NORTHERN MANOR MULTICARE CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORTHERN MANOR MULTICARE CENTER INC (EIN 13-3623600)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201323189349308757
Schema version
2012v2.1
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)
Timestamp2013-11-14T18:17:39-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN131517563EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133623600EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHERN MANOR MULTICARE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone8456233904Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1199 NORTH MIDDLETOWN ROADAddressLine1
CityNANUETCity
StateNYState
ZIP Code10954ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMORRIS KLEINName
TitleEXECUTIVE DIRECTORTitle
Phone8456233904Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFREDERICK H ROTHMANName
PTINP01275277PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMORRIS KLEINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12000 FOUNTAINVIEW DRIVEAddressLine1
CityMONSEYCity
StateNYState
ZIP Code10952ZIPCode
FieldValueIRS element (for citing)
Gross Receipts41859502GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NORTHERNMANOR.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO OPERATE A RESIDENTIAL HEALTH FACILITY & ADULT DAY CARE PROGRAMActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees419TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year5477669ContributionsGrantsCurrentYear
Program Service Revenue Prior Year36626627ProgramServiceRevenuePriorYear
Program Service Revenue CY35539562ProgramServiceRevenueCY
Investment Income Prior Year813InvestmentIncomePriorYear
Investment Income Current Year1173InvestmentIncomeCurrentYear
Other Revenue Prior Year71361OtherRevenuePriorYear
Other Revenue Current Year841098OtherRevenueCurrentYear
Total Revenue Prior Year36698801TotalRevenuePriorYear
Total Revenue Current Year41859502TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4675585GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18266296SalariesEtcPriorYear
Salaries Etc Current Year18501542SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14056938OtherExpensePriorYear
Other Expenses Current Year13534127OtherExpensesCurrentYear
Total Expenses Prior Year32323234TotalExpensesPriorYear
Total Expenses Current Year36711254TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4375567RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5148248RevenuesLessExpensesCY
Total Assets BOY22230145TotalAssetsBOY
Total Assets EOY18799707TotalAssetsEOY
Total Liabilities BOY22382321TotalLiabilitiesBOY
Total Liabilities EOY18718048TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-152176NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY81659NetAssetsOrFundBalancesEOY
Mission DescriptionTO OPERATE A RESIDENTIAL HEALTH FACILITY & ADULT DAY CARE PROGRAMMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense28669003Expense
Grants4675585Grants
Revenue27388729Revenue
DescriptionHEALTH CARE SERVICES FOR THE ELDERLYDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3624012Expense
Revenue8991931Revenue
DescriptionOUTPATIENT ADULT DAY CARE SERVICESDescription
FieldValueIRS element (for citing)
Total Program Service Expense32293015TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109651NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees419NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL ITZKOWITZBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8453569880TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 FOUNTAINVIEW DRIVEAddressLine1
CityMONSEYCity
StateNYState
ZIP Code10952ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
STUART MEYERS
CHAIRMAN0.100.90X040000
MARTIN HAUBENSTOCK
SECRETARY0.100.90X052500
LEON STEINMETZ
BOARD MEMBER0.100.90X027500
RABBI SIMON LAUBER
BOARD MEMBER0.100.90X000
REGINA AUSLANDER
BOARD MEMBER0.100.90X07500
BENJAMIN KLEIN
BOARD MEMBER0.100.90X07500
HINDI GINSBERG
BOARD MEMBER0.100.90X05000
CHARLES F KENNY
BOARD MEMBER0.100.90X020000
ABRAHAM ZACHARIASH
BOARD MEMBER0.100.90X030000
RABBI HERSHAL HAGER
BOARD MEMBER0.100.90X07500
ISRAEL ORZEL
BOARD MEMBER0.100.90X055000
MORRIS KLEIN
EXECUTIVE DIRECTOR6.0029.00131805637057185820X
GEDALIA KLEIN
CHIEF OPERATING OFFICER3.0014.50184808932015861X
MICHAEL NOWICKI
COMPLIANCE OFFICER6.0029.00218911058060X
JILL WECHSLER
CASE MANAGER35.00159159016867X
GELENA DEVERMAN
ADC DIRECTOR35.0014923603876X
GENNADIY GOLDVEKHT
REGISTERED NURSE35.0010388000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org584451TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs857433TotalReportableCompFrmRltdOrgs
Total Other Compensation222424TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TOWNE NURSING STAFF
1413 38TH STREETBROOKLYNNY11218NURSING SERVICES1321146
CENTERS FOR CARE
1601 BRONXDALE AVENUE STE 209BRONXNY10462ADMINISTRATIVE SERVICES532789
SENIOR CARE
855 BRUSH AVENUEBRONXNY10465TRANSPORTATION473207
NORTHERN METROPOLITAN FOUNDATION
2000 FOUNTAINVIEW DRIVEMONSEYNY10952ADMINISTRATIVE SERVICES436049
CLEAN TEX SERVICES
491 LYONS AVEIRVINGTONNJ07111MEDICAL SUPPLIES168884
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations5477669RelatedOrganizations
Total Contributions5477669TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICE REVENUE6230002738872927388729
ADULT DAY CARE62300081508338150833
FieldValueIRS element (for citing)
Total Program Service Revenue35539562TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1173TotalRevenueColumn
Exclusion$1,173ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISC INCOME900099579025579025
FOOD REVENUE900099262073262073
FieldValueIRS element (for citing)
Total Other Revenue841098TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column41859502TotalRevenueColumn
Related Or Exempt Function Income36380660RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,173ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total4675585Total
Program Services4675585ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total382776Total
Program Services337330ProgramServices
Management And General45446ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13410219Total
Program Services11560731ProgramServices
Management And General1849488ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total748987Total
Program Services645690ProgramServices
Management And General103297ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2744223Total
Program Services2358405ProgramServices
Management And General385818ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1215337Total
Program Services1047722ProgramServices
Management And General167615ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1404887Total
Program Services1211131ProgramServices
Management And General193756ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total81546Total
