THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION INC (EIN 23-7085986)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201123199349309137
Schema version
2010v3.4
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)
Timestamp2011-11-15T17:36:57-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JH COHN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 6TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237085986EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAMUEL SCHULMAN INSTITUTE FORBusinessNameLine1
Business Name Line2NURSING AND REHABILITATIONBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSAMUNameControl
Phone7182405200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101-01 AVENUE DAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11236ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMOUNIR F DOSSName
TitleEXEC VP & CFOTitle
Phone7182405200Phone
Date Signed2011-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
Phone2122970400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMOUNIR F DOSSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1101-01 AVENUE DAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11236ZIPCode
FieldValueIRS element (for citing)
Gross Receipts76521025GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://BROOKDALEHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTHE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION IS A VOLUNTARY, NON-PROFIT, RESIDENTIAL HEALTHCARE FACILITY DEDICATED TO PROVIDING THE HIGHEST QUALITY OF MEDICAL CARE IN A HOMELIKE ENVIRONMENT.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees601TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year250ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year67410398ProgramServiceRevenuePriorYear
Program Service Revenue CY73397274ProgramServiceRevenueCY
Investment Income Prior Year104761InvestmentIncomePriorYear
Investment Income Current Year8595InvestmentIncomeCurrentYear
Other Revenue Prior Year230545OtherRevenuePriorYear
Other Revenue Current Year233291OtherRevenueCurrentYear
Total Revenue Prior Year67745954TotalRevenuePriorYear
Total Revenue Current Year73639160TotalRevenueCurrentYear
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 Year34501785SalariesEtcPriorYear
Salaries Etc Current Year37094426SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year53106704OtherExpensePriorYear
Other Expenses Current Year50055305OtherExpensesCurrentYear
Total Expenses Prior Year87608489TotalExpensesPriorYear
Total Expenses Current Year87149731TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-19862535RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-13510571RevenuesLessExpensesCY
Total Assets BOY33073658TotalAssetsBOY
Total Assets EOY34863554TotalAssetsEOY
Total Liabilities BOY126559728TotalLiabilitiesBOY
Total Liabilities EOY141857856TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-93486070NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-106994302NetAssetsOrFundBalancesEOY
Mission DescriptionTHE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION IS A VOLUNTARY, NON-PROFIT, RESIDENTIAL HEALTHCARE FACILITY DEDICATED TO PROVIDING THE HIGHEST QUALITY OF MEDICAL CARE IN A HOMELIKE ENVIRONMENT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense72570704Expense
Revenue73397274Revenue
DescriptionTHE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION, INC. ("THE INSTITUTE") IS A 448 BED SKILLED NURSING FACILITY WHICH PROVIDES PATIENT HEALTH SERVICES TO ITS RESIDENTS.Description
Total Program Service Expense72570704TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109651NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees601NumberOfEmployees
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 Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
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 CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MOUNIR F DOSS EXECUTIVE VP AND CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7182405773TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1101-01 AVE DAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11236ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ALEX ROVT
VICE CHAIRMAN1.00XX000
ALLEN B SWERDLICK
TRUSTEE1.00X000
ALVIN I KAHN MD
CHAIRMAN40.00XX029785262954
ASCHER L MESTEL MD
