2011-11-15T07:45:06-06:00 2010-12-31 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2010-01-01 113188802 NEW YORK CONGREGATIONAL NURSING CENTER NEWY 7186936060 135 LINDEN BOULEVARD BROOKLYN NY 11226 CECELIA C ZUCKERMAN 7186936060 2011-11-14 1 FREDERICK H ROTHMAN 2128674000 2010 2016-02-24 21:20:13Z CECELIA C ZUCKERMAN 135 LINDEN BOULEVARD BROOKLYN NY 11226 25382784 0 X N/A X 1994 NY THE MISSION OF NEW YORK CONGREGATIONAL NURSING CENTER IS TO PROVIDE SKILLED NURSING CARE & REHABILITATION THERAPY SERVICES FOR 200 RESIDENTS. ADDITIONALLY, THE CENTER HAS A LONG-TERM HOME HEALTH CARE PROGRAM WHICH PROVIDES NURSING, REHAB THERAPY, DIETARY, SOCIAL WORK & HOME HEALTH AIDE/PERSONAL CARE SERVICES TO PERSONS LIVING IN THEIR OWN HOMES. 7 7 350 5 0 0 16118 11533 24838777 25266978 35066 14064 14955 90209 24904916 25382784 0 0 0 0 15456611 16046431 0 0 0 10545840 11140583 26002451 27187014 -1097535 -1804230 25922179 24835302 22256162 23143823 3666017 1691479 X THE MISSION OF NEW YORK CONGREGATIONAL NURSING CENTER IS TO PROVIDE SKILLED NURSING CARE & REHABILITATION THERAPY SERVICES FOR 200 RESIDENTS. ADDITIONALLY, THE CENTER HAS A LONG-TERM HOME HEALTH CARE PROGRAM WHICH PROVIDES NURSING, REHAB THERAPY, DIETARY, SOCIAL WORK & HOME HEALTH AIDE/PERSONAL CARE SERVICES TO PERSONS LIVING IN THEIR OWN HOMES.THE MISSION OF NEW YORK CONGREGATIONAL NURSING CENTER IS TO PROVIDE SKILLED NURSING CARE & REHABILITATION THERAPY SERVICES FOR 200 RESIDENTS. ADDITIONALLY, THE CENTER HAS A LONG-TERM HOME HEALTH CARE PROGRAM WHICH PROVIDES NURSING, REHAB THERAPY, DIETARY, SOCIAL WORK & HOME HEALTH AIDE/PERSONAL CARE SERVICES TO PERSONS LIVING IN THEIR OWN HOMES. 0 0 20927884 21449368 NURSING HOME CARE OF THE ELDERLY, INCLUSIVE OF INPATIENT AND ANCILLARY SERVICES. THERE WERE 71,523 PATIENT DAYS. 3326765 3817610 LONG TERM HOME HEALTH CARE PROGRAM PROVIDING QUALITY CARE (125 SLOTS) TO ENABLE THE ELDERLY TO REMAIN IN THEIR OWN RESIDENCE. 24254649 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 13 0 1 350 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MR FRANK CIANCIOTTO 7186936060 135 LINDEN BOULEVARD BROOKLYN NY 11226 X KENDALL CHRISTIANSEN 0.50 X X 0 0 0 DR ESTHER SIEGEL 0.50 X X 0 0 0 MICHAEL ROBINSON 0.50 X X 0 0 0 JAMES WAECHTER 0.50 X 0 0 0 DR MARGARET L MCCLURE 0.50 X 0 0 0 ROBERT GAINER 0.50 X 0 0 0 JOSE MALDONADO 0.50 X 0 0 0 CECELIA C ZUCKERMAN 33.00 X 331456 19624 27250 MAUREEN CREEGAN MESSA 35.00 X 208590 0 10417 FLORENCE KATZ 35.00 X 166782 0 9952 FRANK CIANCIOTTO 34.00 X 99993 3066 10000 ADRIAN COX 35.00 X 134023 0 8386 DAVETH FORBES-THOMAS 35.00 X 165901 0 9962 DELORIS HERRY 35.00 X 166422 0 15435 LEONID YAGUDAYEV 35.00 X 131366 0 4212 INEZ COLE 35.00 X 127958 0 8436 1532491 22690 104050 12 0 1 0 CITI HEALTH HOME CARE 1125 FULTON STREET - 3RD FLOOR BROOKLYN NY 11238 HHA, PCA 639473 FRIENDLY HOME CARE 1811 KINGS HIGHWAY - 2ND FLOOR BROOKLYN NY 11229 HHA, PCA 620474 I & Y SENIOR CARE 1991 FLATBUSH AVE BROOKLYN NY 11234 