CONCORD NURSING HOME INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CONCORD NURSING HOME INC (EIN 11-2290533)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201123199349303002
Schema version
2010v3.4
Note
A later return for the same period supersedes this one.
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)
Timestamp2011-11-15T09:32:19-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1O'CONNOR DAVIES MUNNS & DOBBINS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 MAMARONECK AVENUEAddressLine1
CityHARRISONCity
StateNYState
ZIP Code105281633ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN112290533EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CONCORD NURSING HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCONCNameControl
Phone7186367500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 MADISON STREETAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11216ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLILLIE BRYANT-HOBBSName
TitleEXECUTIVE DIRECTORTitle
Phone7186367500Phone
Date Signed2011-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGARRETT HIGGINSName
Phone9143818900Phone
Date Prepared2011-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1CONCORD NURSING AND REHABILITATION CBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonLILLIE BRYANT-HOBBSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 MADISON STREETAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11216ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13566132GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteNONEWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionPROVIDE SKILLED NURSING SERVICES FOR PERSONS WHO ARE INFIRMED, OR AGED AND INFIRMED, WITHOUT REFERENCE TO RACE, SEX, RELIGION, COLOR OR NATURAL ORIGIN.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees180TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4025ContributionsGrantsPriorYear
Contributions Grants Current Year48370ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16438066ProgramServiceRevenuePriorYear
Program Service Revenue CY13491050ProgramServiceRevenueCY
Investment Income Prior Year9342InvestmentIncomePriorYear
Investment Income Current Year9522InvestmentIncomeCurrentYear
Other Revenue Prior Year193220OtherRevenuePriorYear
Other Revenue Current Year17190OtherRevenueCurrentYear
Total Revenue Prior Year16644653TotalRevenuePriorYear
Total Revenue Current Year13566132TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8260741SalariesEtcPriorYear
Salaries Etc Current Year7862065SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8465288OtherExpensePriorYear
Other Expenses Current Year7880298OtherExpensesCurrentYear
Total Expenses Prior Year16726029TotalExpensesPriorYear
Total Expenses Current Year15742363TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-81376RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2176231RevenuesLessExpensesCY
Total Assets BOY19276178TotalAssetsBOY
Total Assets EOY18175250TotalAssetsEOY
Total Liabilities BOY24938499TotalLiabilitiesBOY
Total Liabilities EOY26013802TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-5662321NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-7838552NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE CENTER IS TO PROVIDE SKILLED NURSING SERVICES FOR PERSONS WHO ARE INFIRMED, OR AGED AND INFIRMED, WITHOUT REFERENCE TO RACE, SEX, RELIGION, COLOR OR NATURAL ORIGIN.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12238927Expense
Revenue10405718Revenue
DescriptionSKILLED NURSING CARE:SKILLED NURSING CARE INCLUDES PROVIDING RESIDENTS OF CONCORD WITH MEALS, BEDS, SKILLED NURSING CARE RECREATION, SOCIAL SERVICES, MEDICAL CARE AND REHABILITATION PROGRAMS FOR THOSE THAT NEED THAT TYPE OF CARE. THE CENTER WAS ABLE TO RENDER APPROXIMATELY 43,085 PATIENT DAYS OF MEDICAL CARE TO OVER 271 PATIENTS IN ITS SKILLED NURSING PROGRAM. THE CENTER HAD 152 ADMISSIONS AND 159 DISCHARGES DURING 2010.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1525297Expense
Revenue2562693Revenue
DescriptionVENTILATOR ASSISTANCE AND RESPIRATORY THERAPY SERVICES: CONCORD PROVIDES A FULL SERVICES 24 HOUR UNIT FOR THOSE RESIDENTS THAT REQUIRE VENTILATOR ASSISTANCE TO BREATH DUE TO RESPIRATORY FAILURE. THE CENTER WAS ABLE TO RENDER APPROXIMATELY 5,066 PATIENT DAYS OF MEDICAL CARE TO OVER 95 PATIENTS IN ITS VENTILATOR NURSING PROGRAM. THE CENTER HAD 80 ADMISSIONS AND 82 DISCHARGES DURING 2010.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense257856Expense
Revenue522639Revenue
DescriptionADULT DAY CARE:CONCORD PROVIDES MEALS, RECREATION ACTIVITIES AND SOME NURSING CARE FOR RESIDENTS OF THE COMMUNITY THAT DO NOT NEED SKILLED NURSING CARE BUT REQUIRE SOME SUPERVISION AND/OR ACTIVITIES DURING THE DAY. THE PATIENTS RETURN HOME AFTER THE DAYS ACTIVITIES ARE OVER. THE CENTER WAS ABLE TO RENDER APPROXIMATELY 2,600 VISITS FOR ADULT DAY CARE.Description
FieldValueIRS element (for citing)