TRUSTEE1.00X000
DARRYL TOWNS
DIRECTOR1.00X000
DAVID I SCHACHNE
TREASURER1.00XX000
DAVID P ROSEN
PRESIDENT & CEO80.00XX0173796571372
DAVID R WILKES
TRUSTEE1.00X000
DAVID SCHLANG
TRUSTEE1.00X000
DIANE SIMON
TRUSTEE1.00X000
EDWARD BIRNBAUM
TRUSTEE1.00X000
EDWIN SCHULMAN
TRUSTEE1.00X000
HUGH GREENBERG
TRUSTEE1.00X000
HUGH NELSON
TRUSTEE1.00X000
IRINA BENFELD
TRUSTEE1.00X000
LAURENCE C ZALE
VICE CHAIRMAN1.00XX000
LESLIE STEPHEN
TRUSTEE1.00X000
LEWIS MARSHALL
TRUSTEE1.00X038625058789
LOWELL M RUBIN
TRUSTEE1.00X000
RICHARD FOGLER
TRUSTEE1.00X063268356293
RICHARD RADUTZKY
SECRETARY1.00XX000
STEPHEN PLOTNICK
TRUSTEE1.00X000
BRUCE J FLANZ
VICE PRESIDENT & COO80.00X0134014370165
MOUNIR F DOSS
VICE PRESIDENT & CFO80.00X0138265772404
AHMED G HAIDER
ASST MEDICAL DIRECTOR40.00152526035027X
GENEVIEVE SORENSEN
ASSOCIATE ADMINISTRATOR40.00245452046115X
MOHAMMAD KALAM
PHYSICIAN40.00131383013341X
MRIDULA SAXENA
PHYSICIAN40.00157641043985X
VIMALSON MONIKAM
PHYSICIAN40.00136069026994X
FieldValueIRS element (for citing)
Total Reportable Comp From Org823071TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5777550TotalReportableCompFrmRltdOrgs
Total Other Compensation557439TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
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
AFFINITY REHABILIATION LLP
10600 YORK ROAD SUITE 105COCKEYSVILLEMD21030THERAPY STAFFING729055
HEALTHPRO MANAGEMENT SERVICES
10600 YORK ROAD SUITE 105COCKEYSVILLEMD21030THERAPY MANAGEMENT459905
TRANE CO
45-18 COURT SQUARELONG ISLAND CITYNY11101REPAIRS & MAINT.459616
IN STEP INTERIORS
PO BOX 756 26 ROBIN LANELEVITTOWNNY11756OFFICE FURNITURE137145
DAVMAR MEDICAL PRODUCTS
35 E GRASSY SPRAIN RDYONKERSNY10710MEDICAL SUPPLIES102257
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column73397274TotalRevenueColumn
Related Or Exempt Function Income73397274RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue73397274TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column23460TotalRevenueColumn
Exclusion$23,460ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real219648Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real219648Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column219648TotalRevenueColumn
Exclusion$219,648ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2867000Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2881865Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-14865Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-14865TotalRevenueColumn
Exclusion-$14,865ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MISCELLANEOUS62300099209920
GIFT SHOP4532203723$3,723
FieldValueIRS element (for citing)
Total Other Revenue13643TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column73639160TotalRevenueColumn
Related Or Exempt Function Income73407194RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$231,966ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total27508179Total
Program Services24776702ProgramServices
Management And General2731477ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1599109Total
Program Services1439198ProgramServices
Management And General159911ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5872782Total
Program Services5285504ProgramServices
Management And General587278ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2114356Total
Program Services1902920ProgramServices
Management And General211436ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total26196Total
Management And General26196ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total38065564Total
Program Services27845719ProgramServices
Management And General10219845ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total7042Total
Program Services2385ProgramServices
Management And General4657ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total37602Total
Program Services34727ProgramServices
Management And General2875ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total725717Total
Program Services725717ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total8442Total
Program Services3774ProgramServices
Management And General4668ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8942Total
Program Services6981ProgramServices
Management And General1961ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total669522Total
Program Services602451ProgramServices
