2025-11-13T19:51:28-06:00 2024-12-31 331374517 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2024-01-01 264827558 QUEENS-LONG ISLAND RENAL INSTITUTE QUEE 7182892600 271-11 76TH AVENUE NEW HYDE PARK NY 11040 ROBERT WERNER CFO/EVP FOR OPERATIONS 7182892600 2025-11-13 1 1 MELISSA MODELSON P01603524 9143818900 2025-11-11 2024 2025-03-06 01:10:19Z MICHAEL ROSENBLUT 271-11 76TH AVENUE NEW HYDE PARK NY 11040 5215297 0 X WWW.QLIRI.ORG X 2009 NY TO ASSURE DIALYSIS PATIENTS OF THE FINEST QUALITY OF CARE, STATE-OF-THE-ART TECHNOLOGY AND UNCOMPROMISED DIGNITY, IN A COMFORTABLE SETTING. 7 7 66 7 0 0 0 300000 4903764 4912845 1866 2452 54311 0 4959941 5215297 0 0 0 0 2645531 2706691 0 0 0 3176268 2974497 5821799 5681188 -861858 -465891 2549561 2132342 692955 742320 1856606 1390022 TO ASSURE DIALYSIS PATIENTS OF THE FINEST QUALITY OF CARE, STATE-OF-THE-ART TECHNOLOGY AND UNCOMPROMISED DIGNITY, IN A COMFORTABLE SETTING. 0 0 4249555 0 4912845 QUEENS-LONG ISLAND RENAL INSTITUTE, INC. IS A CHARITABLE ORGANIZATION THAT RENDERS RENAL REPLACEMENT THERAPY SERVICES TO THOSE IN NEED. THE FACILITY IS LOCATED IN NEW HYDE PARK, NEW YORK AND PROVIDES IN-CENTER HEMODIALYSIS TO PATIENTS SUFFERING FROM END STAGE RENAL DISEASE (ESRD). TREATMENTS ARE PROVIDED TO PATIENTS IN FOUR DIFFERENT PATIENTS' SHIFTS, SIX DAYS PER WEEK. HEMODIALYSIS SERVICES ARE PROVIDED TO PATIENTS BY LICENSED AND TRAINED PROFESSIONALS IN ACCORDANCE WITH ALL STATE AND FEDERAL REGULATIONS. THE ORGANIZATION WILL BILL MEDICARE, MEDICAID AND OTHER THIRD PARTY PAYERS FOR SERVICES RENDERED TO PATIENTS. IN 2024 QUEENS-LONG ISLAND RENAL INSTITUTE SERVED 324 PATIENTS THROUGHOUT THE YEAR. 4249555 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 66 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X ROBERT WERNER 7183432100 271-11 76TH AVENUE NEW HYDE PARK NY 11040 ROBERT STERLING CHAIRMAN 1.00 3.10 X X 0 0 0 NINA KOPPELMAN VICE CHAIR 1.00 3.10 X X 0 0 0 SHERYL SILVERSTEIN DMD VICE CHAIR 1.00 3.10 X X 0 0 0 JERRY LANDSBERG SECRETARY 1.00 3.10 X X 0 0 0 TARYN TANZER TREASURER 1.00 3.10 X X 0 0 0 LEE CHARLES TRUSTEE 1.00 3.10 X 0 0 0 LEONARD TANZER TRUSTEE 1.00 3.10 X 0 0 0 MICHAEL ROSENBLUT PRESIDENT/CEO 5.50 54.60 X 0 2216521 132050 ROBERT WERNER CFO/EVP FOR OPERATIONS 2.50 52.60 X 0 1134827 103093 GERALDINE RAMOS DIRECTOR OF PATIENT CARE SERVICES 37.50 0.00 X 145141 0 47562 APRIL JOY M MANUEL ASSISTANT NURSE MANAGER 37.50 0.00 X 115372 0 980 BEA FELICIANO HEMODIALYSIS RN 37.50 0.00 X 105840 0 42499 TAHIRA KHAN RN - HOME HEMO COORDINATOR 37.50 0.00 X 115006 0 16311 481359 3351348 342495 4 0 1 0 PARKER JEWISH INSTITUTE FOR HEALTH CARE 271-11 76TH AVENUE NEW HYDE PARK NY 11040 ADMINISTRATIVE SERVICES 375000 RENALLIANCE BILLING GROUP 2711 CONEY ISLAND AVE BROOKLYN NY 11235 BILLING AND CONSULTING SERVICES 195423 PRINE HEALTH MEDICAL GROUP 1129 NORTHERN BOULEVARD MANHASSET NY 10097 CONTRACTED PHYSICIAN 138829 EUROFINS ASCEND CLINICAL LLC PO BOX 45021 SAN FRANCISCO CA 11115 LABORATORY SERVICES 104582 4 300000 300000 OTHER PATIENT SERVICE 623000 2518680 2518680 MEDICARE 623000 2290999 2290999 MEDICAID 623000 103166 103166 4912845 2452 2452 