 674050 0 674050 674050 674050 16038552 15362398 676154 676154 676154 REMARKETING FEE 900099 451834 451834 GUEST ROOM + MEALS 900099 90339 90339 LATE FEES 900099 77515 77515 347509 347509 967197 21097650 17217153 0 3011101 844738 337895 506843 7397531 6527738 869793 139143 134025 5118 1924803 1518321 406482 838539 704569 133970 207824 207824 53491 53491 122520 122520 1431 1431 421113 383421 37692 74887 74887 666090 355457 310633 108172 83322 24850 1936231 1857614 78617 48202 15438 32764 31330 14020 17310 491834 478257 13577 2841461 2815750 25711 95416 41959 53457 FOOD 1083088 1083088 PURCHASED AND CONTRACTE 301516 237945 63571 MEDICAL SUPPLIES 228651 228651 REPAIRS & MAINTENANCE 205373 186552 18821 300022 235370 64652 20363406 17447216 2916190 0 998274 2907666 7375061 6140655 1338510 1432637 560620 492620 44837 44247 421680 882844 57401265 22625170 35193841 34776095 55134709 55134709 23115967 24367879 124183499 126179352 2504283 2403830 4140847 3853348 28565369 28019846 3715017 10173800 107958181 109350579 146883697 153801403 X -23363928 -28614578 663730 992527 -22700198 -27622051 124183499 126179352 X 734244 -775576 -4880521 X X 0 1 X 1 0 X 500703 461135 798400 735270 869396 3364904 15922419 16098263 16841117 16859379 17217153 82938331 16423122 16559398 17639517 17594649 18086549 86303235 0 0 0 86303235 883890 751851 826457 1425987 1367750 5255935 883890 751851 826457 1425987 1367750 5255935 545623 416456 541351 1035173 967197 3505800 17852635 17727705 19007325 20055809 20421496 95064970 0.90780 0.91860 0.05530 0.04830 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2009 AMOUNT: $ 545,623. 2010 AMOUNT: $ 416,456. 2011 AMOUNT: $ 541,351. 2012 AMOUNT: $ 460,745. 2013 AMOUNT: $ 347,509. REMARKETING FEE - 2012 AMOUNT: $ 496,060. 2013 AMOUNT: $ 451,834. GUEST ROOM MEALS - 2012 AMOUNT: $ 78,368. 2013 AMOUNT: $ 90,339. LATE FEES - 2013 AMOUNT: $ 77,515. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1431 1431 0 PART II-B, LINE 1: LEADING AGE ASSOCIATION DUES. 0 1 X 11034275 11034275 33541993 14719658 18822335 10284174 7905512 2378662 2540823 2540823 34776095 INV. IN PECONIC LANDING HOUSING 55134709 C 55134709 ASSETS LIMITED TO USE 21174293 OTHER FINANCING COST, NET 1515315 DUE FROM RELATED PARTIES 1471341 FUNDED PENSION COSTS 196930 OTHER ASSET 10000 24367879 REFUNDABLE DEPOSIT/ACCRUED INT 107989126 OPTIONS & UPGRADE LIABILITY 1222736 BOND INTEREST PAYABLE 138717 109350579 X 22977612 -775576 3298813 2523237 20454375 643275 643275 21097650 25907881 6187750 6187750 19720131 643275 643275 20363406 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, 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE ATTRIBUTABLE TO CONSOLIDATED & RELATED ENTITIES 3,298,813. PART XI, LINE 4B - OTHER ADJUSTMENTS: ELIMINATING ENTRY 643,275. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES ATTRIBUTABLE TO CONSOLIDATED + RELATED ENTITIES 6,187,750. PART XII, LINE 4B - OTHER ADJUSTMENTS: ELIMINATING ENTRY 643,275. X 1 1 X X X 0 0 0 0 0 0 0 1 0 ROBERT SYRON CEO/ PRESIDENT 251878 0 51500 0 0 0 27500 0 22597 0 353475 0 0 0 STEVEN CARROLL CFO 172957 0 20000 0 0 0 15580 0 21938 0 230475 0 0 0 GREGORY GARRETT EXECUTIVE VP - ADM. HEALTH SER. 188562 0 24000 0 0 0 26290 0 21938 0 260790 0 0 0 PATRICIA LUTZKY V.P. RESIDENT SERVICES 120977 0 20000 0 0 0 22106 0 8153 0 171236 0 0 0 DARRYL VOLINSKI DIR. OF ENVIRON. SERVICES 144600 0 20000 0 0 0 16919 0 21938 0 203457 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 BOARD CHAIR. 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 15B THE CEO/PRESIDENT AND THE DIRECTOR OF HUMAN RESOURCES WILL REVIEW ALL SALARY RECOMMENDATIONS AND MAY APPROVE OR MODIFY TO ENSURE EQUITY AND CONSISTENCY. 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 XI, LINE 9: PRIOR PERIOD ADJUSTMENTS -4,880,521. 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) 9 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 CORP 1500 BRECKNOCK ROAD GREENPORT NY 11944 020575501 HOUSING ASSOC NY PECONIC LANDING AT SOUTHOLD INC C 3202765 34797893 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 643275 COST