FURP.ORG / PUBLIC DATA EXPLORER

FOUNTAINVIEW AT COLLEGE ROAD INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FOUNTAINVIEW AT COLLEGE ROAD INC (EIN 13-3935070)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-09
IRS object ID
201243149349301339
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)
Timestamp2012-11-09T11:33:13-08:00Timestamp
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)
EIN133935070EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FOUNTAINVIEW AT COLLEGE ROAD INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFOUNNameControl
Phone8454266757Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 FOUNTAINVIEW DRIVEAddressLine1
CityMONSEYCity
StateNYState
ZIP Code10952ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMORRIS KLEINName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone8454266757Phone
Date Signed2012-09-18DateSigned
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 Receipts6243025GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO MEET THE SPECIAL HOUSING NEEDS OF THE ELDERLYActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees125TotalNbrEmployees
Total Nbr Volunteers113TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6128603ProgramServiceRevenuePriorYear
Program Service Revenue CY6170300ProgramServiceRevenueCY
Investment Income Prior Year2214InvestmentIncomePriorYear
Investment Income Current Year2940InvestmentIncomeCurrentYear
Other Revenue Prior Year74679OtherRevenuePriorYear
Other Revenue Current Year69785OtherRevenueCurrentYear
Total Revenue Prior Year6205496TotalRevenuePriorYear
Total Revenue Current Year6243025TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1888066SalariesEtcPriorYear
Salaries Etc Current Year2241794SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4127355OtherExpensePriorYear
Other Expenses Current Year3518836OtherExpensesCurrentYear
Total Expenses Prior Year6015421TotalExpensesPriorYear
Total Expenses Current Year5760630TotalExpensesCurrentYear
Revenues Less Expenses Prior Year190075RevenuesLessExpensesPriorYear
Revenues Less Expenses CY482395RevenuesLessExpensesCY
Total Assets BOY27295369TotalAssetsBOY
Total Assets EOY26563283TotalAssetsEOY
Total Liabilities BOY21766255TotalLiabilitiesBOY
Total Liabilities EOY20551774TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5529114NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6011509NetAssetsOrFundBalancesEOY
Mission DescriptionTO MEET THE SPECIAL HOUSING NEEDS OF THE ELDERLYMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4723897Expense
Revenue6243025Revenue
DescriptionHOUSING: TO PROVIDE FOR THE HOUSING NEEDS OF THE ELDERLYDescription
Total Program Service Expense4723897TotalProgramServiceExpense
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
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees125NumberOfEmployees
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 (16 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
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
CHARLE F KENNY
BOARD MEMBER1.00002500X
ABRAHAM ZACHARIASH
BOARD MEMBER1.00002500X
RABBI SIMON LAUBER
BOARD MEMBER1.00001000X
ISRAEL ORZEL
Board Member1.00004250X
STUART MEYERS
Chairman1.00X005000
GEDALIA KLEIN
Chief Operating Officer35.00XX01476070
MICHAEL NOWICKI
Compliance Officer35.00X01491230X
MICHAEL ITZKOWITZ
Director of Finance35X112081X
RAPHAEL GRUENEBAUM
Controller35108554X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1212911TotalReportableCompFrmRltdOrgs
Total Other Compensation28000TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HEALTHCARE SERVICES GROUPBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13220 TILLMAN DRIVEAddressLine1
CityBENSALEMCity
StatePAState
ZIP Code19020ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesHousekeeping & Laundry ServicesDescriptionOfServices
Compensation382343Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionASST & IND LIVINGDescription
Business Code900099BusinessCode
Total Revenue Column6170300TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue6170300TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2940TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionSERVICES FOR RESIDENTSDescription
Business Code900099BusinessCode
Total Revenue Column69785TotalRevenueColumn
Related Or Exempt Function Income69785RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue69785TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6243025TotalRevenueColumn
Related Or Exempt Function Income6243025RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1917544Total
Program Services1412365ProgramServices
Management And General505179ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total173140Total
Program Services127526ProgramServices
Management And General45614ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total151110Total
Program Services111300ProgramServices
Management And General39810ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total10110Total
Program Services0ProgramServices
Management And General10110ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total67052Total
Program Services0ProgramServices
Management And General67052ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total49598Total
Program Services0ProgramServices
Management And General49598ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total615795Total
Program Services615795ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total16199Total
Program Services16199ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total433757Total
Program Services433757ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total705926Total
Program Services705926ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total97151Total
Program Services44184ProgramServices
Management And General52967ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
OTHER SUPPLIES & MISCELLANEOUS11785441136687418570
ADMINISTRATIVE CORPORATE SERVICES11196801119680
CONTACTED SERVICES & CONSULTANTS189779120158696210
DUES & SUBSCRIPTIONS1288012880

