NORTHERN MANOR MULTICARE CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTHERN MANOR MULTICARE CENTER INC (EIN 13-3623600)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-09
IRS object ID
201223149349301617
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)
Timestamp2012-11-09T11:34:25-08:00Timestamp
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)
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
TitleCHIEF EXECUTIVE OFFICERTitle
Phone8456233904Phone
Date Signed2012-09-17DateSigned
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 Receipts36698801GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
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 Members7NbrIndependentVotingMembers
Total Nbr Employees480TotalNbrEmployees
Total Nbr Volunteers24TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year35941663ProgramServiceRevenuePriorYear
Program Service Revenue CY36626627ProgramServiceRevenueCY
Investment Income Prior Year540InvestmentIncomePriorYear
Investment Income Current Year813InvestmentIncomeCurrentYear
Other Revenue Prior Year793162OtherRevenuePriorYear
Other Revenue Current Year71361OtherRevenueCurrentYear
Total Revenue Prior Year36735365TotalRevenuePriorYear
Total Revenue Current Year36698801TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19233071SalariesEtcPriorYear
Salaries Etc Current Year18266296SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17091788OtherExpensePriorYear
Other Expenses Current Year14056938OtherExpensesCurrentYear
Total Expenses Prior Year36324859TotalExpensesPriorYear
Total Expenses Current Year32323234TotalExpensesCurrentYear
Revenues Less Expenses Prior Year410506RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4375567RevenuesLessExpensesCY
Total Assets BOY21297251TotalAssetsBOY
Total Assets EOY22230145TotalAssetsEOY
Total Liabilities BOY25824994TotalLiabilitiesBOY
Total Liabilities EOY22382321TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-4527743NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-152176NetAssetsOrFundBalancesEOY
Mission DescriptionTO OPERATE A RESIDENTIAL HEALTH FACILITY & ADULT DAY CARE PROGRAMMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense21030141Expense
Revenue28378415Revenue
DescriptionHEALTH CARE SERVICES FOR THE ELDERLYDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5487293Expense
Revenue8248212Revenue
DescriptionOUTPATIENT ADULT DAY CARE SERVICESDescription
FieldValueIRS element (for citing)
Total Program Service Expense26517434TotalProgramServiceExpense
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 Employees480NumberOfEmployees
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 PersonMICHAEL 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
STUART MEYERS
Chairman1.00X005000
LEON STEINMETZ
Board Member1.00006250X
RABBI SIMON LAUBER
Board Member1.00001000X
REGINA AUSLANDER
BOARD MEMBER1.00001000X
BENJAMIN KLEIN
BOARD MEMBER1.00001000X
HINDI GINSBERG
BOARD MEMBER1.0000750X
MARTIN HAUBENSTOCK
Secretary1.00X003250
CHARLES F KENNY
BOARD MEMBER1.00002500X
ABRAHAM ZACHARIASH
BOARD MEMBER1.00002500X
RABBI HERSHAL HAGER
BOARD MEMBER1.0000500X
ISRAEL ORZEL
Board Member1.00004250X
GEDALIA KLEIN
Chief Operating Officer35.00XX01476070
MICHAEL NOWICKI
Compliance Officer35.00X01491230X
MICHAEL ITZKOWITZ
Director of Finance35X112081X
GELENA DEVERMAN
ADC Director35131701X
JILL WECHSLER
Case Manager35117882X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1353940TotalReportableCompFrmRltdOrgs
Total Other Compensation28000TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TOWNE NURSING STAFF
1413 38TH STREETBROOKLYNNY11218Nursing Services1124704
CENTERS FOR CARE
1601 BRONXDALE AVE STE 209BRONXNY10462Administrative Services501822
SENIOR CARE
855 BRUSH AVENUEBRONXNY10465Transportation475748
CFSC AGENCY
1601 BRONXDALE AVENUEBRONXNY10462Staffing266603
ULTRA CARE OF MANHATTAN
800 SECOND AVENUENEW YORKNY10017Respiratory Therapists224512
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
RESIDENT SERVICE REVENUE90009928378415
ADULT DAY CARE9000998248212
FieldValueIRS element (for citing)
Total Program Service Revenue36626627TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column813TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column71361TotalRevenueColumn
Related Or Exempt Function Income71361RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue71361TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column36698801TotalRevenueColumn
Related Or Exempt Function Income36698801RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13599445Total
Program Services13079682ProgramServices
Management And General519763ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total11652Total
Program Services10962ProgramServices
Management And General690ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3626886Total
Program Services3412112ProgramServices
Management And General214774ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1028313Total
Program Services967450ProgramServices
Management And General60863ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total59422Total
Program Services0ProgramServices
Management And General59422ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total26811Total
Program Services0ProgramServices
Management And General26811ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total95338Total
Program Services0ProgramServices
Management And General95338ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total940508Total
Program Services940508ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11066Total
Program Services0ProgramServices
Management And General11066ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total132369Total
Program Services132369ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1032100Total
Program Services1032100ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total79780Total
Program Services12401ProgramServices
Management And General67379ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MISCELLANEOUS & OTHER EXPENSE21731202173120
EQUIPMENT RENTALS10888406336104552300
DUES & SUBSCRIPTIONS102300102300
ADMINISTRATIVE CORPORATE SERVICES1064851010648510