Total Program Service Expense14022080TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109654NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees180NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LILLIE BRYANT-HOBBSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7186367500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 MADISON STREETAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11216ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DOROTHY STRAKER
CHAIRPERSON1.00XX000
COZETTA H GREEN
VICE-CHAIRPERSON1.00XX000
ELENA FRANKLIN
BOARD MEMBER1.00X000
JOHNNIE WHITE
BOARD MEMBER1.00X000
PAULA VAUGHAN-MILLER
BOARD MEMBER1.00X000
MARY ANDERSON
BOARD MEMBER1.00X000
LILLIE BRYANT-HOBBS
EXECUTIVE DIRECTOR36.30X21392100
MILANESE CALLENDER
RN SUPERVISOR36.3010652800X
CATHERINE BODIONGAN
RN SUPERVISOR36.3010456200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org425011TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HCP AGENCY
21 GLEN STREET SUITE BGLEN COVENY11542NURSING SERVICES425314
BURNS INTERNATIONAL SECURITY
141 LIVINGSTON STREETBROOKLYNNY11216SECURITY GUARDS205351
DEMASCO SENA & JAHELKA LLP
5788 MERRICK RDMASSAPEGUANY11758ACCOUNTING SERVICES152275
STAFF BLUE
1418 65TH STREETBROOKLYNNY11219NURSING SERVICES130136
HORIZON HEALTHCARE
20 JERUSALEM AVE 3RD FLOORHICKSVILLENY11801PHYSICAL THERAPY STAFFING125618
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions48370AllOtherContributions
Noncash Contributions32208NoncashContributions
Total Contributions48370TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID REVENUE6230001134061011340610
MEDICARE REVENUE62300010478171047817
OTHER PATIENT REVENUE623000813401813401
PRIVATE PAY623000289222289222
FieldValueIRS element (for citing)
Total Program Service Revenue13491050TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9522TotalRevenueColumn
Exclusion$9,522ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column17190TotalRevenueColumn
Exclusion$17,190ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue17190TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13566132TotalRevenueColumn
Related Or Exempt Function Income13491050RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$26,712ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total213921Total
Management And General213921ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5575907Total
Program Services5279457ProgramServices
Management And General296450ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total359481Total
Program Services327793ProgramServices
Management And General31688ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1248053Total
Program Services1138038ProgramServices
Management And General110015ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total464703Total
Program Services423740ProgramServices
Management And General40963ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total26090Total
Management And General26090ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total65000Total
Management And General65000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1846103Total
Program Services1428492ProgramServices
Management And General417611ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total11050Total
Management And General11050ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1198586Total
Program Services1112317ProgramServices
Management And General86269ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total940Total
Management And General940ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total616760Total
Program Services515022ProgramServices
Management And General101738ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2445Total
Program Services2006ProgramServices
Management And General439ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total987168Total
Program Services987168ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1184638Total
Program Services1128245ProgramServices
Management And General56393ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total153820Total
Management And General153820ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED AND CONTRACTE93471884898085738
NYS CASH RECEIPTS ASSES707826707826
NYS ASSESSMENT PENALTY9473994739
OTHER DIRECT EXPENSES504152825722158

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15742363Total
Program Services14022080ProgramServices
Management And General1720283ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY482101BOY
EOY313839EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY676217BOY
EOY558400EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3164249BOY
EOY4157331EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY41494BOY
EOY28079EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY209027BOY
EOY197371EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis24783985LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14006523LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11735175BOY
EOY10777462EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2967915BOY
EOY2142768EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19276178BOY
EOY18175250EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3535058BOY
EOY3923282EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY17830118BOY