Management And General67071ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1357794Total
Program Services1222015ProgramServices
Management And General135779ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total108929Total
Program Services62777ProgramServices
Management And General46152ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CASH RECEIPT ASSESSMENT38884693888469
SUPPLIES2403940233901764923
BAD DEBTS22465742246574
EQUIPMENT LEASES/RENTAL23348916157171918
DUES & LICENSES13266524203108462

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total134418Total
Management And General134418ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total87149731Total
Program Services72570704ProgramServices
Management And General14579027ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY423266BOY
EOY64849EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY498656BOY
EOY878568EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11276516BOY
EOY14422589EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1842BOY
EOY18141EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis50416113LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec39434224LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10611633BOY
EOY10981889EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9705332BOY
EOY8067940EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY386536BOY
EOY262735EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY169877BOY
EOY166843EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33073658BOY
EOY34863554EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4736124BOY
EOY4987285EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY14217166BOY
EOY11445932EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY107606438BOY
EOY125424639EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY126559728BOY
EOY141857856EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-93486070BOY
EOY-106994302EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-93486070BOY
EOY-106994302EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33073658BOY
EOY34863554EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-13510571ReconcilationRevenueExpenses
Reconcilation Other Changes2339ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$31,553DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB31553TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis623716OtherCostOrOtherBasis
Book Value623716BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis34094551OtherCostOrOtherBasis
Depreciation27330157Depreciation
Book Value6764394BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1137684OtherCostOrOtherBasis
Depreciation1043182Depreciation
Book Value94502BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13861833OtherCostOrOtherBasis
Depreciation10462883Depreciation
Book Value3398950BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis698329OtherCostOrOtherBasis
Depreciation598002Depreciation
Book Value100327BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10981889TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionUS GOVERNMENT AND AGENCY SECURITIESDescription
Book Value8067940BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities8067940TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYORS$51,337,924
FUNDS HELD IN TRUST FOR RESIDENTS$172,908
DUE TO AFFILIATES$73,913,807
FieldValueIRS element (for citing)
Total Of Amounts125424639TotalOfAmounts
Total Revenue73639160TotalRevenue
Total Expenses87149731TotalExpenses
Excess Or Deficit For Year-13510571ExcessOrDeficitForYear
Net Unrealized GL On Investments2339NetUnrealizedGLOnInvestments
Total Adjustments2339TotalAdjustments
Excess Or Deficit Per FS-13508232ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt73641973TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2339NetUnrealizedGainsInvestments
Other Revenues474OtherRevenues
Revenue Not Rptd F9902813RevenueNotRptdF990
Revenue Subtotal73639160RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99073639160TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt87149731TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal87149731ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99087149731TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPART XII, LINE 2D - OTHER ADJUSTMENTS:Identifier
