2024-07-31T12:49:50-05:00 2023-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2023-01-01 237233422 LONG BEACH MEMORIAL NURSING HOME INC C/O LORI LAPIN JONES ESQ PLAN ADMIN LONG 5164664110 98 CUTTER MILL ROAD SUITE 255 SOUT GREAT NECK NY 11021 LORI LAPIN JONES ESQ PLAN ADMINISTRATOR 5164664110 2024-07-31 1 1 GARRETT M HIGGINS P00543209 9143818900 2024-07-29 2023 2024-08-08 14:25:15Z THE KOMANOFF CENTER FOR GERIATRIC AND REHABILITATIVE MEDICINE LORI LAPIN JONES ESQ 98 CUTTER MILL ROAD SUITE 255 SOUTH GREAT NECK NY 11021 3575 0 X N/A X 1970 NY THE BANKRUPTCY COURT HAS CONFIRMED A PLAN OF LIQUIDATION UNDER CHAPTER 11 OF THE BANKRUPTCY CODE. THE EFFECTIVE DATE OF THE PLAN IS OCTOBER 3, 2017. 1 0 91 0 0 0 0 0 0 0 25 15 2683 3560 2708 3575 0 0 0 0 32716 30608 0 0 0 83062 99117 115778 129725 -113070 -126150 5669957 4420458 5794918 47737782 -124961 -43317324 LONG BEACH MEMORIAL NURSING HOME WAS A SKILLED NURSING FACILITY LOCATED IN LONG BEACH, NEW YORK. 0 0 0 0 0 LONG BEACH MEMORIAL NURSING HOME WAS A SKILLED NURSING FACILITY LOCATED IN LONG BEACH, NEW YORK. IN OCTOBER 2014, THE NURSING FACILITY WAS SOLD. IN 2017, THE BANKRUPTCY COURT CONFIRMED A CHAPTER 11 PLAN OF LIQUIDATION. 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 11 0 91 1 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 NY X X LORI LAPIN JONES ESQ PLAN ADMINI 5164664110 98 CUTTER MILL ROAD SUITE 255 SOUTH GREAT NECK NY 11021 LORI LAPIN JONES ESQ PLAN ADMINISTRATOR 3.00 3.00 X 30608 30478 0 30608 30478 0 0 0 0 0 0 15 15 OTHER INCOME 900099 3560 3560 3560 3575 0 0 3575 30608 30608 31992 31992 21084 21084 3331 3331 1597 1597 BANKRUPTCY SETTLEMENTS 41113 41113 129725 0 129725 0 X 1375159 205645 206591 126606 106742 106742 3981465 3981465 5669957 4420458 3086481 2734665 2708437 45003117 5794918 47737782 X -124961 -43317324 0 0 -124961 -43317324 5669957 4420458 -126150 -43066213 0 X 0 0 0 X 1176159 1176159 1176159 1176159 0 0 0 1176159 2822 494 33 25 15 3389 2822 494 33 25 15 3389 254005 1500 4200 2683 3560 265948 256827 1178153 4233 2708 3575 1445496 0.81370 0.82050 0.00230 0.00450 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 228,134. 2020 AMOUNT: $ 1,500. 2021 AMOUNT: $ 4,200. 2022 AMOUNT: $ 2,683. 2023 AMOUNT: $ 3,560. REFUNDS - 2019 AMOUNT: $ 25,871. 0 DUE FROM LONG BEACH MEDICAL CENTER 3881966 INSURANCE RECOVERY RECEIVABLE 99499 3981465 PENSION BENEFIT LIABILITY 44820513 BULKHEAD ASSESSMENT PAYABLE 104844 DUE TO THIRD PARTIES 77760 45003117 FORM 990, PART I, LINE 5, AND PART V, LINE 2A: DURING THE CALENDAR YEAR ENDING 2023, THE PLAN ADMINISTRATOR MADE DISTRIBUTIONS TO GENERAL UNSECURED CREDITORS WHICH INCLUDED FORMER EMPLOYEES OF LONG BEACH MEMORIAL NURSING HOME, INC. THE DISTRIBUTIONS RELATED TO WAGE AND/OR PAID TIME OFF CLAIMS FROM A PERIOD PRIOR TO THE FILING OF CHAPTER 11. THE PLAN ADMINISTRATOR ISSUED W-2 FORMS IN CONNECTION WITH THESE DISTRIBUTIONS. HOWEVER, FOR CLARITY, LONG BEACH MEMORIAL NURSING HOME, INC. DID NOT HAVE ANY EMPLOYEES DURING 2023. FORM 990, PART VI, SECTION A, LINE 3 LORI LAPIN JONES, ESQ. WAS APPOINTED AS THE PLAN ADMINISTRATOR IN 