NORTHERN METROPOLITAN INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTHERN METROPOLITAN INC (EIN 13-3070759)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-09
IRS object ID
201233149349301618
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)
Timestamp2012-11-09T11:35:03-08:00Timestamp
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)
EIN133070759EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHERN METROPOLITAN INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone8453529000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 MAPLE AVENUEAddressLine1
CityMONSEYCity
StateNYState
ZIP Code10952ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMORRIS KLEINName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone8453529000Phone
Date Signed2012-09-06DateSigned
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 Receipts16701561GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE SKILLED CARE FOR THE ELDERLYActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees284TotalNbrEmployees
Total Nbr Volunteers42TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15292922ProgramServiceRevenuePriorYear
Program Service Revenue CY16697427ProgramServiceRevenueCY
Investment Income Prior Year1580InvestmentIncomePriorYear
Investment Income Current Year130InvestmentIncomeCurrentYear
Other Revenue Prior Year38524OtherRevenuePriorYear
Other Revenue Current Year4004OtherRevenueCurrentYear
Total Revenue Prior Year15333026TotalRevenuePriorYear
Total Revenue Current Year16701561TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8892300SalariesEtcPriorYear
Salaries Etc Current Year8730352SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8321161OtherExpensePriorYear
Other Expenses Current Year6179943OtherExpensesCurrentYear
Total Expenses Prior Year17213461TotalExpensesPriorYear
Total Expenses Current Year14910295TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1880435RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1791266RevenuesLessExpensesCY
Total Assets BOY5470408TotalAssetsBOY
Total Assets EOY5863410TotalAssetsEOY
Total Liabilities BOY10766793TotalLiabilitiesBOY
Total Liabilities EOY9368529TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-5296385NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-3505119NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE SKILLED CARE FOR THE ELDERLYMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10107115Expense
Revenue12280602Revenue
DescriptionNURSING HOME: PROVIDE SKILLED NURSING CARE TO THE ELDERLYDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1367100Expense
Revenue4260440Revenue
DescriptionADC PROGRAM: PROVIDE OUTPATIENT CARE TO THE ELDERLYDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense82275Expense
Revenue156385Revenue
DescriptionSNAP PROGRAM: DISTRIBUTION OF FOOD TO THE NEEDYDescription
FieldValueIRS element (for citing)
Total Program Service Expense11556490TotalProgramServiceExpense
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 AssetsfalseReportOtherAssets
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 Employees284NumberOfEmployees
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 (18 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
LINDA SCHULMAN
PHYSICAL THERAPIST35.0001107500X
REGINA AUSLANDER
BOARD MEMBER1.00001000X
BENJAMIN KLEIN
BOARD MEMBER1.00001000X
HINDI GINSBERG
BOARD MEMBER1.0000750X
MARTIN HAUBENSTOCK
Secretary1.00X003250X
CHARLES F KENNY
BOARD MEMBER1.00002500X
RABBI HERSHEL HAGER
BOARD MEMBER1.0000500X
ABRAHAM ZACHARISASH
BOARD MEMBER1.00002500X
SHARON STOLBACH
OCCUPATIONAL THERAPIST35.0001021280X
RABBI SIMON LAUBER
BOARD MEMBER1.00001000X
STUART MEYERS
Chairman1.00X005000
GEDALIA KLEIN
Chief Operating Officer35.00XX01476070
ISRAEL ORZEL
Board Member14250X
BARBERA ULLMAN
Director of Nursing35102380X
MICHAEL NOWICKI
Compliance Officer35X149123X
MICHAEL ITZKOWITZ
Director of Finance35X112081X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1419615TotalReportableCompFrmRltdOrgs
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
SUPERIOR LAUNDRY SERVICE
72 ALBANY AVENUEFREEPORTNY11520LAUNDRY105768
CENTERS FOR CARE
1601 BRONXDALE AVEBRONXNY10462ADMINISTRATIVE SERVICES278714
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
SKILLED NURSING FACILITY90009912280602
Adult Day Care Program9000994260440
SNAP REVENUE900099156385
FieldValueIRS element (for citing)
Total Program Service Revenue16697427TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column130TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column4004TotalRevenueColumn
Related Or Exempt Function Income4004RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4004TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16701561TotalRevenueColumn
Related Or Exempt Function Income16701561RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6882906Total
Program Services6457068ProgramServices
Management And General425838ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1229016Total
Program Services760392ProgramServices
Management And General468624ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total618430Total
Program Services580168ProgramServices
Management And General38262ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total53629Total
Program Services0ProgramServices
Management And General53629ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total70714Total
Program Services0ProgramServices
Management And General70714ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total62366Total
Program Services0ProgramServices
Management And General62366ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total897086Total
Program Services897086ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total3045Total
Program Services0ProgramServices
Management And General3045ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total33775Total
Program Services33775ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total304189Total
Program Services304189ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total32888Total
Program Services30028ProgramServices
Management And General2860ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MISCELLANEOUS & OTHER EXPENSES18240211789472345490
EQUIPMENT RENTALS15486501548650
DUES & SUBSCRIPTIONS114280114280
AMINISTRATIVE CORPORATE SERVICES48025004802500