EOY17336575EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY225579BOY
EOY363953EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3347744BOY
EOY4389992EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24938499BOY
EOY26013802EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-5662321BOY
EOY-7838552EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-5662321BOY
EOY-7838552EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19276178BOY
EOY18175250EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-2176231ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years59982CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38555CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53126CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4025CurrentTaxYearMinus1Year
Current Tax Year48370CurrentTaxYear
Total204058Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15478242CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16084432CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17708466CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16438066CurrentTaxYearMinus1Year
Current Tax Year13491050CurrentTaxYear
Total79200256Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15538224CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16122987CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17761592CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16442091CurrentTaxYearMinus1Year
Current Tax Year13539420CurrentTaxYear
Total79404314Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50979404314PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28304CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16204CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10668CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9342CurrentTaxYearMinus1Year
Current Tax Year9522CurrentTaxYear
Total74040Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28304CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16204CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10668CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9342CurrentTaxYearMinus1Year
Current Tax Year9522CurrentTaxYear
Total74040Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years202162CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7246CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years406587CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year193220CurrentTaxYearMinus1Year
Current Tax Year17190CurrentTaxYear
Total826405Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15768690CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16146437CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18178847CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16644653CurrentTaxYearMinus1Year
Current Tax Year13566132CurrentTaxYear
Total80304759Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98880PublicSupportPercentage509
Prior Year Support Percentage0.98910PriorYearSupportPercentage
Investment Income Percentage0.00090InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00110PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA WORKERS COMP REIMBURSEMENT MISCELLANEOUS UNION BENEFIT REIMBURSEMENT VENDING MACHINES OUTSTANDING CHECKS RECLASSED REBATESGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis745000OtherCostOrOtherBasis
Book Value745000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20628433OtherCostOrOtherBasis
Depreciation10870021Depreciation
Book Value9758412BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3347121OtherCostOrOtherBasis
Depreciation3074139Depreciation
Book Value272982BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis63431OtherCostOrOtherBasis
Depreciation62363Depreciation
Book Value1068BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10777462TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
ASSESTS LIMITED AS TO USE - OPERATING ESCROW FUND189
DEFERRED REFINANCING FEES, NET1473521
ASSESTS LIMITED AS TO USE - RESERVE FUND FOR REPLACEMENTS399590
ASSESTS LIMITED AS TO USE - OTHER HUD REQUIRED ESCROW ACCOUNTS269468
FieldValueIRS element (for citing)
Total Book Value Other Assets2142768TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYORS$4,308,601
ACCRUED INTEREST$81,391
FieldValueIRS element (for citing)
Total Of Amounts4389992TotalOfAmounts
Total Revenue13566132TotalRevenue
Total Expenses15742363TotalExpenses
Excess Or Deficit For Year-2176231ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-2176231ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13566132TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal13566132RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99013566132TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15742363TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal15742363ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99015742363TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:RESIDENTS' FUNDS ARE HELD BY THE CENTER ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE CENTER FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE CENTER AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE.