2017. SHE WAS PAID $30,608 FOR HER SERVICES IN 2023. FORM 990, PART VI, SECTION A, LINE 8A FOLLOWING CONFIRMATION OF LONG BEACH'S CHAPTER 11 LIQUIDATION PLAN, THE SOLE REPRESENTATIVE FOR THE ESTATE IS THE PLAN ADMINISTRATOR. LONG BEACH NO LONGER HAS A BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B LONG BEACH MEMORIAL NURSING HOME HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. AFTER THE FORM 990 HAS BEEN PREPARED, IT IS REVIEWED BY THE PLAN ADMINISTRATOR AND BY HER COUNSEL. WHEN IT IS APPROVED, THE 990 IS ELECTRONICALLY FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12 THE PLAN ADMINISTRATOR'S APPOINTMENT WAS EFFECTIVE IN OCTOBER 2017. SHE DOES NOT HAVE FIRST-HAND KNOWLEDGE OF THE EXISTENCE OF A CONFLICTS OF INTEREST POLICY, BUT HAS NO REASON TO BELIEVE THAT PRIOR REPRESENTATIONS ON THE FORM 990'S ARE INCORRECT. THE ORGANIZATION HAS NOT BEEN OPERATING SINCE 2014. ALL PROFESSIONALS RETAINED DURING THE CHAPTER 11 CASE WERE GOVERNED BY THE CONFLICTS OF INTEREST REQUIREMENTS UNDER THE UNITED STATES BANKRUPTCY CODE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS ALSO POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST. THE ORGANIZATION DISTRIBUTES THE REQUESTED DOCUMENTS ELECTRONICALLY. FORM 990, PART X, LINE 25, OTHER LIABILITIES: LIABILITIES MAY INCLUDE CLAIMS THAT WERE FILED OR SCHEDULED IN CONNECTION WITH THE BANKRUPTCY AND WHICH MAY HAVE BEEN SETTLED, REDUCED, EXPUNGED OR OTHERWISE ADDRESSED IN CONNECTION WITH THE BANKRUPTCY CLAIMS RECONCILIATION PROCESS. ALL FINAL ALLOWED LIABILITIES WILL APPEAR IN THE OFFICIAL CLAIMS REGISTER MAINTAINED IN CONNECTION WITH THE CHAPTER 11 PROCEEDINGS AND WILL BE SATISFIED ONLY IN ACCORDANCE WITH THE TERMS OF THE BANKRUPTCY COURT APPROVED PLAN OF LIQUIDATION. FORM 990, PART X, LINE 25, PENSION BENEFIT LIABILITY AND PART XI, LINE 8: LONG BEACH MEMORIAL NURSING HOME, INC. IS CURRENTLY IN THE PROCESS OF WINDING UP ITS POST-CONFIRMATION CHAPTER 11 BANKRUPTCY CASE. IN CONNECTION WITH THIS PROCESS THE PLAN ADMINISTRATOR IN THE CASE, IN REVIEWING THE VARIOUS CLAIMS AGAINST ITS ESTATE, DETERMINED THAT LONG BEACH MEMORIAL NURSING HOME, INC.'S AGGREGATE PENSION BENEFIT LIABILITY, AFTER FACTORING IN BANKRUPTCY COURT APPROVED STIPULATIONS AND PRIOR DISTRIBUTIONS TO THE PBGC PURSUANT TO THE CONFIRMED CHAPTER 11 PLAN OF LIQUIDATION IN THE CASE, IS IN THE AGGREGATE AMOUNT OF $44,820,513. THE LIABILITY FOR THIS AMOUNT IS JOINT AND SEVERAL AMONG BOTH LONG BEACH MEMORIAL NURSING HOME, INC. AND LONG BEACH MEDICAL CENTER. ACCORDINGLY LINE 25 OF PART X HAS BEEN UPDATED TO REFLECT THAT AMOUNT. FORM 990: THE PLAN ADMINISTRATOR'S APPOINTMENT WAS EFFECTIVE IN OCTOBER 2017. CERTAIN INFORMATION REFLECTED ON THE RETURN PRECEDED THE PLAN ADMINISTRATOR'S APPOINTMENT. ACCORDINGLY, SHE DOES NOT HAVE FIRST-HAND KNOWLEDGE OF CERTAIN INFORMATION IN THE RETURN, BUT HAS NO REASON TO BELIEVE THAT PRIOR REPRESENTATIONS ON THE FORM 990'S ARE INCORRECT. LONG BEACH MEDICAL CENTER 98 CUTTER MILL ROAD SUITE 255 SOUTH GREAT NECK NY 11021 111635084 HOSPITAL CARE NY 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0