OZANAM HALL OF QUEENS NURSING HOME INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OZANAM HALL OF QUEENS NURSING HOME INC (EIN 11-2167809)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201333199349311113
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)
Timestamp2013-11-15T18:17:38-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN112167809EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Ozanam Hall of Queens Nursing Home IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOZANNameControl
Phone7184232000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14241 201st StreetAddressLine1
CityBaysideCity
StateNYState
ZIP Code113612550ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJames M KoniarskiName
TitleChief Financial OfficerTitle
Phone7184232000Phone
Date Signed2013-11-15DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSr M Joseph Catherine RNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14241 201st StreetAddressLine1
CityBaysideCity
StateNYState
ZIP Code113612550ZIPCode
FieldValueIRS element (for citing)
Gross Receipts52105845GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.ozanamhall.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1969YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionThe most significant activities this year were to provide 151,059 nursing days to various residents and the Home rehabilitated and returned 229 residents back to the communities.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees711TotalNbrEmployees
Total Nbr Volunteers224TotalNbrVolunteers
Total Gross UBI30614TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year754475ContributionsGrantsPriorYear
Contributions Grants Current Year294813ContributionsGrantsCurrentYear
Program Service Revenue Prior Year52976242ProgramServiceRevenuePriorYear
Program Service Revenue CY50943217ProgramServiceRevenueCY
Investment Income Prior Year63416InvestmentIncomePriorYear
Investment Income Current Year39870InvestmentIncomeCurrentYear
Other Revenue Prior Year507364OtherRevenuePriorYear
Other Revenue Current Year649651OtherRevenueCurrentYear
Total Revenue Prior Year54301497TotalRevenuePriorYear
Total Revenue Current Year51927551TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year36897534SalariesEtcPriorYear
Salaries Etc Current Year36594956SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16399073OtherExpensePriorYear
Other Expenses Current Year17346617OtherExpensesCurrentYear
Total Expenses Prior Year53296607TotalExpensesPriorYear
Total Expenses Current Year53941573TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1004890RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2014022RevenuesLessExpensesCY
Total Assets BOY100597221TotalAssetsBOY
Total Assets EOY98242304TotalAssetsEOY
Total Liabilities BOY45108407TotalLiabilitiesBOY
Total Liabilities EOY44514671TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY55488814NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY53727633NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOzanam 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 considerd sacred. Each one has, therefore, a moral responsibility to respect and protect that basic right to life.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense45053740Expense
Revenue50943217Revenue
DescriptionOzanam Hall is a 432 bed skilled nursing facility that provided 151,059 nursing days to various residents as follows: medicare: 15,886; medicaid: 107,764; private: 25,354; others: 2,055 nursing days. The rehab center rehabilitiated and returned 221 residents back to the community. We initiated a program called "love made visible" which impacted 209 alzheimer's residents. The program is extended to weekends. Our annual "memory screening", "Alzheimer Memorial Candle Lighting Ceremony" and "blood drive" continues. the dememtia training program for the public continues. Ozanam Hall also participates in the American Cancer Society's making Strides Against Breast Cancer fundraiser.Description
Total Program Service Expense45053740TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096138NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees711NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1James M KoniarskiBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7184232000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14241 201st StreetAddressLine1
CityBaysideCity
StateNYState
ZIP Code113612550ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Rev Msgr Austin P Bennett
Chair0.50XX000
Rev Robert J Whelan
Vice President0.50XX000
Sr Michelle Anne Reho
President0.50XX000
Rev Msgr Alfred P LoPinto
Treasurer0.50XX000
Sr M Joseph Catherine Raymond
Ceo/Secretary37.50XX000
Sr M Kevin Patricia
Member0.50X000
Sr M Patrick Michael
Member0.50X000
Sr M Sean William
Member0.50X000
Patrick F Donnellan CPA
Member0.50X000
Mary P Giordano Esq
Member0.50X000
James J Daly Esq
Member0.50X000
Leslee A Devlin
Member0.50X000
Keith M Powers
Member0.50X000
Most Rev Nicholas DiMarzio
Member0.50X000
Mother M Mark Louis Randall
Member0.50X000
Sr M Ann Elizabeth Brown
Member0.50X000
Sr Maureen Murray
Member0.50X000
Sr M Anthony Veilleux
Member0.50X000
James M Koniarski
CFO37.50183179041148X
Margaret White
Dir. of Rehabilitation37.50155080041041X
Harry C Itoka
Controller37.50142199040200X
Ann M Callaghan
Director of Nursing37.50135531019376X
Magdalene H Smolen
Assistant Administrator37.50122118029518X
FieldValueIRS element (for citing)
Total Reportable Comp From Org738107TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation171283TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
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
Sodexho Inc & Affiliates
PO Box 81049WoburnMA01813Dietary Services1629188
RCDolner LLC
Two Penn Plaza EastNewarkNJ07105Construction1474112
Clifton Budd & Demaria LLP
420 Lexington AveNew YorkNY10170Legal232021
Ruffo Tabora Mainello & Mckay PC
311 Great Oaks DriveAlbanyNY12203Legal184185
Homecare Therapy
20 Jerusalem Avenue3rd FlrHicksvilleNY11801Agency137633
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Fundraising Events244813FundraisingEvents
All Other Contributions50000AllOtherContributions
Total Contributions294813TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medicaid6230003022440130224401
Private Income6230001147101111471011
Medicare62300079661537966153
Private Insurance62300012816521281652
FieldValueIRS element (for citing)
Total Program Service Revenue50943217TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column39790TotalRevenueColumn
Exclusion$39,790ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Personal36386Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Personal5772Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Personal30614Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column30614TotalRevenueColumn
Unrelated Business Revenue30614UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other80Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other80Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column80TotalRevenueColumn
Exclusion$80ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events138473GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events244813CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses63159FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column75314TotalRevenueColumn
Exclusion$75,314ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory137680GrossSalesOfInventory
Cost Of Goods Sold109363CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column28317TotalRevenueColumn
Exclusion$28,317ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Refund900099225726$225,726
Collection Fees900099223251$223,251
Contracted Services90009953749$53,749

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column12680TotalRevenueColumn
Exclusion$12,680ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue515406TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column51927551TotalRevenueColumn
Related Or Exempt Function Income50943217RelatedOrExemptFunctionIncome