5215297 4912845 0 2452 X 2213339 1856751 356588 20257 16993 3264 277694 232956 44738 195401 163921 31480 3536 3536 42950 42950 874495 329474 545021 259969 259969 31331 7340 23991 30568 30568 171968 171968 4809 4382 427 198374 198374 78269 78269 PHARMACEUTICALS 656482 656482 MEDICAL SUPPLIES 381511 381511 WATER TREATMENT 95747 95747 REPAIRS AND MAINTENANCE 53228 53228 91260 49860 41400 5681188 4249555 1431633 0 55699 216766 503861 3886 540726 542750 101316 79576 64430 61298 3981921 3289138 748958 692783 34571 35283 500000 500000 2549561 2132342 547091 524354 145864 217966 692955 742320 X 1856606 1390022 0 0 1856606 1390022 2549561 2132342 -465891 -693 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2430632 2159761 270871 1551289 1129377 421912 692783 INVESTMENT IN PRINE HEALTH HOLDINGS LLC 500000 F 500000 DUE TO THIRD-PARTY PAYORS 217966 217966 X 5173204 -693 -693 5173897 41400 41400 5215297 5639788 0 5639788 41400 41400 5681188 PART X, LINE 2: QLIRI RECOGNIZES THE EFFECT OF TAX POSITIONS WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT QLIRI HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. QLIRI IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2021. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE REPORTED ON PART IX 41,400. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE REPORTED ON PART IX 41,400. 0 1 0 0 0 0 0 1 0 MICHAEL ROSENBLUT PRESIDENT/CEO 0 1451586 0 705617 0 59318 0 64441 0 67609 0 2348571 0 50939 ROBERT WERNER CFO/EVP FOR OPERATIONS 0 679403 0 425000 0 30424 0 34204 0 68889 0 1237920 0 23259 GERALDINE RAMOS DIRECTOR OF PATIENT CARE SERVICES 144840 0 0 0 301 0 2962 0 44600 0 192703 0 0 0 PART I, LINE 3 THE CEO'S COMPENSATION IS DETERMINED AND PAID BY A RELATED PARTY, PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION, USING THE FOLLOWING PROCESS: A WRITTEN EMPLOYMENT CONTRACT IS CURRENTLY IN PLACE FOR THE PRESIDENT/CEO. THE CONTRACT WAS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. EXTERNAL INFORMATION AND SURVEYS WERE USED FOR COMPARATIVE PURPOSES IN DETERMINING THE COMPENSATION AMOUNTS IN THE CONTRACT. PERFORMANCE IS REVIEWED ANNUALLY BY THE CHAIRMAN OF THE BOARD OF TRUSTEES. RECOMMENDATIONS ARE MADE TO THE COMPENSATION COMMITTEE OF THE EXECUTIVE COMMITTEE OF THE BOARD WHO APPROVE THE SALARIES OF THE KEY EMPLOYEES AND OTHER OFFICERS. RECOMMENDATIONS ARE BASED ON A REVIEW OF FORM 990'S OF SIMILAR-SIZED ORGANIZATIONS. THE BOARD'S APPROVAL OF THE SALARIES ARE DOCUMENTED IN THE MINUTES TO THE MEETING. PART I, LINE 4B CONTRIBUTIONS MADE BY PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION TO A SUPPLEMENTARY NON-QUALIFIED RETIREMENT PLAN DURING 2024 ARE AS FOLLOWS: MICHAEL N. ROSENBLUT $57,541 ROBERT M. WERNER $27,304 DISTRIBUTIONS WERE MADE FROM A SUPPLEMENTARY NON-QUALIFIED RETIREMENT PLAN DURING 2024 TO THE FOLLOWING: MICHAEL N. ROSENBLUT $56,015 ROBERT M. WERNER $26,068 PART I, LINE 7 INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A DISCRETIONARY BONUS DURING CALENDAR YEAR 2024, WHICH WAS INCLUDED IN COLUMN B(II) HEREIN AND IN THEIR 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. FORM 990, PART