2011-11-15T09:32:19-06:00 2010-12-31 O'CONNOR DAVIES MUNNS & DOBBINS LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2010-01-01 112290533 CONCORD NURSING HOME INC CONC 7186367500 300 MADISON STREET BROOKLYN NY 11216 LILLIE BRYANT-HOBBS 7186367500 2011-11-15 1 GARRETT HIGGINS 9143818900 2011-11-14 2010 2016-03-07 17:11:31Z CONCORD NURSING AND REHABILITATION C LILLIE BRYANT-HOBBS 300 MADISON STREET BROOKLYN NY 11216 13566132 0 X NONE X 1966 NY PROVIDE SKILLED NURSING SERVICES FOR PERSONS WHO ARE INFIRMED, OR AGED AND INFIRMED, WITHOUT REFERENCE TO RACE, SEX, RELIGION, COLOR OR NATURAL ORIGIN. 6 6 180 9 0 0 4025 48370 16438066 13491050 9342 9522 193220 17190 16644653 13566132 0 0 0 0 8260741 7862065 0 0 0 8465288 7880298 16726029 15742363 -81376 -2176231 19276178 18175250 24938499 26013802 -5662321 -7838552 THE 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. 0 0 12238927 10405718 SKILLED 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. 1525297 2562693 VENTILATOR 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. 257856 522639 ADULT 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. 14022080 1 1 0 0 0 0 0 1 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 1 0 1 0 0 0 0 0 0 0 0 0 1 54 0 1 180 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X LILLIE BRYANT-HOBBS 7186367500 300 MADISON STREET BROOKLYN NY 11216 DOROTHY STRAKER 1.00 X X 0 0 0 COZETTA H GREEN 1.00 X X 0 0 0 ELENA FRANKLIN 1.00 X 0 0 0 JOHNNIE WHITE 1.00 X 0 0 0 PAULA VAUGHAN-MILLER 1.00 X 0 0 0 MARY ANDERSON 1.00 X 0 0 0 LILLIE BRYANT-HOBBS 36.30 X 213921 0 0 MILANESE CALLENDER 36.30 X 106528 0 0 CATHERINE BODIONGAN 36.30 X 104562 0 0 425011 0 0 3 0 1 0 HCP AGENCY 21 GLEN STREET SUITE B GLEN COVE NY 11542 NURSING SERVICES 425314 BURNS INTERNATIONAL SECURITY 141 LIVINGSTON STREET BROOKLYN NY 11216 SECURITY GUARDS 205351 DEMASCO SENA & JAHELKA LLP 5788 MERRICK RD MASSAPEGUA NY 11758 ACCOUNTING SERVICES 152275 STAFF BLUE 1418 65TH STREET BROOKLYN NY 11219 NURSING SERVICES 130136 HORIZON HEALTHCARE 20 JERUSALEM AVE 3RD FLOOR HICKSVILLE NY 11801 PHYSICAL THERAPY STAFFING 125618 5 48370 32208 48370 MEDICAID REVENUE 623000 11340610 11340610 MEDICARE REVENUE 623000 1047817 1047817 OTHER PATIENT REVENUE 623000 813401 813401 PRIVATE PAY 623000 289222 289222 13491050 9522 9522 MISCELLANEOUS 900099 17190 17190 17190 13566132 13491050 0 26712 213921 213921 5575907 5279457 296450 359481 327793 31688 1248053 1138038 110015 464703 423740 40963 26090 26090 65000 65000 1846103 1428492 417611 11050 11050 1198586 1112317 86269 940 940 616760 515022 101738 2445 2006 439 987168 987168 1184638 1128245 56393 153820 153820 PURCHASED AND CONTRACTE 934718 848980 85738 NYS CASH RECEIPTS ASSES 707826 707826 NYS ASSESSMENT PENALTY 94739 94739 OTHER DIRECT EXPENSES 50415 28257 22158 15742363 14022080 1720283 0 482101 313839 676217 558400 3164249 4157331 41494 28079 209027 197371 24783985 14006523 11735175 10777462 2967915 2142768 19276178 18175250 3535058 3923282 17830118 17336575 225579 363953 3347744 4389992 24938499 26013802 X -5662321 -7838552 -5662321 -7838552 19276178 18175250 -2176231 0 X X 0 1 1 X 1 1 X 59982 38555 53126 4025 48370 204058 15478242 16084432 17708466 16438066 13491050 79200256 15538224 16122987 17761592 16442091 13539420 79404314 0 0 0 79404314 28304 16204 10668 9342 9522 74040 28304 16204 10668 9342 9522 74040 202162 7246 406587 193220 17190 826405 15768690 16146437 18178847 16644653 13566132 80304759 0.98880 0.98910 0.00090 0.00110 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA WORKERS COMP REIMBURSEMENT MISCELLANEOUS UNION BENEFIT REIMBURSEMENT VENDING MACHINES OUTSTANDING CHECKS RECLASSED REBATES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 745000 745000 20628433 10870021 9758412 3347121 3074139 272982 63431 62363 1068 10777462 ASSESTS LIMITED AS TO USE - OPERATING ESCROW FUND 189 DEFERRED REFINANCING FEES, NET 1473521 ASSESTS LIMITED AS TO USE - RESERVE FUND FOR REPLACEMENTS 399590 ASSESTS LIMITED AS TO USE - OTHER HUD REQUIRED ESCROW ACCOUNTS 269468 2142768 DUE TO THIRD PARTY PAYORS 4308601 ACCRUED INTEREST 81391 4389992 13566132 15742363 -2176231 0 -2176231 13566132 0 13566132 0 13566132 15742363 0 15742363 0 15742363 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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. X X X 0 0 0 0 0 0 0 0 0 LILLIE BRYANT-HOBBS 206961 0 0 0 6960 0 0 0 0 0 213921 0 0 0 DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983Q7P8 2007-10-25 19620489 REFINANCING 0 0 0 19620489 19029213 392410 198866 2007 0 1 1 1 0 0 0 0 1 0 0 0 0 0 0 ERIC GARNER SON-IN-LAW OF THE EXEUCTIVE DIRECTOR 14445 CONSULTANT HIRED TO PERFORM SOME OF THE DUTIES OF THE MAINTENANCE DIRECTOR. 0 X BATHTUBS & BATH LIFTS 1 32208 COST 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 ACCOUNTING 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 11 THE 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. FORM 990, PART VI, SECTION B, LINE 12C 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 15 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 C, LINE 18 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 19 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 XII, LINE 2C 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.