Unrelated Business Revenue30614UnrelatedBusinessRevenue
Exclusion$658,907ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total861113Total
Management And General861113ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total24133608Total
Program Services19757695ProgramServices
Management And General4375913ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1474887Total
Program Services1163686ProgramServices
Management And General311201ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6993602Total
Program Services5517952ProgramServices
Management And General1475650ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3131746Total
Program Services2470948ProgramServices
Management And General660798ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total725226Total
Program Services725226ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total385178Total
Management And General385178ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total58468Total
Management And General58468ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total20548Total
Management And General20548ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total15830Total
Program Services15830ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3472038Total
Program Services2739438ProgramServices
Management And General732600ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total26627Total
Program Services26627ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3789307Total
Program Services3789307ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30160Total
Program Services23796ProgramServices
Management And General6364ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4539786Total
Program Services4539786ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
NYS Assessment26046692604669
Medical Supplies833326833326
Prescriptions648762648762
Bad Debt Expense196692196692

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total53941573Total
Program Services45053740ProgramServices
Management And General8887833ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2796888BOY
EOY2625511EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10336252BOY
EOY8262903EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY39417BOY
EOY39417EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10004338BOY
EOY9890340EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY122037BOY
EOY138310EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY399538BOY
EOY262352EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis87481256LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec32896120LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY56545063BOY
EOY54585136EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10686022BOY
EOY9956261EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9667666BOY
EOY12482074EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY100597221BOY
EOY98242304EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2904532BOY
EOY3031288EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY35410000BOY
EOY34320000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY1485327BOY
EOY1497247EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5308548BOY
EOY5666136EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY45108407BOY
EOY44514671EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY53693880BOY
EOY51710268EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1794934BOY
EOY2017365EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY55488814BOY
EOY53727633EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY100597221BOY
EOY98242304EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-2014022ReconcilationRevenueExpenses
Reconciliation Unrealized Invest252841ReconciliationUnrealizedInvest
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 SeparateXFinancialStatementSeparate
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 Year Minus4 Years126783CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years167920CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1054866CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year754475CurrentTaxYearMinus1Year
Current Tax Year294813CurrentTaxYear
Total2398857Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47936849CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47605692CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years49783218CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53198432CurrentTaxYearMinus1Year
Current Tax Year51081690CurrentTaxYear
Total249605881Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48063632CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47773612CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years50838084CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53952907CurrentTaxYearMinus1Year
Current Tax Year51376503CurrentTaxYear
Total252004738Total

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 Total509252004738PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years346489CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years71919CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years63671CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54008CurrentTaxYearMinus1Year
Current Tax Year39790CurrentTaxYear
Total575877Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32793CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30841CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28653CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31257CurrentTaxYearMinus1Year
Current Tax Year30614CurrentTaxYear
Total154158Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years379282CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years102760CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years92324CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year85265CurrentTaxYearMinus1Year
Current Tax Year70404CurrentTaxYear
Total730035Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years486272CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years307867CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years453844CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year515504CurrentTaxYearMinus1Year
Current Tax Year653086CurrentTaxYear
Total2416573Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48929186CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48184239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51384252CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54553676CurrentTaxYearMinus1Year
Current Tax Year52099993CurrentTaxYear
Total255151346Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98770PublicSupportPercentage509
Prior Year Support Percentage0.98010PriorYearSupportPercentage
Investment Income Percentage0.00290InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00620PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1092991OtherCostOrOtherBasis
Book Value1092991BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis75022845OtherCostOrOtherBasis
Depreciation31596101Depreciation
Book Value43426744BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis129382OtherCostOrOtherBasis
Depreciation99931Depreciation
Book Value29451BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10730096OtherCostOrOtherBasis
Depreciation1200088Depreciation
Book Value9530008BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis505942OtherCostOrOtherBasis
Book Value505942BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings54585136TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Other Third Party Payor Receivable7556965
Insurance Grossup3100000
Other Current Assets220867
Deferred Financing & Refinancing Costs, Net1604242
FieldValueIRS element (for citing)
Total Book Value Other Assets12482074TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Estimated Third Party Liabilities$701,650
Compensated Absences$410,922
Bond Issuance Premium, Net$1,453,564
Insurance Claims$3,100,000
FieldValueIRS element (for citing)
Total Of Amounts5666136TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 use.