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2251687Total
Program Services704312ProgramServices
Management And General1547375ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14910295Total
Program Services11556490ProgramServices
Management And General3353805ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY140330BOY
EOY921103EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4182210BOY
EOY3747166EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY109072BOY
EOY133700EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6653283LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5754159LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY910190BOY
EOY899124EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY128606BOY
EOY162317EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5470408BOY
EOY5863410EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3525394BOY
EOY3440311EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY369770BOY
EOY262997EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6871629BOY
EOY5665221EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10766793BOY
EOY9368529EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-5296385BOY
EOY-3505119EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-5296385BOY
EOY-3505119EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5470408BOY
EOY5863410EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1791266ReconcilationRevenueExpenses
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 Years15859021CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16266942CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16621156CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15292922CurrentTaxYearMinus1Year
Current Tax Year16697427CurrentTaxYear
Total80737468Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15859021CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16266942CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16621156CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15292922CurrentTaxYearMinus1Year
Current Tax Year16697427CurrentTaxYear
Total80737468Total
FieldValueIRS element (for citing)
Public Support Total50980737468PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year38524CurrentTaxYearMinus1Year
Current Tax Year4004CurrentTaxYear
Total42528Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year38524CurrentTaxYearMinus1Year
Current Tax Year4004CurrentTaxYear
Total42528Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4449CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3399CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1522CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1580CurrentTaxYearMinus1Year
Current Tax Year130CurrentTaxYear
Total11080Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total80791076Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99930PublicSupportPercentage509
Prior Year Support Percentage0.99930PriorYearSupportPercentage
Investment Income Percentage0.00050InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00050PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestOTHER INCOME PART III, LINE 12; DESCRIPTION: MISCELLANEOUS; 2007: 4449.; 2008: 3399.; 2009: 1522.; 2010: 1580.; 2011: 130.;FactsAndCircumstancesTest

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2849506OtherCostOrOtherBasis
Depreciation2156511Depreciation
Book Value692995BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3803777OtherCostOrOtherBasis
Depreciation3597648Depreciation
Book Value206129BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings899124TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
RESERVES FOR THIRD PARTY RECOUPMENTS$3,245,818
PATIENT FUNDS PAYABLE$46,166
DUE TO RELATED ENTITIES$2,373,237
FieldValueIRS element (for citing)
Total Of Amounts5665221TotalOfAmounts
Total Revenue16701561TotalRevenue
Total Expenses14910295TotalExpenses
Excess Or Deficit For Year1791266ExcessOrDeficitForYear
Excess Or Deficit Per FS1791266ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16701561TotRevenueEtcAuditedFinclStmt
Revenue Subtotal16701561RevenueSubtotal
Total Revenue Per Form99016701561TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14910295TotExpensesEtcAuditedFinclStmt
Expenses Subtotal14910295ExpensesSubtotal
Total Expenses Per Form99014910295TotalExpensesPerForm990

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 ADMINISTERED BY 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 THIS 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 CASH ASSESSMENT 831475. 0. 831475. 0. BAD DEBT EXPENSE 292443. 0. 292443. 0. CONTRACTED SERVICES & CONSULTANTS 1127769. 704312. 423457. 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 RIVERVIEW HEALTH CARE CENTER INC
87 SOUTH ROUTE 9WHAVERSTRAWNY10927133832251NURSING HOMENY501(C)3NA
ASSISTED LIVING NORTHERN RIVERVIEW INC
89 SOUTH ROUTE 9WHAVERSTRAWNY10927133976617ASSISTED LIVING FOUNDATIONNY501(C)3NA
FOUNTAINVIEW 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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NORTHERN SERVICES GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypedTransactionType
Amount Involved475735AmountInvolved
Method Of Amt DeterminationDMethodOfAmtDetermination

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