ExplanationRELATED PARTY INCOME 474.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALVIN I KAHN MD
0296456000139605775605198036080600
DAVID P ROSEN
013782920003596730577560136160180933700
LEWIS MARSHALL
03850080001242043317015472044503900
RICHARD FOGLER
0632439000244045114011179068897600
BRUCE J FLANZ
010912400002489030577560124090141030800
MOUNIR F DOSS
010933560002893010599690124350145506100
AHMED G HAIDER
1520600004660214080136190187553000
GENEVIEVE SORENSEN
23526700010185040917051980291567000
MRIDULA SAXENA
15548700021540273060166790201626000
VIMALSON MONIKAM
1359170001520126820143120163063000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2A. KAHN, MD, TRUSTEE & CHAIRMAN, HAS A FAMILY RELATIONSHIP WITH D. SIMON, TRUSTEE.
FORM 990, PART VI, SECTION A, LINE 6MEDISYS HEALTH NETWORK IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7AMEDISYS HEALTH NETWORK, AS SOLE MEMBER CAN APPOINT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), ARE PREPARED BY OUTSIDE ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION AND THE BOARD IS COMFORTABLE WITH ITS CONTENTS, THE FORM 990 IS THEN MAILED TO ALL BOARD MEMBERS AS READY TO FILE, SUBSEQUENTLY IT IS FILED WITH THE IRS.
DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN "INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE AUDIT & COMPLIANCE COMMITTEE REVIEWS THE SUBMISSIONS FOR CONFLICTS AND THE DEPARTMENT OF INTERNAL AUDIT MONITORS COMPLIANCE.FORM 990, PART VI, SECTION B, LINE 12C
GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
FOR DAVID ROSEN, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, AND BRUCE FLANZ, EXECUTIVE VICE PRESIDENT & COO, THE HOURS REPORTED REFLECT TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY'S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENT WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ALVIN I. KAHN M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES AS A PHYSICIAN FOR BROOKDALE HOSPITAL MEDICAL CENTER. ALVIN I. KAHN M.D. RECEIVED NO COMPENSATION AS A CHAIRMAN OF THE BOARD FOR THE SCHULMAN BROOKDALE HOSPITAL MEDICAL CENTER.FORM 990, PART VII, SECTION A, LINE 1B:
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 2,339.FORM 990, PART XI, LINE 5:
THE OVERSIGHT AND SELECTION PROCESS DID NOT CHANGE FROM PRIOR YEAR.FORM 990, PART XI, 2C:
MANAGEMENT HAS IN THE PREPARATION OF ITS FORM 990 REVIEWED PERSONNEL IN THE INSTITUTION TO SEE IF ANYONE MEETS THE CRITERIA ESTABLISHED TO BE CONSIDERED A "KEY EMPLOYEE" FOR IRS PURPOSES. IT IS THE CONTENTION OF MANAGEMENT THAT NO EMPLOYEE FULFILLS ANY OF THE SITUATIONS UNDER THE RESPONSIBILITY TEST ESTABLISHED BY THE IRS TO MEET TITLE OF KEY EMPLOYEE. THEREFORE, PART VII OF FORM 990 DOES NOT HAVE ANY INDIVIDUALS WHO WOULD BE CONSIDERED A "KEY EMPLOYEE".FORM 990, PART VII, COLUMN C:
THE ORGANIZATION RECEIVED ITS PUBLIC EXEMPTION STATUS UNDER A HOSPITAL SECTION 170(B)(1)(A)(III), HOWEVER, ITS OPERATING CERTIFICATE DOES NOT CLASSIFY THEM AS A HOSPITAL FOR PURPOSES OF FILING SCHEDULE H.FORM 990, PART IV, LINE 20:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MEDISYS MANAGEMENT LLC
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113396829BILLING AND ADMIN SERVICE COMPANYNY00MEDISYS VENTURES
NHP OF INDIANA
521 FIFTH AVE 3RD FLOORNEW YORKNY10175030572979MANAGED CARE PLANNY00NHP HOLDINGS LLC
ROYAL HEALTH CARE DATA CENER LLC
5051 JOURNAL CENTER BLVD NE 410ALBUQUERQUENM87109201939732DATA PROCESSINGNM00ROYAL HEALTHCARE OF LONG ISLAND

Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ADVANCED CENTER FOR PSYCHOTHERAPY
89-06 135TH STREETJAMAICANY11418111864871HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
ALLIED HEALTH FOUNDATION OF QUEENS INC
4500 PARSONS BLVDFLUSHINGNY11355112813535INACTIVENY501(C)(3)9MEDISYS HEALTH NETWORK0
AMBOY PROPERTIES CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814707PARKING GARAGENY501(C)(3)11AMEDISYS HEALTH NETWORK0
BROOKDALE FAMILY CARE CENTER
101-10 AVENUE DBROOKLYNNY11236113237483HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
BROOKDALE HOSPITAL CENTER HEGEMAN AVENUE HOUSING COMPANY
101-10 AVENUE DBROOKLYNNY11236237082540HOUSINGNY501(C)(2)N/ABROOKDALE HOSPITAL MEDICAL CENTER0
BROOKDALE HOSPITAL MEDICAL CENTER
ONE BROOKDALE PLAZABROOKLYNNY11212111631746HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
BROOKDALE RESEARCH FOUNDATION INC
