2013-11-12T17:47:57-06:00 2012-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2012-01-01 112290533 CONCORD NURSING HOME INC CONC 7186367500 300 MADISON STREET BROOKLYN NY 11216 LILLIE BRYANT-HOBBS 7186367500 2013-08-01 1 GARRETT M HIGGINS P00543209 9143818900 2013-11-12 2012 2016-02-24 21:20:13Z CONCORD NURSING AND REHABILITATION CENTER INC LILLIE BRYANT-HOBBS 300 MADISON STREET BROOKLYN NY 11216 16395360 0 X N/A X 1966 NY PROVIDE SKILLED NURSING SERVICES FOR PERSONS WHO ARE INFIRMED, OR AGED AND INFIRMED, WITHOUT REFERENCE TO RACE, SEX, RELIGION, COLOR OR NATURAL ORIGIN. 7 7 155 10 0 0 24450 26140 14449854 16212700 6141 5988 123273 150532 14603718 16395360 0 0 0 0 7914376 7464096 0 0 0 8945371 8893199 16859747 16357295 -2256029 38065 16172373 17984943 24628366 26402871 -8455993 -8417928 THE MISSION OF THE CENTER IS TO PROVIDE SKILLED NURSING SERVICES FOR PERSONS WHO ARE INFIRMED, OR AGED AND INFIRMED, WITHOUT REFERENCE TO RACE, SEX, RELIGION, COLOR OR NATURAL ORIGIN. 0 0 12648313 12318044 SKILLED NURSING CARE:SKILLED NURSING CARE INCLUDES PROVIDING RESIDENTS OF CONCORD WITH MEALS, BEDS, SKILLED NURSING CARE RECREATION, SOCIAL SERVICES, MEDICAL CARE AND REHABILITATION PROGRAMS FOR THOSE THAT NEED THAT TYPE OF CARE. THE CENTER WAS ABLE TO RENDER APPROXIMATELY 40,418 PATIENT DAYS OF MEDICAL CARE TO OVER 266 PATIENTS IN ITS SKILLED NURSING PROGRAM. THE CENTER HAD 141 ADMISSIONS AND 158 DISCHARGES DURING 2012. 1724770 3894656 VENTILATOR ASSISTANCE AND RESPIRATORY THERAPY SERVICES: CONCORD PROVIDES A FULL SERVICES 24 HOUR UNIT FOR THOSE RESIDENTS THAT REQUIRE VENTILATOR ASSISTANCE TO BREATH DUE TO RESPIRATORY FAILURE. THE CENTER WAS ABLE TO RENDER APPROXIMATELY 5,581 PATIENT DAYS OF MEDICAL CARE TO OVER 66 PATIENTS IN ITS VENTILATOR NURSING PROGRAM. THE CENTER HAD 48 ADMISSIONS AND 49 DISCHARGES DURING 2012. 14373083 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 48 0 155 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X LILLIE BRYANT-HOBBS 7186367500 300 MADISON STREET BROOKLYN NY 11216 DOROTHY STRAKER 1.00 X X 0 0 0 COZETTA H GREEN 1.00 X X 0 0 0 ELENA FRANKLIN 1.00 X 0 0 0 JOHNNIE WHITE 1.00 X 0 0 0 PAULA VAUGHAN-MILLER 1.00 X 0 0 0 MARY ANDERSON 1.00 X 0 0 0 GARY V SIMPSON 1.00 X X 0 0 0 LILLIE BRYANT-HOBBS 36.30 X 202884 0 12656 DOMINIQUE ESTINVILLE 36.30 X 100940 0 12495 DENISE ROSEMOND 36.30 X 119499 0 2989 423323 0 28140 3 0 1 0 HCP AGENCY 555 BROAD HALLOW RD MELVILLE NY 11747 NURSING SERVICES 696023 SHORE PHARMACEUTICAL PO BOX 715280 COLUMBUS OH 43271 PHARMACY SERVICES 229858 SECURITAS SECURITY SERVICES 111 LIVINGSTON STREET BROOKLYN NY 11201 SECURITY GUARDS 215204 UNITEXSHARED TEXTILE 161 MACQUESTEN PARKWAY MT VERNON NY 10550 LAUNDRY SERVICES 157911 HORIZON HEALTHCARE STAFFING 20 JERUSALEM AVENUE 3RD FLOOR HICKSVILLE NY 11801 NURSING SERVICES 128491 7 26140 26140 MEDICAID REVENUE 623000 14201436 14201436 MEDICARE REVENUE 623000 1559544 1559544 PRIVATE PAY 623000 451720 451720 16212700 5988 5988 RECOVERY OF PRIOR YEAR EXPENSES 900099 62773 62773 REFUNDS/REBATES 900099 57908 57908 MISCELLANEOUS 900099 29704 29704 147 147 150532 16395360 16212700 0 156520 X 219122 219122 5246394 4823648 422746 282136 255597 26539 1053221 940822 112399 663223 587079 76144 122232 122232 203045 203045 14275 14275 1680431 1603922 76509 11439 11439 762731 673800 88931 568914 469124 99790 12000 9247 2753 1059867 934935 124932 1095461 961622 133839 195920 195920 NYS CASH RECEIPTS ASSES 849157 849157 BAD DEBT EXPENSE 820000 820000 PURCHASED AND CONTRACTE 637002 603385 33617 MEDICAL SUPPLIES 324778 324778 535947 515967 19980 16357295 14373083 1984212 0 300379 391461 385498 326039 3448460 1885423 26798 25850 94966 92369 24881751 16077471 9772905 8804280 2143367 6459521 16172373 17984943 4139585 4709230 16814569 16262238 169888 156850 3504324 5274553 24628366 26402871 X -8455993 -8417928 -8455993 -8417928 16172373 17984943 38065 0 X X 0 1 X 1 1 1 X 53126 4025 48370 24450 26140 156111 17708466 16438066 15131050 14449854 16212700 79940136 17761592 16442091 15179420 14474304 16238840 80096247 0 0 0 80096247 10668 9342 8110 6141 5988 40249 10668 9342 8110 6141 5988 40249 406587 193220 17190 123273 150532 890802 18178847 16644653 15204720 14603718 16395360 81027298 0.98850 0.99010 0.00050 0.00060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14275 14275 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: COSTS ARE INCURRED AS PART OF DUES PAID TO NURSING HOME INDUSTRY ORGANIZATIONS. 