HIGHLANDS LIVING CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HIGHLANDS LIVING CENTER INC (EIN 22-3240227)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201303199349302130
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T07:16:12-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREW WILLIAMS CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1440 TITUS AVENUEAddressLine1
CityROCHESTERCity
StateNYState
ZIP Code146173517ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN223240227EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE HIGHLANDS LIVING CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHIGHNameControl
Phone5853890988Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 HAHNEMANN TRAILAddressLine1
CityPITTSFORDCity
StateNYState
ZIP Code145342356ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLEONARD SHUTEName
TitleCHIEF FINANCIAL OFFICERTitle
Phone5853890988Phone
Date Signed2013-10-18DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANDREW WILLIAMS CPAName
Phone5853427060Phone
Date Prepared2013-11-15DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLEONARD SHUTENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 HAHNEMANN TRAddressLine1
CityPITTSFORDCity
StateNYState
ZIP Code14534ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11185017GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE A CARING, COMPASSIONATE AND QUALITY-FOCUSED LIVING ENVIRONMENT IN A 122 BED SKILLED-NURSING FACILITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees302TotalNbrEmployees
Total Nbr Volunteers2TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year37126ContributionsGrantsPriorYear
Contributions Grants Current Year34830ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11877327ProgramServiceRevenuePriorYear
Program Service Revenue CY11092619ProgramServiceRevenueCY
Investment Income Prior Year1787InvestmentIncomePriorYear
Investment Income Current Year1027InvestmentIncomeCurrentYear
Other Revenue Prior Year54458OtherRevenuePriorYear
Other Revenue Current Year56541OtherRevenueCurrentYear
Total Revenue Prior Year11970698TotalRevenuePriorYear
Total Revenue Current Year11185017TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8679728SalariesEtcPriorYear
Salaries Etc Current Year8415480SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3998017OtherExpensePriorYear
Other Expenses Current Year3790756OtherExpensesCurrentYear
Total Expenses Prior Year12677745TotalExpensesPriorYear
Total Expenses Current Year12206236TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-707047RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1021219RevenuesLessExpensesCY
Total Assets BOY7681621TotalAssetsBOY
Total Assets EOY7759638TotalAssetsEOY
Total Liabilities BOY9481435TotalLiabilitiesBOY
Total Liabilities EOY10580671TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1799814NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2821033NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE A CARING, COMPASSIONATEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10343260Expense
Revenue10637079Revenue
DescriptionOPERATE A 122 BED SKILLED-NURSING FACILITY AT 96% OCCUPANCY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense305159Expense
Revenue455540Revenue
DescriptionOPERATE A 20 SLOT ADULT DAY CARE MEDICAL PROGRAM FOR RESIDENTS OF THE COMMUNITY.Description
FieldValueIRS element (for citing)
Total Program Service Expense10648419TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees302NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDARYL DRADERNamePerson
Telephone Number5854427960TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15901 LAC DE VILLE BLVDAddressLine1
CityROCHESTERCity
StateNYState
ZIP Code14618ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL P RIORDAN
BOARD CHAIR1.00XX000
ELIZABETH GARRETT
BOARD MEMBER1.00X000
ROBERT LATELLA
BOARD MEMBER1.00X000
ROBBIE MAGEE
BOARD MEMBER1.00X000
JAMES MOORE
BOARD MEMBER1.00X000
GERALD VAN STRYDONK
BOARD MEMBER1.00X000
WILLIAM HALL MD
BOARD MEMBER1.00X023638630995
ROBERT MCCANN MD
BOARD MEMBER1.00X041006632181
LEONARD SHUTE
CHIEF FINANCIAL OFFICER1.00X0479245258048
STEVEN GOLDSTEIN
PRESIDENT1.00X0919263224672
KATHY GRIMES
ADMINISTRATOR40.0001367114612X
MICHELLE BARTLESON
DIRECTOR OF REHAB40.0001199408194X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs2301611TotalReportableCompFrmRltdOrgs
Total Other Compensation558702TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNIVERSITY OF ROCHESTER
601 ELMWOOD AVEROCHESTERNY14642PHYSICIAN SERVICES191322
AID TO HOSPITALS
45 MCKEE RDROCHESTERNY14611LAUNDRY SERVICES110803
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions34830AllOtherContributions
Total Contributions34830TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
MEDICARE & MEDICAID9000996324009
PER DIEM CHARGES9000994768610
FieldValueIRS element (for citing)
Total Program Service Revenue11092619TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1027TotalRevenueColumn
Exclusion$1,027ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real54105Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real54105Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column54105TotalRevenueColumn
Exclusion$54,105ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column2436TotalRevenueColumn
Exclusion$2,436ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2436TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11185017TotalRevenueColumn
Related Or Exempt Function Income11092619RelatedOrExemptFunctionIncome
Exclusion$57,568ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6350233Total
Program Services5734993ProgramServices
Management And General615240ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total48161Total
Program Services43495ProgramServices
Management And General4666ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1531293Total
Program Services1382934ProgramServices
Management And General148359ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total485793Total
Program Services438727ProgramServices
Management And General47066ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total22190Total
Program Services0ProgramServices
Management And General22190ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54000Total
Program Services0ProgramServices
Management And General54000ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total16573Total
Program Services12276ProgramServices
Management And General4297ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total252188Total
Program Services50351ProgramServices
Management And General201837ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total319086Total
Program Services287432ProgramServices
Management And General31654ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total15132Total
Program Services6862ProgramServices
Management And General8270ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total268650Total
Program Services241785ProgramServices
Management And General26865ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total466717Total
Program Services420045ProgramServices
Management And General46672ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total34389Total
Program Services30950ProgramServices
Management And General3439ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
NON-MEDICAL SUPPLIES725918650465754530
CONTRACTED SERVICES6471365321331150030
MEDICAL SUPPLIES573330561888114420
BAD DEBTS11293201129320