VI, SECTION A, LINE 2 LENNY TANZER AND TARYN TANZER HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS GERIATRIC RESOURCES OF NEW YORK, INC. FORM 990, PART VI, SECTION A, LINE 7A AT EACH ANNUAL MEETING OF GERIATRIC RESOURCES OF NEW YORK, INC., THE SOLE CORPORATE MEMBER OF THE CORPORATION, TRUSTEES OF THE CORPORATION, OTHER THAN THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SHALL BE ELECTED TO VACANT POSITIONS ON THE BOARD OF TRUSTEES, EACH FOR A TERM OF ONE (1) YEAR, TO HOLD OFFICE UNTIL THEIR SUCCESSORS HAVE BEEN ELECTED AND DULY QUALIFIED. THERE SHALL BE NO LIMITATION AS TO THE NUMBER OF TERMS TRUSTEES MAY SERVE AND TRUSTEES SHALL BE PERMITTED TO SERVE SUCCESSIVE TERMS. NEWLY CREATED TRUSTEESHIPS RESULTING FROM AN INCREASE IN THE NUMBER OF TRUSTEES, AND VACANCIES OCCURRING IN THE BOARD OF TRUSTEES FOR ANY REASON, SHALL BE FILLED BY VOTE OF THE BOARD OF TRUSTEES OF GERIATRIC RESOURCES OF NEW YORK, INC., THE SOLE MEMBER OF THE CORPORATION. TRUSTEES ELECTED TO FILL NEWLY CREATED TRUSTEESHIPS SHALL HOLD OFFICE IN ACCORDANCE WITH THEIR CLASSIFICATION (IF TRUSTEES ARE CLASSIFIED) AND UNTIL THEIR SUCCESSORS HAVE BEEN ELECTED AND HAVE QUALIFIED. TRUSTEES ELECTED TO FILL VACANCIES SHALL SERVE UNTIL THE END OF THE VACATED TERM AND UNTIL THEIR SUCCESSORS ARE ELECTED AND HAVE QUALIFIED. FORM 990, PART VI, SECTION A, LINE 7B THE REPEAL OR AMENDMENT OF ANY BYLAW OF THE CORPORATION SHALL BE EFFECTED BY EITHER OF THE FOLLOWING METHODS: (I) BY ACT OF THE BOARD OF TRUSTEES OF GERIATRIC RESOURCES OF NEW YORK, INC., THE SOLE CORPORATE MEMBER OF THE CORPORATION; OR (II) BY A VOTE OF A MAJORITY OF THE VOTING TRUSTEES OF THE BOARD OF TRUSTEES OF THE CORPORATION, PROVIDED THAT WRITTEN NOTICE OF EITHER THE TEXT OR THE SUBSTANCE OF ANY PROPOSED AMENDMENT OR REPEAL OF THE BYLAWS SHALL BE GIVEN TO ALL TRUSTEES AT LEAST FIVE (5) BUSINESS DAYS PRIOR TO THE DATE OF THE MEETING AT WHICH THE AMENDMENT OR REPEAL IS TO BE PROPOSED. IN ADDITION, ANY TRUSTEE MAY RESIGN AT ANY TIME BY GIVING WRITTEN NOTICE TO THE CHAIRMAN OR TO THE SECRETARY OF GERIATRIC RESOURCES OF NEW YORK, INC., THE SOLE CORPORATE MEMBER OF THE CORPORATION. SUCH RESIGNATION SHALL TAKE EFFECT AT THE TIME SPECIFIED THEREIN OR, IF NO TIME IS SPECIFIED, ON DELIVERY. ANY OR ALL OF THE TRUSTEES MAY BE REMOVED FOR CAUSE OR WITHOUT CAUSE BY AN ACTION OF THE BOARD OF TRUSTEES OF GERIATRIC RESOURCES OF NEW YORK, INC., THE SOLE CORPORATE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B QUEENS-LONG ISLAND RENAL INSTITUTE INC. 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. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE BOARD OF TRUSTEES AND OFFICERS OF THE BOARD ARE ASKED TO REVIEW THE CONFLICT OF INTEREST POLICY. EACH PERSON MUST COMPLETE A STATEMENT AFFIRMING THAT THEY DO NOT HAVE ANY CONFLICTS OR POTENTIAL CONFLICTS. WHEN A POTENTIAL OR ACTUAL FINANCIAL INTEREST HAS BEEN DISCLOSED, THE BOARD (OR A COMMITTEE) SHALL EVALUATE WHETHER THE ORGANIZATION COULD, WITH REASONABLE EFFORT, OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH ANOTHER ENTITY. ANY BOARD COMMITTEE MAY CONDUCT THIS EVALUATION ON BEHALF OF THE