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9298311Total
Program Services6296240ProgramServices
Management And General3002071ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total32323234Total
Program Services26517434ProgramServices
Management And General5805800ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY423034BOY
EOY385684EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8086428BOY
EOY9840590EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY184301BOY
EOY221984EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22235978LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13164760LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9471936BOY
EOY9071218EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3131552BOY
EOY2710669EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21297251BOY
EOY22230145EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8475963BOY
EOY6682965EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY8529860BOY
EOY10273188EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8819171BOY
EOY5426168EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25824994BOY
EOY22382321EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-4753807BOY
EOY-372449EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY226064BOY
EOY220273EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-4527743BOY
EOY-152176EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21297251BOY
EOY22230145EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses4375567ReconcilationRevenueExpenses
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 Years33740256CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34441288CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35966570CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35941663CurrentTaxYearMinus1Year
Current Tax Year36626627CurrentTaxYear
Total176716404Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33740256CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34441288CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35966570CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35941663CurrentTaxYearMinus1Year
Current Tax Year36626627CurrentTaxYear
Total176716404Total
FieldValueIRS element (for citing)
Public Support Total509176716404PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years869CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1123CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year540CurrentTaxYearMinus1Year
Current Tax Year813CurrentTaxYear
Total3392Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years869CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1123CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year540CurrentTaxYearMinus1Year
Current Tax Year813CurrentTaxYear
Total3392Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years155CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years130872CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22743CurrentTaxYearMinus2Years
Current Tax Year71361CurrentTaxYear
Total225131Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total176944927Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99870PublicSupportPercentage509
Prior Year Support Percentage0.99900PriorYearSupportPercentage
Investment Income Percentage0InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestOTHER INCOME PART III, LINE 12; DESCRIPTION: OTHER REVENUE; 2007: 155.; 2008: 130872.; 2009: 22743.; 2011: 71361.;FactsAndCircumstancesTest

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 Basis16528490OtherCostOrOtherBasis
Depreciation8851201Depreciation
Book Value7677289BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis577377OtherCostOrOtherBasis
Depreciation511442Depreciation
Book Value65935BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4340111OtherCostOrOtherBasis
Depreciation3802117Depreciation
Book Value537994BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9071218TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
LIMITED USE ASSETS220273
MISCELLANEOUS RECEIVABLES13313
CONSTRUCTION IN PROGRESS1716823
GOODWILL59964
FINANCING COSTS - NET400052
SECURITY DEPOSITS51079
PATIENT FUNDS249165
DUE FROM MEDICAID
FieldValueIRS element (for citing)
Total Book Value Other Assets2710669TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PATIENT FUNDS LIABILITY$246,459
DUE TO THIRD PARTY PAYORS$4,179,423
DUE TO RELATED PARTIES$1,000,286
FieldValueIRS element (for citing)
Total Of Amounts5426168TotalOfAmounts
Total Revenue36698801TotalRevenue
Total Expenses32323234TotalExpenses
Excess Or Deficit For Year4375567ExcessOrDeficitForYear
Excess Or Deficit Per FS4375567ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt36698801TotRevenueEtcAuditedFinclStmt
Revenue Subtotal36698801RevenueSubtotal
Total Revenue Per Form99036698801TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt32323234TotExpensesEtcAuditedFinclStmt
Expenses Subtotal32323234ExpensesSubtotal
Total Expenses Per Form99032323234TotalExpensesPerForm990

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 IN A RELATED ORGANIZATION, NSG INC.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 2BOARD MEMBER, BENJAMIN KLEIN IS RELATED TO EXEC 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 & SUBSTANTIATED THE TOP MANAGEMENT COMPENSATION
Pt VI, Line 19990 is available on guidestar.org and at location upon request
Form 990, Part IX, Line 24fNYS MEDICAID ASSSESSMENT 1811697. 0. 1811697. 0. SUPPLIES & EXPENSES 4106944. 3797103. 309841. 0. CONTRACTED SERVICES & CONSULTANTS 3379670. 2499137. 880533. 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 RIVERVIEW HEALTH CARE CENTER INC
89 SOUTH ROUTE 9WHAVERSTRAWNY10927133832251NURSING 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 AT COLLEGE ROAD INC
2000 FOUNTAINVIEW DRIVEMONSEYNY10952133935070INDEPENDANT 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 (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
FOUNTAINVIEW AT COLLEGE ROAD
d2834548D
NORTHERN SERVICES GROUP
d65744D

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