ONE BROOKDALE PLAZABROOKLYNNY11212311634638INACTIVENY501(C)(3)3MEDISYS HEALTH NETWORK0
FLUSHING HOSPITAL MEDICAL CENTER
4500 PARSONS BLVDFLUSHINGNY11355111631781HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
INTERNATIONAL ASSOCIATION OF MEDICAL BIKE UNITS INC
8900 VAN WYCK EXPYJAMAICANY11418113483140HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
JAMAICA HOSPITAL MEDICAL CENTER
8900 VAN WYCK EXPYJAMAICANY11418111631788HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
JAMAICA HOSPITAL NURSING HOME
90-28 VAN WYCK EXPYJAMAICANY11418237216197HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
LINROC COMMUNITY SERVICE CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814765SUPPORTNY501(C)(3)11AMEDISYS HEALTH NETWORK0
MEDISYS AMBULANCE SERVICE
8900 VAN WYCK EXPYJAMAICANY11418542124788HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
MEDISYS HEALTH NETWORK
8900 VAN WYCK EXPYJAMAICANY11418113316802ADMINNY501(C)(3)11A0N/A
NEIGHBORHOOD HEALTH PROVIDERS INC
521 FIFTH AVE 3RD FLOORNEW YORKNY10175943474115MANAGED CARE PLANNY501(C)(3)9JAMAICA HOSPITAL MEDICAL CENTERLINROC COMMUNITY SERVICE CORP0
PENINSULA GENERAL NURSING HOME
50-15 BEACH CHANNEL DRIVEFAR RACKAWAYNY11691237086890HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
PENINSULA HOSPITAL CENTER
51-15 BEACH CHANNEL DRIVEFAR RACKAWAYNY11691116037195HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
ROCKREAL CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814705SUPPORTNY501(C)(3)11AMEDISYS HEALTH NETWORK0
SAMUEL AND BERTHA SCHULMAN INSTITUTE FUND INC
101-10 AVENUE DBROOKLYNNY11236237270262HEALTHCARENY501(C)(3)7SCHULMAN SCHACHNE INSTITUTE FOR NURSING0
SCHLANG PAVILION DBA BROOKDALE RESIDENCE HOUSING DEVELOPMENT
101-10 AVENUE DBROOKLYNNY11236113324040HOUSINGNY501(C)(3)9MEDISYS HEALTH NETWORK0
THE JAMAICA HOSPITAL DIAG AND TREAT CTR
8900 VAN WYCK EXPYJAMAICANY11418113340969HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
THE LINDEN FOUNDATION INC
ONE BROOKDALE PLAZABROOKLYNNY11212112814704INACTIVENY501(C)(3)9MEDISYS HEALTH NETWORK0
URBAN STRATEGIES
101-10 AVENUE DBROOKLYNNY11236113237480HEALTHCARENY501(C)(3)3LINROC COMMUNITY SERVICE CORP0
VWE PROPERTIES CORPORATION
8900 VAN WYCK EXPYJAMAICANY11418113485165PARKING GARAGENY501(C)(3)11AMEDISYS HEALTH NETWORK0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
NHP HOLDINGS LLC
521 FIFTH AVE 3RD FLOORNEW YORKNY10175203418837HOLDING COMPANYNYJAMAICA HOSPITALLINROC COMMUNITY SERVICE CORP000
ROYAL HEALTHCARE OF LONG ISLAND
521 FIFTH AVE 3RD FLOORNEW YORKNY10175133887900MANAGEMENT SERVICES ORG.NYNHP HOLDINGS LLCMEDISYS VENTURES000

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnership
BHMC ENTERPRISES
101-01 AVENUE DBROOKLYNNY11236112855200LEASEHOLDER OF MEDICAL OFFICE BUILDING/INACTIVENYLINROC COMMUNITY SERVICE CORPC1.00000
BROOKDALE RX
101-01 AVENUE DBROOKLYNNY11236202041821RETAIL PHARMACYNYMEDISYS VENTURESC1.00000
FRR RECOVERY SERVICES
80 MARCUS DRIVEMELVILLENY11747113454555COLLECTION AGENCYNYMEDISYS VENTURESC1.00000
HI TECH MEDICAL EQUIPMENT
103-51 101 STOZONE PARKNY11416113313334DURABLE MEDICAL EQUIPMENT COMPANYNYMEDISYS VENTURESC1.00000
JAMAICA RX
8900 VAN WYCK EXPRESSWAYJAMAICANY11418205292781RETAIL PHARMACYNYMEDISYS VENTURESC1.00000
LCSC HOLDINGS
101-01 AVENUE DBROOKLYNNY11236113357198HOLDING COMPANYNYLINROC COMMUNITY SERVICE CORPC1.00000
MEDISYS HOME CARE SERVICE INC
8900 VAN WYCK EXPRESSWAYJAMAICANY11418030474027HOME CARE STAFFING/INACTIVENYMEDISYS VENTURESC1.00000
MEDISYS IPA
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113452476PHYSICIAN CONTRACTING/INACTIVENYMEDISYS VENTURESC1.00000
MEDISYS SERVICE CORPORATION
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113479920HOLDING COMPANYNYMEDISYS HEALTH NETWORKC1.00000
MEDISYS VENTURES
111 STEWART AVEHICKSVILLENY11801113431792HOLDING COMPANYNYMEDISYS HEALTH NETWORKC1.00000
MHN REALTY
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113458286REAL ESTATE/INACTIVENYMEDISYS VENTURESC1.00000
RAINBOW PHARMACY DBA FLUSHING RX
4500 PARSONS BLVDFLUSHINGNY11355112843101RETAIL PHARMACYNYALLIED HEALTH FOUNDATION OF QUEENS INCC1.00000
SECOND CENTURY SERVICE CORPORATION
4500 PARSONS BLVDFLUSHINGNY11355112843101RETAIL PHARMACYNYALLIED HEALTH FOUNDATION OF QUEENS INCC1.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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