Management And General81546ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21263Total
Management And General21263ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total894674Total
Program Services771284ProgramServices
Management And General123390ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total33780Total
Program Services29122ProgramServices
Management And General4658ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1110331Total
Program Services732007ProgramServices
Management And General378324ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1656066Total
Program Services1427668ProgramServices
Management And General228398ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1720230Total
Program Services1559389ProgramServices
Management And General160841ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total243993Total
Program Services210342ProgramServices
Management And General33651ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total865607Total
Program Services746226ProgramServices
Management And General119381ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total445466Total
Program Services384029ProgramServices
Management And General61437ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD EXPENSE19182381653681264557
NYS ASSESSMENT17214441721444
MEDICAL SUPPLIES14166021221229195373

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total36711254Total
Program Services32293015ProgramServices
Management And General4418239ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY385684BOY
EOY671442EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY901372EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9840590BOY
EOY7562747EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY221984BOY
EOY446548EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22224594LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13431973LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9071218BOY
EOY8792621EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY59964EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2710669BOY
EOY365013EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22230145BOY
EOY18799707EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6682965BOY
EOY5935421EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY10273188BOY
EOY6550000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY2814345EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5426168BOY
EOY3418282EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY22382321BOY
EOY18718048EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-372449BOY
EOY81659EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY220273BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-152176BOY
EOY81659EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22230145BOY
EOY18799707EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses5148248ReconcilationRevenueExpenses
Reconcilation Prior Adjustment-4914413ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year5477669CurrentTaxYear
Total5477669Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34441288CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35966570CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35941663CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36626627CurrentTaxYearMinus1Year
Current Tax Year36380660CurrentTaxYear
Total179356808Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34441288CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35966570CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35941663CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36626627CurrentTaxYearMinus1Year
Current Tax Year41858329CurrentTaxYear
Total184834477Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509184834477PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years869CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1123CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years540CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year813CurrentTaxYearMinus1Year
Current Tax Year1173CurrentTaxYear
Total4518Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years869CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1123CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years540CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year813CurrentTaxYearMinus1Year
Current Tax Year1173CurrentTaxYear
Total4518Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years130872CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22743CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year71361CurrentTaxYearMinus1Year
Total224976Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34573029CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35990436CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35942203CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36698801CurrentTaxYearMinus1Year
Current Tax Year41859502CurrentTaxYear
Total185063971Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99880PublicSupportPercentage509
Prior Year Support Percentage0.99870PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00010PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOMEGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis790000OtherCostOrOtherBasis
Book Value790000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16458313OtherCostOrOtherBasis
Depreciation9337778Depreciation
Book Value7120535BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis537059OtherCostOrOtherBasis
Depreciation471887Depreciation
Book Value65172BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3861921OtherCostOrOtherBasis
Depreciation3485142Depreciation
Book Value376779BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis577301OtherCostOrOtherBasis
Depreciation137166Depreciation
Book Value440135BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8792621TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED LIABILITIES TO THIRD-PARTY PAYORS$3,105,000
RESIDENT FUNDS HELD IN TRUST$313,282
FieldValueIRS element (for citing)
Total Of Amounts3418282TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt36381833TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal36381833RevenueSubtotal
Other Revenues Not Included5477669OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt5477669RevenueNotRptdOnFinStmt
Total Revenue Per Form99041859502TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt32470697TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal32470697ExpensesSubtotal
Other Expenses Not Included4240557OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt4240557ExpensesNotRptdOnFinStmt
Total Expenses Per Form99036711254TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:NORTHERN MANOR MULTICARE CENTER, INC. HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2009 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES
PART XI, LINE 4B - OTHER ADJUSTMENTS:GRANT FROM RELATED ENTITY 5,477,669.