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total41669Total
Program Services0ProgramServices
Management And General41669ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5760630Total
Program Services4723897ProgramServices
Management And General1036733ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY39980EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY235677BOY
EOY129688EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY63400BOY
EOY80280EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY11269EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis25491422LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9347619LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY17209993BOY
EOY16143803EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9786299BOY
EOY10158263EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27295369BOY
EOY26563283EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1010139BOY
EOY610564EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY20170000BOY
EOY19370000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY586116BOY
EOY571210EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21766255BOY
EOY20551774EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5529114BOY
EOY6011509EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5529114BOY
EOY6011509EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27295369BOY
EOY26563283EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses482395ReconcilationRevenueExpenses
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 Years7575793CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7533408CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6763386CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6201922CurrentTaxYearMinus1Year
Current Tax Year6170300CurrentTaxYear
Total34244809Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7575793CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7533408CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6763386CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6201922CurrentTaxYearMinus1Year
Current Tax Year6170300CurrentTaxYear
Total34244809Total
FieldValueIRS element (for citing)
Public Support Total50934244809PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years234328CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years221821CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8595CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2214CurrentTaxYearMinus1Year
Current Tax Year2940CurrentTaxYear
Total469898Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years234328CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years221821CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8595CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2214CurrentTaxYearMinus1Year
Current Tax Year2940CurrentTaxYear
Total469898Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years166987CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-82501CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21109CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1360CurrentTaxYearMinus1Year
Current Tax Year69785CurrentTaxYear
Total176740Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total34891447Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98150PublicSupportPercentage509
Prior Year Support Percentage0.97900PriorYearSupportPercentage
Investment Income Percentage0.01350InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01800PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestOTHER INCOME PART III, LINE 12; DESCRIPTION: MISCELLANEOUS; 2007: 5408.; 2008: 24308.; 2009: 14457.; 2010: 0.; 2011: 69785.; DESCRIPTION: UNREALIZED GAIN (LOSS) ON INVESTMENTS; 2007: 161579.; 2008: -106809.; 2009: 6652.; 2010: 1360.;FactsAndCircumstancesTest

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3000000OtherCostOrOtherBasis
Book Value3000000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20722723OtherCostOrOtherBasis
Depreciation7645383Depreciation
Book Value13077340BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1768699OtherCostOrOtherBasis
Depreciation1702236Depreciation
Book Value66463BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings16143803TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
Due from Related Entities2385166
Investments held by Related Entity5888614
Finance Costs - Net602679
Resident Security Deposits567350
Construction in Progress714454
FieldValueIRS element (for citing)
Total Book Value Other Assets10158263TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionResident Security Deposit LiabilityDescription
Amount$571,210Amount
FieldValueIRS element (for citing)
Total Of Amounts571210TotalOfAmounts
Total Revenue6243025TotalRevenue
Total Expenses5760630TotalExpenses
Excess Or Deficit For Year482395ExcessOrDeficitForYear
Excess Or Deficit Per FS482395ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6243025TotRevenueEtcAuditedFinclStmt
Revenue Subtotal6243025RevenueSubtotal
Total Revenue Per Form9906243025TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5760630TotExpensesEtcAuditedFinclStmt
Expenses Subtotal5760630ExpensesSubtotal
Total Expenses Per Form9905760630TotalExpensesPerForm990

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 ORG., NSG INC.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 2BOARD MEMBER, BEN KLEIN IS RELATED TO EXEC DIR. MORRIS KLEIN
Pt VI, Line 11aTHE BOARD OF DIRECTORS WILL MEET AND 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 24fEQUIPMENT RENTALS 41669. 0. 41669. 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 9WHAVERSTRAWNY10952133070759NURSING HOMENY501(C)3NA
ASSISTED LIVING NORTHERN RIVERVIEW INC
89 SOUTH ROUTE 9WHAVERSTRAWNY10927133976617ASSISTED 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
NORTHERN METROPOLITAN INC
225 MAPLE AVEMONSEYNY10927133070759NURSING HOMENY501(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 (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
NORTHERN SERVICES GROUP
d189448D
ASSISTED LIVING AT NORTHERN RIVERVIEW
d-25000D
NORTHERN MANOR MULTICARE CENTER
d-2843548D