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. The Home is no longer subject to examinations by the applicable taxing jurisdictions for periods prior to 2009.Description of Uncertain Tax Positions Under FIN 48:
Amount netted on Financial and not on 990Part XI, Line 4b - Other Adjustments:
Expenses netted on Financial and grossup on 990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf OutingNameOfEvent1
Gross Receipts Event1253762GrossReceiptsEvent1
Charitable Contributions Event1116545CharitableContributionsEvent1
Gross Revenue Event1137217GrossRevenueEvent1
Cash Prizes Event113300CashPrizesEvent1
Food And Beverage Event127270FoodAndBeverageEvent1
Other Direct Expenses Event117786OtherDirectExpensesEvent1
Name Of Event2Capital CampaignNameOfEvent2
Gross Receipts Event2129524GrossReceiptsEvent2
Charitable Contributions Event2128268CharitableContributionsEvent2
Gross Revenue Event21256GrossRevenueEvent2
Other Direct Expenses Event24803OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Total383286GrossReceiptsTotal
Charitable Contributions Total244813CharitableContributionsTotal
Gross Revenue Total Events138473GrossRevenueTotalEvents
Cash Prizes Total Events13300CashPrizesTotalEvents
Food And Beverage Total Events27270FoodAndBeverageTotalEvents
Other Direct Expenses Total Events22589OtherDirectExpensesTotalEvents
Direct Expense Summary Events63159DirectExpenseSummaryEvents
Net Income Summary75314NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
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 (5 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
James M Koniarski
CFO18317900000105000306480224327000
Margaret White
Dir. of Rehabilitation15508000000105000305410196121000
Harry C Itoka
Controller1421990000097290304710182399000
Ann M Callaghan
Director of Nursing1355310000093060100700154907000
Magdalene H Smolen
Assistant Administrator1221180000082420212760151636000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Dormitory Authority of the State of New YorkBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN166000293IssuerEIN
CUSIP Number64983Q7J2CUSIPNumber
Date Issued2006-12-19DateIssued
Issue Price41443072IssuePrice
Description Of PurposeTo fund the Home's capital renovation project.DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Year Of Subst Completion2010YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind0AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Section A, line 6There 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 the Ordinary of the Diocese of Brooklyn.
Form 990, Part VI, Section A, line 7a(Governing Body and management) The Board of Directors of Ozanam Hall of Queens Nursing Home, Inc 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 Member-Directors.
Form 990, Part VI, Section A, line 7bThe following powers are reserved exclusively to the Members of the Corporation: 1-Any amemdment 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-thirds 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-Amemdments 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 facility 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(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 Board before it is filed.
Form 990, Part VI, Section B, line 12c(Policies) The organization is strongly committed to a policy of compliance 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 disclose 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 an 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 delibrations 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(Compensation Committee) 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 Boards, 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 by independent firms as deemed necessary.
Form 990, Part VI, Section C, line 18Part VI, Section C, Line 19: (Public Access)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 19Part VI, Section B, Line 12: (Conflict of Interest Policy) 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 disclose 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 result 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 on interest is in violation of the adopted policy and can result in disciplinary action or removal.
Part XII, Line 2c: (Oversight of Audit and Selection of Independent Accountant) 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 its recommendation to the Board of Directors.

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