PART XII, LINE 4B - OTHER ADJUSTMENTS:GRANT TO RELATED ENTITY 4,240,557.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
CONGREGATION CHEVRA LIADY NUSACH HOARY
1580 53RD STREETBROOKLYNNY11219113133470501(C) (3)4350280TO SUPPORT THE RELIGIOUS MISSION OF CHEVRA LIADY NUSACH HOARY
NORTHERN RIVERVIEW
87 SOUTH ROUTE 9WHAVERSTRAWNY10927133832251501(C) (3)1979251TO FORGIVE INTERCOMPNAY BALANCES
FOUNTAINVIEW AT COLLEGE ROAD INC
2000 FOUNTAINVIEW DRIVEMONSEYNY10952133935070501(C) (3)2071051TO FORGIVE INTERCOMPNAY BALANCES
ASSISTED LIVING AT NORTHERN RIVERVIEW INC
89 SOUTH ROUTE 9WHAVERSTRAWNY10927133976617501(C) (3)183748TO FORGIVE INTERCOMPNAY BALANCES
LIFESTYLE OPTIONS FOR SENIORS
2000 FOUNTAINVIEW DRIVEMONSEYNY10952134133472501(C) (3)6507TO FORGIVE INTERCOMPNAY BALANCES
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MORRIS KLEIN
EXECUTIVE DIRECTOR10563751057717647852968521411842400911604378463792216366079102200
JILL WECHSLER
CASE MANAGER1591590000000168670176026000
GELENA DEVERMAN
ADC DIRECTOR149236000000038760153112000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationMORRIS KLEIN, $140,052Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2CHIEF OPERATING OFFICER GEDALIA KLEIN IS RELATED TO EXECUTIVE DIRECTOR, MORRIS KLEIN.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FINAL FORM 990 WILL BE REVIEWED BY THE DIRECTOR OF FINANCE AND CHAIRMAN OF THE BOARD PRIOR TO BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CEACH BOARD MEMBER IS PROVIDED WITH THE CONFLICT OF INTEREST POLICY, AND IS REQUIRED TO FILL OUT A FORM WHICH WILL DISCLOSE ANY CONFLICT OF INTEREST. IF THERE IS A CONFLICT, THE BOARD MEMBER WILL RECUSE HIM/HERSELF FROM VOTING ON ANY ISSUE THAT CREATES THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15AA PRICE WATERHOUSE COOPERS STUDY REVIEWED AND SUBSTANTIATED THE TOP MANAGEMENT COMPENSATION. THE LAST SALARY DETERMINATION FOR TOP MANAGEMENT COMPENSATION TOOK PLACE IN JUNE 2011. THE STUDY WAS CONDUCTED BY THE SOLE CORPORATE MEMBER "NORTHERN METROPOLITAN FOUNDATION" ON BEHALF OF NORTHERN MANOR MULTICARE, INC.
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GHEALTHCARE CONSULTANTS: PROGRAM SERVICE EXPENSES 771,284. MANAGEMENT AND GENERAL EXPENSES 123,390. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 894,674.OTHER FEES
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
NORTHERN RIVERVIEW HEALTH CARE CENTER INC
87 SOUTH ROUTE 9WHAVERSTRAWNY10927133832251NURSING HOMENY501 (C)(3)LINE 9NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC0
ASSISTED LIVING AT NORTHERN RIVERVIEW INC
89 SOUTH ROUTE 9WHAVERSTRAWNY10927133976617ASSISTED LIVING FOUNDATIONNY501 (C)(3)LINE 9NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC0
FOUNTAINVIEW AT COLLEGE ROAD INC
2000 FOUNTAINVIEW DRIVEMONSEYNY10952133935070INDEPENDANT LIVING FACILITYNY501 (C)(3)LINE 9NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC0
NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC
2000 FOUNTAINVIEW DRIVEMONSEYNY10952113354023CHARITABLE FOUNDATIONNY501 (C)(3)LINE 11A, ICHEVRA LIADY NUSACH0
NORTHERN SERVICES GROUP INC
2000 FOUNTAINVIEW DRIVEMONSEYNY10952134120014ADMINISTRATIVE SUPPORT ORGANIZATIONNY501 (C)(3)LINE 11B, IINORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC0
LIFESTYLE OPTIONS FOR SENIORS FOUNDATIONINC
2000 FOUNTAINVIEW DRIVEMONSEYNY10952134133472CHARITABLE FOUNDATIONNY501 (C)(3)LINE 9NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC0
NORTHERN METROPOLITAN INC
225 MAPLE AVENUEMONSEYNY10952133070759NURSING HOMENY501 (C)(3)LINE 9NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC0
CHEVRA LIADY NUSACH HOARY - 11-3133470
1580 53RD STREETBROOKLYNNY11219113133470RELIGOUS ENTITYNY501 (C)(3)LINE 1NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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