FURP.ORG / PUBLIC DATA EXPLORER

NORTHERN RIVERVIEW HEALTH CARE CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTHERN RIVERVIEW HEALTH CARE CENTER INC (EIN 13-3832251)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-09
IRS object ID
201213149349301616
Schema version
2011v1.2
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)
Timestamp2012-11-09T11:35:34-08:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ABBATE DEMARINIS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1377 OAK STREET - SUITE 209AddressLine1
CityGARDEN CITYCity
StateNYState
ZIP Code11530ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133832251EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHERN RIVERVIEW HEALTH CARE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone8454295381Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line187 SOUTH ROUTE 9WAddressLine1
CityHAVERSTRAWCity
StateNYState
ZIP Code10927ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMORRIS KLEINName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone8454295381Phone
Date Signed2012-09-05DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANTHONY ABBATEName
Phone5167456600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts19327305GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE SKILLED NURSING CARE TO THE ELDERLYActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees402TotalNbrEmployees
Total Nbr Volunteers19TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19964690ProgramServiceRevenuePriorYear
Program Service Revenue CY19245363ProgramServiceRevenueCY
Investment Income Prior Year1201InvestmentIncomePriorYear
Investment Income Current Year275InvestmentIncomeCurrentYear
Other Revenue Current Year81667OtherRevenueCurrentYear
Total Revenue Prior Year19965891TotalRevenuePriorYear
Total Revenue Current Year19327305TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9688394SalariesEtcPriorYear
Salaries Etc Current Year8971521SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8356595OtherExpensePriorYear
Other Expenses Current Year6946314OtherExpensesCurrentYear
Total Expenses Prior Year18044989TotalExpensesPriorYear
Total Expenses Current Year15917835TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1920902RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3409470RevenuesLessExpensesCY
Total Assets BOY14145161TotalAssetsBOY
Total Assets EOY16624641TotalAssetsEOY
Total Liabilities BOY14076188TotalLiabilitiesBOY
Total Liabilities EOY13146198TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY68973NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3478443NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE SKILLED NURSING CARE TO THE ELDERLYMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense12422070Expense
Revenue19327305Revenue
DescriptionHEALTHCARE SERVICES FOR THE ELDERLYDescription
Total Program Service Expense12422070TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees402NumberOfEmployees
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
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
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 PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMR M ITZKOWITZNamePerson
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 WeekAverageHoursPerWeekOfficerOfficerKey EmployeeKeyEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorHighest Compensated EmployeeHighestCompensatedEmployee
MORRIS KLEIN
EXECUTIVE DIRECTOR35.00XX06955460
LEON STEINMETZ
BOARD MEMBER1.00006250X
ABRAHAM ZACHARIASH
BOARD MEMBER1.00002500X
REGINA AUSLANDER
BOARD MEMBER1.00001000X
BENJAMIN KLEIN
BOARD MEMBER1.00001000X
RABBI HERSHEL HAGER
BOARD MEMBER1.0000500X
HINDI GINSBERG
BOARD MEMBER1.0000750X
MARTIN HAUBENSTOCK
SECRETARY1.00X003250
CHARLES F KENNY
BOARD MEMBER1.00002500X
RABBI SIMON LAUBER
BOARD MEMBER1.00001000X
GEDALIA KLEIN
Chief Operating Officer35.00XX01476070
ISRAEL ORZEL
Board Member1.00004250X
MICHAEL NOWICKI
Compliance Officer35.00X01491230X
MICHAEL ITZKOWITZ
Director of Finance35.00X01120810X
STUART MEYERS
Chairman1X5000
SHLOMO KATZ
Administrator35147776X
JOYCE KOPELMAN
Director of Rehabilitation35101576X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1353709TotalReportableCompFrmRltdOrgs
Total Other Compensation28000TotalOtherCompensation
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
CENTERS FOR CARE LLC
1601 BRONXDALE AVE SUITE 209BRONXNY10462Administrative Services357093
HEALTHCARE SERVICES GROUP
3220 TILLMAN DRIVEBENSALEMPA19020Laundry & Housekeeping Services130927
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Business Code900099BusinessCode
Total Revenue Column19245363TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue19245363TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column275TotalRevenueColumn

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column81667TotalRevenueColumn
Related Or Exempt Function Income81667RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue81667TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19327305TotalRevenueColumn
Related Or Exempt Function Income19327305RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7305634Total
Program Services6884928ProgramServices
Management And General420706ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10807Total
Program Services10185ProgramServices
Management And General622ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1060002Total
Program Services998993ProgramServices
Management And General61009ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total595078Total
Program Services560810ProgramServices
Management And General34268ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total65483Total
Program Services0ProgramServices
Management And General65483ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total14818Total
Program Services0ProgramServices
Management And General14818ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total81163Total
Program Services0ProgramServices
Management And General81163ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1138597Total
Program Services1138597ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total926Total
Program Services0ProgramServices
Management And General926ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total17397Total
Program Services17397ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total528351Total
Program Services528351ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total194161Total
Program Services349ProgramServices
Management And General193812ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MISCELLANEOUS & OTHER EXPENSES18402701840270
EQUIPMENT RENTAL33439003343900
Medicaid Cash Assessment1032430010324300
ADMINSTRATIVE CORPORATE SERVICES56816705681670