HHA, PCA 238530 SUPERIOR LAUNDRY SERVICE 72 ALBANY AVENUE FREEPORT NY 11520 LAUNDRY LINEN SRVCS 203585 LOVING HOME CARE 350 5TH AVENUE NEW YORK NY 10018 HHA, PCA 202033 9 11533 11533 RESIDENT SERVICE REVEN 623000 21449368 21449368 LTHHCP 623990 3817610 3817610 25266978 14064 14064 MISCELLANEOUS REVENUE 900099 90209 90209 90209 25382784 25266978 0 104273 857654 857654 11627496 11112037 515459 148993 148993 2359608 2076455 283153 1052680 926358 126322 156498 156498 98313 51850 46463 3804392 3540879 263513 28032 20242 7790 1057470 838953 218517 1746450 1525339 221111 12097 250 11847 17799 11328 6471 1307034 1254754 52280 406517 390256 16261 HEALTH FACILITY ASSESSM 1054594 1054594 FOOD 649849 649849 BAD DEBTS 630161 630161 LINEN 151025 151025 20352 20319 33 27187014 24254649 2932365 0 1078754 985519 2445908 2479581 5702225 5486716 167000 191962 356804 335633 33338432 22287697 11712748 11050735 4458740 4305156 25922179 24835302 3252345 3572681 15915000 15270000 3088817 4301142 22256162 23143823 X 3666017 1691479 3666017 1691479 25922179 24835302 X -1804230 -170308 X 0 1 0 X 0 X 19338 29774 30704 16118 11533 107467 21960717 23657148 25755931 24838777 25266978 121479551 21980055 23686922 25786635 24854895 25278511 121587018 0 0 0 121587018 158179 197602 69328 35066 14064 474239 158179 197602 69328 35066 14064 474239 520050 85794 28298 14955 90209 739306 22658284 23970318 25884261 24904916 25382784 122800563 0.99010 0.99000 0.00390 0.00430 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 44462 44462 28094031 18751624 9342407 5199939 3536073 1663866 11050735 DUE FROM RELATED PARTIES 1467836 PATIENT FUNDS 184857 SINKING RESERVE FUND 637084 DEFERRED MORTGAGE COSTS 836664 DUE FROM MEDICAID 1178715 4305156 RESIDENT FUND ACCOUNTS 184857 DEFERRED COMPENSATION PAYABLE 85971 DUE TO THIRD PARTY PAYORS 2113520 SWAP LIABILITY 1853478 CAPITAL LEASE PAYABLE 63316 4301142 25382784 27187014 -1804230 -170308 -170308 -1974538 25382784 0 25382784 0 25382784 27187014 0 27187014 0 27187014 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: UNCERTAINTY IN INCOME TAXES - THE CENTER ADOPTED THE PROVISION PERTAINING TO UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2007 AND SUBSEQUENT REMAIN SUBJECT TO REVIEW BY TAXING AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: LOSS ON MORTGAGE SWAP -170,308. X X X X X X 0 0 0 0 0 0 0 0 0 CECELIA C ZUCKERMAN 294956 19624 20000 0 16500 0 10575 1675 13324 1676 355355 22975 0 0 MAUREEN CREEGAN MESSA 208590 0 0 0 0 0 6134 0 4283 0 219007 0 0 0 FLORENCE KATZ 166782 0 0 0 0 0 8262 0 1690 0 176734 0 0 0 DAVETH FORBES-THOMAS 165901 0 0 0 0 0 8362 0 1600 0 175863 0 0 0 DELORIS HERRY 166422 0 0 0 0 0 8623 0 6812 0 181857 0 0 0 NEW YORK CITY INDUSTRIAL DEVELOPMENT AGENCY CIVIC FACILITY REVENUE SERIES 2 132906040 649438BE7 2006-07-27 17075000 REFUND PRIOR ISSUE (8/17/95) AND RENOVATE FACILITY 0 0 0 2085000 17103440 324425 275697 780630 15722688 2006 1 0 1 1 0 0 0 0 1 0 1 0 0 0 1 FORM 990, PART