0 1 X 745000 745000 20697434 13650133 7047301 63431 63227 204 3375886 2364111 1011775 8804280 ASSESTS LIMITED AS TO USE - OPERATING ESCROW FUND 130 DEFERRED REFINANCING FEES, NET 1308857 ASSESTS LIMITED AS TO USE - RESERVE FUND FOR REPLACEMENTS 533001 ASSESTS LIMITED AS TO USE - OTHER HUD REQUIRED ESCROW ACCOUNTS 237852 SECURITY DEPOSITS 42820 DUE TO THIRD PARTY PAYORS 4336861 6459521 DUE TO THIRD PARTY PAYORS 5198169 ACCRUED INTEREST 76384 5274553 X 16395360 0 16395360 0 16395360 16357295 0 16357295 0 16357295 PART IV, LINE 2B: RESIDENTS' FUNDS ARE HELD BY THE CENTER ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE CENTER FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE CENTER AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CENTER RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE CENTER HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE CENTER IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2009. X X X 0 0 0 0 0 0 0 0 0 LILLIE BRYANT-HOBBS 202884 0 0 0 0 0 4821 0 7835 0 215540 0 0 0 A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983Q7P8 2007-10-25 19620489 REFINANCING 0 0 0 A 19620489 19029213 392410 198866 2007 0 1 1 1 A 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 1 ERIC GARNER SON-IN-LAW OF THE EXECUTIVE DIRECTOR 69525 CONSULTANT HIRED TO PERFORM SOME OF THE DUTIES OF THE MAINTENANCE DIRECTOR. 0 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 VIA REGULAR MAIL. THE BOARD WILL MAIL ANY QUESTIONS UPON REVIEW OF THE FORM 990 TO THE PREPARER FOR CLARIFICATION. THE BOARD WILL RECEIVE IN THE MAIL THE PREPARER'S ANSWERS AND REVIEW THE ANSWERS AT THE NEXT BOARD MEETING. THE MEETING IS DOCUMENTED IN THE BOARD MINUTES AS WELL AS ANY QUESTION THAT MAY ARISE. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES OF THE FACILITY MUST ATTEMPT TO AVOID ANY ACTIONS THAT RESULT IN A DIRECT OR INDIRECT CONFLICT BETWEEN HIS OR HER PERSONAL INTERESTS AND THOSE OF THE CENTER. BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY. ALL POTENTIAL CONFLICTS ARE MONITORED AT BOARD MEETINGS THROUGHOUT THE YEAR. IF A POTENTIAL CONFLICT WERE TO ARISE, THE PERSON WOULD DISCLOSE THE CONFLICT TO THE GOVERNING BOARD. THE DISINTERESTED BOARD MEMBERS WOULD REVIEW THE CONFLICT, AND COME TO A RESOLUTION. THE RESOLUTION WOULD BE DOCUMENTED IN THE MINUTES TO THE MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD HAS A COMPENSATION COMMITTEE THAT REVIEWS 990'S FOR OTHER SURROUNDING AREA'S SKILLED NURSING FACILITIES FOR COMPARISON OF COMPENSATION. THE COMPENSATION COMMITTEE ALSO REVIEWS THE EXECUTIVE DIRECTOR'S RESPONSIBILITIES AND DUTIES OF THE OTHER FACILITIES COMPARED TO THEIR OWN EXECUTIVE DIRECTOR'S RESPONSIBILITIES AND DUTIES. THE COMPENSATION COMMITTEE PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS VOTES ON THE COMPENSATION COMMITTEE'S RECOMMENDATIONS, A MAJORITY VOTE IS NEEDED FOR APPROVAL. THE EXECUTIVE DIRECTOR PRESENTS TO THE HUMAN RESOURCE COMMITTEE OF THE BOARD OF DIRECTORS A PAY INCREASE RECOMMENDATION FOR KEY EMPLOYEES. THE HUMAN RESOURCE COMMITTEE THEN INVESTIGATES SURROUNDING AREA NURSING HOME SALARIES FOR SUCH KEY EMPLOYEES. THE HUMAN RESOURCE COMMITTEE THEN PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS VOTES ON THE HUMAN RESOURCES COMMITTEE'S RECOMMENDATIONS, A MAJORITY VOTE IS NEEDED FOR APPROVAL. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE TO THE PUBLIC DURING REGULAR BUSINESS HOURS AT 300 MADISON STREET, BROOKLYN, NY 11216. THE ORGANIZATION 990 IS ALSO AVAILABLE TO THE PUBLIC ON GUIDESTAR WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION ALSO FILES A COST REPORT WITH NYS DEPARTMENT OF HEALTH THAT CONTAINS FINANCIAL STATEMENTS AND NOTE DISCLOSURES, WHICH IS ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 1,603,922. MANAGEMENT AND GENERAL EXPENSES 76,509. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,680,431. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE SELECTION & OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.