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2786404Total
Program Services2282460ProgramServices
Management And General503944ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15917835Total
Program Services12422070ProgramServices
Management And General3495765ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY213382BOY
EOY1567458EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6188137BOY
EOY7016069EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY584685EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY322048BOY
EOY441652EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15644076LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8852047LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6428348BOY
EOY6792029EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY993246BOY
EOY222748EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14145161BOY
EOY16624641EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3052112BOY
EOY2960017EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY4487432BOY
EOY4055385EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6536644BOY
EOY6130796EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14076188BOY
EOY13146198EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY65023BOY
EOY3474493EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3950BOY
EOY3950EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY68973BOY
EOY3478443EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14145161BOY
EOY16624641EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3409470ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16797012CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16562805CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18569421CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19964690CurrentTaxYearMinus1Year
Current Tax Year19245363CurrentTaxYear
Total91139291Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16797012CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16562805CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18569421CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19964690CurrentTaxYearMinus1Year
Current Tax Year19245363CurrentTaxYear
Total91139291Total
FieldValueIRS element (for citing)
Public Support Total50991139291PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years362CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years449CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1201CurrentTaxYearMinus1Year
Current Tax Year275CurrentTaxYear
Total2326Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years362CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years449CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1201CurrentTaxYearMinus1Year
Current Tax Year275CurrentTaxYear
Total2326Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-490CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74104CurrentTaxYearMinus3Years
Current Tax Year81667CurrentTaxYear
Total155281Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total91296898Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99830PublicSupportPercentage509
Prior Year Support Percentage0.99910PriorYearSupportPercentage
Investment Income Percentage0InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestOTHER INCOME PART III, LINE 12; DESCRIPTION: MISCELLANEOUS; 2007: -490.; 2008: 74104.; 2009: 0.; 2011: 81667.;FactsAndCircumstancesTest

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis309421OtherCostOrOtherBasis
Book Value309421BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12314950OtherCostOrOtherBasis
Depreciation8852047Depreciation
Book Value3462903BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3019705OtherCostOrOtherBasis
Book Value3019705BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6792029TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
LIMITED USE ASSETS3950
PATIENT FUNDS106450
DUE FROM MEDICAID
CONSTRUCTION IN PROGRESS112348
FieldValueIRS element (for citing)
Total Book Value Other Assets222748TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED PAYROLL & VACATION$413,358
PATIENT FUNDS PAYABLE$123,906
DUE TO RELATED ENTITIES$5,593,532
FieldValueIRS element (for citing)
Total Of Amounts6130796TotalOfAmounts
Total Revenue19327305TotalRevenue
Total Expenses15917835TotalExpenses
Excess Or Deficit For Year3409470ExcessOrDeficitForYear
Excess Or Deficit Per FS3409470ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19327305TotRevenueEtcAuditedFinclStmt
Revenue Subtotal19327305RevenueSubtotal
Total Revenue Per Form99019327305TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15917835TotExpensesEtcAuditedFinclStmt
Expenses Subtotal15917835ExpensesSubtotal
Total Expenses Per Form99015917835TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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

FieldValueIRS element (for citing)
Name PersonMORRIS KLEINNamePerson
Comp Based On Related Orgs695546CompBasedOnRelatedOrgs
Total Compensation Related Orgs695546TotalCompensationRelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPt I Line 4bIdentifier
ExplanationMORRIS KLEIN PARTICIPATES IN A NON QUALIFIED PENSION PLAN ON THE RELATED ORGANIZATION, NSG INC.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 2BOARD MEMBER, BENJAMIN KLEIN IS RELATED TO EXECUTIVE DIR. MORRIS KLEIN
Pt VI, Line 11aTHE BOARD OF DIRECTORS WILL MEET & REVIEW THE 990
Pt VI, Line 12cANNUALLY, BOARD MEMBERS ARE REQUIRED TO FILE DISCLOSURES & CONTRACTS & VENDORS ARE REVIEWED
Pt VI, Line 15A PRICE WATERHOUSE COOPERS STUDY REVIEWED AND SUBSTANTIATED THE TOP MANAGEMENT COMPENSATION
Pt VI, Line 19990 is available on Guidestar.org and at location upon request
Form 990, Part IX, Line 24fSUPPLIES & EXPENSES 1819265. 1819265. 0. 0. CONTRACTED SERVICES & CONSULTANTS 967139. 463195. 503944. 0.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NORTHERN MANOR MULTICARE CENTER INC
199 MIDDLETOWN ROADNANUETNY10954133623600NURSING HOMENY501(C)3NA
NORTHERN METROPOLITAN INC
225 MAPLE AVENUEMONSEYNY10952133070759NURSING HOMENY501(C)3NA
ASSISTED LIVING NORTHERN RIVERVIEW INC
87 SOUTH ROUTE 9WHAVERSTRAWNY10927133976617ASSISTED LIVING FACILITYNY501(C)3NA
FOUNTAINVIEW COLLEGE ROAD INC
2000 FOUNTAINVIEW DRIVEMONSEYNY10952133935070INDEPENDENT LIVING FACILITYNY501(C)3NA
NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC
2000 FOUNTAINVIEW DRIVEMONSEYNY10952113354023CHARITABLE FOUNDATIONNY501(C)3NA
NORTHERN SERVICES GROUP INC
2000 FOUNTAINVIEW DRIVEMONSEYNY10952134120014ADMIN SUPPORT ORGANIZATIONNY501(C)3NA
LIFESTYLE OPTIONS FOR SENIORS FOUNDATION INC
2000 FOUNTAINVIEW DRIVEMONSEYNY10952134133472CHARITABLE FOUNDATIONNY501(C)3NA
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 OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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 OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NORTHERN SERVICES GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypedTransactionType
Amount Involved-432736AmountInvolved
Method Of Amt DeterminationDMethodOfAmtDetermination