VI, SECTION A, LINE 6 NEW YORK CONGREGATIONAL COMMUNITY SERVICES IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A NEW YORK CONGREGATIONAL COMMUNITY SERVICES, THE SOLE MEMBER, ELECTS THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE 990 REVIEW WOULD BE COMPLETED BY THE FINANCE COMMITTEE (CHAIR OF BOARD, TREASURER, ONE OTHER DIRECTOR, CEO, CFO) PRIOR TO SUBMISSION. A MEETING WOULD BE CALLED AFTER RECEIPT OF THE 990. MINUTES OF THIS MEETING AND REVIEW WOULD BE KEPT WITH THE BOARD MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, DEPT. DIRECTORS AND MANAGEMENT STAFF UPON HIRING AND ANNUALLY THEREAFTER ARE REQUIRED TO SIGN THAT THEY RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, UNDERSTAND IT, WILL COMPLY WITH IT & THAT THEY COMPLETED OUR CORPORATE COMPLIANCE PROGRAM IN-SERVICE. ADDITIONALLY, THEY MUST MAKE FULL DISCLOSURE OF ANY ACTIVITIES THAT COULD RESULT IN A POSSIBLE CONFLICT OF INTEREST. IF A CONFLICT IS DEEMED TO EXIST, THE PRESIDENT MUST BE MADE AWARE & POSSIBLE DISCIPLINARY ACTION OR EVEN TERMINATION IS POSSIBLE UPON REVIEW WITH THE HR DIRECTOR & OUR RISK MANAGEMENT COUNCIL. THERE IS ALSO A COMPLIANCE HELPLINE WHICH IS A TOLL-FREE AND COMPLETELY CONFIDENTIAL SERVICE WHERE YOU CAN REPORT POSSIBLE VIOLATIONS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO COMPENSATION IS BASED ON A 2004 STUDY BY JAMES ROCCO ASSOCIATES WHICH INCLUDED SIMILAR COMPENSATION FOR CEO'S IN SIMILAR SIZE/LOCATION ETC. NURSING HOMES. BASED ON THEIR RECOMMENDATION, A 10 YEAR CONTRACT WAS FORMALIZED WHICH INCLUDES ANNUAL SALARY INCREMENTS. THE CFO COMPENSATION IS RECOMMENDED BY THE CEO TO THE FINANCE COMMITTEE WHO SUBSEQUENTLY REVIEW IT FOR APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE INFORMATION IS MADE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1A HOURS WORKED FOR RELATED ORGANIZATIONS KENDALL CHRISTENSEN - 2 JAMES WAECHTER - 1 CECELIA ZUCKERMAN - 2 FRANK CIONCIOTTO - 1 CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: LOSS ON MORTGAGE SWAP -170,308. TOTAL TO FORM 990, PART XI, LINE 5: -170,308. NEW YORK CONGREGATIONAL CENTER FOR COMMUNITY LIFE 135 LINDEN BLVD BROOKLYN NY 11226 200483447 SOCIAL AND RENTAL SUPPORT TO SENIOR PROGRAMS NY 501(C)(3) 9 NEW YORK CONGREGATIONAL COMMUNITY SERVICES 0 NEW YORK CONGREGATIONAL HOME FOR THE AGED 135 LINDEN BLVD BROOKLYN NY 11226 111631799 SUPPORTING ACTIVITY PROGRAMS FOR NURSING HOME NY 501(C)(3) PF NEW YORK CONGREGATIONAL COMMUNITY SERVICES 0 NEW YORK CONGREGATIONAL HOME FOR THE AGED FOUNDATION 135 LINDEN BLVD BROOKLYN NY 11226 200276760 ANNUAL FUND RAISER TO SUPPORT PET PROGRAM AT NURSING HOME & PRESERVATION OF DE 501(C)(3) 11 TYPE 1 NEW YORK CONGREGATIONAL COMMUNITY SERVICES 0 NEW YORK CONGREGATIONAL COMMUNITY SERVICES 135 LINDEN BLVD BROOKLYN NY 11226 113519798 TO SUPPORT NEW YORK CONGREGATIONAL NURSING CENTER AND AFFILIATES NY 501(C)(3) 11 TYPE 2 NEW YORK CONGREGATIONAL COMMUNITY SERVICES 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0