BOARD AND MAKE RECOMMENDATIONS TO THE BOARD. TYPICALLY, THE EVALUATION WILL INVOLVE OBTAINING ONE OR MORE COMPETITIVE BIDS, EXCEPT WHERE (A) THE CONTEMPLATED TRANSACTION IS SO SMALL THAT THE DOLLAR AMOUNTS INVOLVED DO NOT JUSTIFY A COMPETITIVE BID; AND/OR (B) THE ORGANIZATION IS REASONABLY CERTAIN, AND CAN DOCUMENT, THAT THE CONTEMPLATED PRODUCT OR SERVICE IS BEING OFFERED AT OR BELOW FAIR MARKET RATES. IF, BASED ON THE ABOVE EVALUATION, THE ORGANIZATION DETERMINES THAT IT CANNOT OBTAIN, WITH REASONABLE EFFORT, A MORE ADVANTAGEOUS TRANSACTION WITH ANOTHER ENTITY, THE FACILITY MAY PROCEED WITH THE PROPOSED TRANSACTION OR ARRANGEMENT, SO LONG AS THE BOARD DETERMINES, BY A MAJORITY VOTE OF DISINTERESTED DIRECTORS, THAT THE PROPOSED TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST AND IS FAIR AND REASONABLE. THE TRUSTEE OR OFFICER WITH THE POTENTIAL OR ACTUAL FINANCIAL INTEREST SHALL NOT BE PRESENT DURING THE DISCUSSION OF THE ISSUE OR THE VOTE. THE MINUTES OF THE BOARD (AND OF THE BOARD'S EXECUTIVE COMMITTEE) SHALL INCLUDE: THE NAMES OF THE TRUSTEES, OFFICERS OR COMMITTEE MEMBERS, IF ANY, WHO DISCLOSED FINANCIAL INTERESTS; THE NATURE OF THE FINANCIAL INTEREST THAT POSES A POTENTIAL OR ACTUAL CONFLICT; A SUMMARY OF THE CONTENT OF THE BOARD'S (OR EXECUTION COMMITTEE'S) DISCUSSIONS (INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT); AND A RECORD THAT A VOTE WAS TAKEN REGARDING THE PROPOSED TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 19,537. MANAGEMENT AND GENERAL EXPENSES 1,650. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,187. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 309,937. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 309,937. BILLING & A/R SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 168,371. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 168,371. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 375,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 375,000. 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. PARKER JEWISH INSTITUTE FOR HEALTH CARE & REHAB FOUNDATION 271-11 76TH AVENUE NEW HYDE PARK NY 11040 113041480 TO SUPPORT PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION NY 501(C)(3) LINE 7 GERIATRIC RESOURCES OF NEW YORK 0 GERIATRIC RESOURCES OF NEW YORK 271-11 76TH AVENUE NEW HYDE PARK NY 11040 113100541 SUPPORT PJI FOR HEALTH CARE AND REHABILITATION AND ITS AFFILIATES NY 501(C)(3) LINE 12B, II N/A 0 PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION 271-11 76TH AVENUE NEW HYDE PARK NY 11040 132631069 OPERATE A SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 GERIATRIC RESOURCES OF NEW YORK 0 LEAGUE OF THE PARKER INSTITUTE FOR HEALTH CARE AND REHABILITATION 271-11 76TH AVENUE NEW HYDE PARK NY 11040 112516708 SUPPORT THE RESIDENTS OF THE INSTITUTE NY 501(C)(3) LINE 10 GERIATRIC RESOURCES OF NEW YORK 0 AGEWELL NEW YORK LLC 271-11 76TH AVENUE NEW HYDE PARK NY 11040 300743059 OPERATES A PARTIALLY CAPITATED MEDICAID & MEDICARE MANAGED LT CARE PROGRAM NY PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION RELATED 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0