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total282515Total
Program Services254083ProgramServices
Management And General28432ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12206236Total
Program Services10648419ProgramServices
Management And General1557817ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY323802BOY
EOY321072EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1466264BOY
EOY1427538EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY20151BOY
EOY25495EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14164374LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9810001LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4559902BOY
EOY4354373EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1311502BOY
EOY1631160EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7681621BOY
EOY7759638EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY664632BOY
EOY606424EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8816803BOY
EOY9974247EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9481435BOY
EOY10580671EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1799814BOY
EOY-2821033EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1799814BOY
EOY-2821033EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7681621BOY
EOY7759638EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1021219ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18336CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44091CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29797CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37126CurrentTaxYearMinus1Year
Current Tax Year34830CurrentTaxYear
Total164180Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11254126CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11421423CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11475348CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11877327CurrentTaxYearMinus1Year
Current Tax Year11092619CurrentTaxYear
Total57120843Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11272462CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11465514CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11505145CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11914453CurrentTaxYearMinus1Year
Current Tax Year11127449CurrentTaxYear
Total57285023Total
FieldValueIRS element (for citing)
Public Support Total50957285023PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years144724CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years64906CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53342CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54458CurrentTaxYearMinus1Year
Current Tax Year56541CurrentTaxYear
Total373971Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years144724CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years64906CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53342CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54458CurrentTaxYearMinus1Year
Current Tax Year56541CurrentTaxYear
Total373971Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6800CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33946CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4710CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1787CurrentTaxYearMinus1Year
Current Tax Year1027CurrentTaxYear
Total48270Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total57707264Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99270PublicSupportPercentage509
Prior Year Support Percentage0.98840PriorYearSupportPercentage
Investment Income Percentage0.00650InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01010PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestOTHER INCOME PART III, LINE 12; DESCRIPTION: MISCELLANEOUS REVENUES; 2008: 6800.; 2009: 33946.; 2010: 4710.; 2011: 1787.; 2012: 1027.;FactsAndCircumstancesTest

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$850GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB850TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPt II-B Line 1iIdentifier
ExplanationNONEExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis250000OtherCostOrOtherBasis
Book Value250000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8727327OtherCostOrOtherBasis
Depreciation6093590Depreciation
Book Value2633737BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4449001OtherCostOrOtherBasis
Depreciation3125293Depreciation
Book Value1323708BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis738046OtherCostOrOtherBasis
Depreciation591118Depreciation
Book Value146928BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4354373TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED PARTIES177763
RESIDENT ACCOUNTS21676
ASSETS WHOSE USE IS LIMITED - LONG TERM552885
ASSETS WHOSE USE IS LIMITED - SHORT TERM260650
OTHER NON-CURRENT ASSETS618186
FieldValueIRS element (for citing)
Total Book Value Other Assets1631160TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED PARTIES$1,757,385
RESIDENT ACCOUNTS$21,676
THIRD PARTY LIABILITY$560,000
ACCRUED WORKERS COMPENSATION - LONG TERM$2,899,181
ACCRUED WORKERS COMPENSATION - SHORT TERM$371,005
NOTE PAYABLE$4,365,000
FieldValueIRS element (for citing)
Total Of Amounts9974247TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt11185017TotRevenueEtcAuditedFinclStmt
Revenue Subtotal11185017RevenueSubtotal
Total Revenue Per Form99011185017TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12206236TotExpensesEtcAuditedFinclStmt
Expenses Subtotal12206236ExpensesSubtotal
Total Expenses Per Form99012206236TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgs
WILLIAM HALL MD
236386230347961267381
ROBERT MCCANN MD
4051383111310684422474928
LEONARD SHUTE
4488012369452110373729330444
STEVEN GOLDSTEIN
8673542209773695114393551909

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanation
Pt I Line 4aSEE STATEMENT ATTACHED
Pt I Line 4bSEE STATEMENT ATTACHED
Pt I Line 3SEE STATEMENT ATTACHED

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 6SEE STATEMENT ATTACHED
Pt VI, Line 7aSEE STATEMENT ATTACHED
Pt VI, Line 7bSEE STATEMENT ATTACHED
Pt VI, Line 19SEE STATEMENT ATTACHED
Pt VI, Line 11bSEE STATEMENT ATTACHED
Pt VI, Line 12cSEE STATEMENT ATTACHED
Pt VI, Line 15aSEE STATEMENT ATTACHED
Pt VI, Line 15bSEE STATEMENT ATTACHED
Form 990, Part IX, Line 24fNYS ASSESSMENT 282515. 254083. 28432. 0.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SEE ATTACHEDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1SEE ATTACHEDAddressLine1
CitySEE ATTACHEDCity
StateNYState
ZIP Code000000000ZIPCode
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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