PART X:THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CENTER RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE CENTER HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE CENTER IS NO LONGER SUBJECT TO AUDITS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2007.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonLILLIE BRYANT-HOBBSNamePerson
Base Compensation Filing Org206961BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org6960OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org213921TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DORMITORY AUTHORITY OF THE STATE OF NEW YORKBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN146000293IssuerEIN
CUSIP Number64983Q7P8CUSIPNumber
Date Issued2007-10-25DateIssued
Issue Price19620489IssuePrice
Description Of PurposeREFINANCINGDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds19620489TotalProceeds
Refunding Escrow19029213RefundingEscrow
Issuance Costs From Proceeds392410IssuanceCostsFromProceeds
Credit Enhancement198866CreditEnhancement
Year Of Subst Completion2007YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonERIC GARNERNamePerson
FieldValueIRS element (for citing)
RelationshipSON-IN-LAW OF THE EXEUCTIVE DIRECTORRelationship
Amount Of Transaction14445AmountOfTransaction
Description Of TransactionCONSULTANT HIRED TO PERFORM SOME OF THE DUTIES OF THE MAINTENANCE DIRECTOR.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionBATHTUBS & BATH LIFTSDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99032208NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3ACCOUNTING SERVICES WERE PERFORMED BY AN OUTSOURCED ACCOUNTING FIRM, DEMASCO SENA & JAHELKA LLP. THE WORK PERFORMED IS REVIEWED BY MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 11THE BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 VIA REGULAR MAIL. THE BOARD WILL MAIL ANY QUESTIONS UPON REVIEW OF THE FORM 990 TO THE PREPARER FOR CLARIFICATION. THE BOARD WILL RECEIVE IN THE MAIL THE PREPARER'S ANSWERS AND REVIEW THE ANSWERS AT THE NEXT BOARD MEETING. THE MEETING IS DOCUMENTED IN THE BOARD MINUTES AS WELL AS ANY QUESTION THAT MAY ARISE.
ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES OF THE FACILITY MUST ATTEMPT TO AVOID ANY ACTIONS THAT RESULT IN A DIRECT OR INDIRECT CONFLICT BETWEEN HIS OR HER PERSONAL INTERESTS AND THOSE OF THE CENTER. BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY. ALL POTENTIAL CONFLICTS ARE MONITORED AT BOARD MEETINGS THROUGHOUT THE YEAR. IF A POTENTIAL CONFLICT WERE TO ARISE, THE PERSON WOULD DISCLOSE THE CONFLICT TO THE GOVERNING BOARD. THE DISINTERESTED BOARD MEMBERS WOULD REVIEW THE CONFLICT, AND COME TO A RESOLUTION. THE RESOLUTION WOULD BE DOCUMENTED IN THE MINUTES TO THE MEETING.FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD HAS A COMPENSATION COMMITTEE THAT REVIEWS 990'S FOR OTHER SURROUNDING AREA'S SKILLED NURSING FACILITIES FOR COMPARISON OF COMPENSATION. THE COMPENSATION COMMITTEE ALSO REVIEWS THE EXECUTIVE DIRECTOR'S RESPONSIBILITIES AND DUTIES OF THE OTHER FACILITIES COMPARED TO THEIR OWN EXECUTIVE DIRECTOR'S RESPONSIBILITIES AND DUTIES. THE COMPENSATION COMMITTEE PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS VOTES ON THE COMPENSATION COMMITTEE'S RECOMMENDATIONS, A MAJORITY VOTE IS NEEDED FOR APPROVAL. THE EXECUTIVE DIRECTOR PRESENTS TO THE HUMAN RESOURCE COMMITTEE OF THE BOARD OF DIRECTORS A PAY INCREASE RECOMMENDATION FOR KEY EMPLOYEES. THE HUMAN RESOURCE COMMITTEE THEN INVESTIGATES SURROUNDING AREA NURSING HOME SALARIES FOR SUCH KEY EMPLOYEES. THE HUMAN RESOURCE COMMITTEE THEN PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS VOTES ON THE HUMAN RESOURCES COMMITTEE'S RECOMMENDATIONS, A MAJORITY VOTE IS NEEDED FOR APPROVAL.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE TO THE PUBLIC DURING REGULAR BUSINESS HOURS AT 300 MADISON STREET, BROOKLYN, NY 11216. THE ORGANIZATION 990 IS ALSO AVAILABLE TO THE PUBLIC ON GUIDESTAR WEBSITE.FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION MAKES ALL ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION ALSO FILES A COST REPORT WITH NYS DEPARTMENT OF HEALTH THAT CONTAINS FINANCIAL STATEMENTS AND NOTE DISCLOSURES, WHICH IS ALSO AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.FORM 990, PART XII, LINE 2C

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