Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
CABRINI CENTER FOR NURSING & REHABILITATION
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
542 EAST 5TH STREET
 
Room/suite
City or town, state or country, and ZIP + 4
NEW YORK, NY10009
D Employer identification number

13-3742893
E Telephone number

G Gross receipts $ 30,294,332
F Name and address of principal officer:
PATRICIA KRASNAUSKY
542 EAST 5TH STREET
NEW YORK,NY10009
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.CABRINI-ELDERCARE.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:
 
L Year of formation: 1993
M State of legal domicile: NY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 8
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 8
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 357
6 Total number of volunteers (estimate if necessary) .... 6 1,590
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 382,150 298,906
9 Program service revenue (Part VIII, line 2g) ......... 29,180,018 29,848,247
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 6,728 5,483
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 107,729 128,366
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 29,676,625 30,281,002
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 6,680
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 17,221,580 18,123,142
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet86,247    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 13,433,535 12,067,350
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 30,655,115 30,197,172
19 Revenue less expenses. Subtract line 18 from line 12...... -978,490 83,830
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 9,035,168 9,163,857
21 Total liabilities (Part X, line 26)............ 9,400,195 9,431,375
22 Net assets or fund balances. Subtract line 21 from line 20 ..... -365,027 -267,518
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: CABRINI CENTER FOR NURSING AND REHABILITATION, INSPIRED BY THE MISSION AND VISION OF ST. FRANCES XAVIER CABRINI, IS COMMITTED TO PROVIDING SERVICES FOR ELDERS AND OTHERS IN THE COMMUNITY, THROUGH QUALITY PROGRAMS AND SERVICES, OFFERED WITH COMPASSION AND RESPECT FOR EACH INDIVIDUAL.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 23,499,382 including grants of $   ) (Revenue $ 26,424,789 )
CABRINI CENTER FOR NURSING AND REHABILITATION ("CCNR") PROVIDES A VARIETY OF SERVICES SUCH AS 24-HOUR SKILLED NURSING CARE WHICH INCLUDES: WOUND CARE, PAIN MANAGEMENT PROGRAMS, ENTERAL FEEDINGS, INTRAVENOUS THERAPY, RESPIRATORY CARE, TRACHEOSTOMY, OSTOMY CARE AND ORAL CHEMOTHERAPY. IN ADDITION, CCNR FEATURES SPECIALIZED PROGRAMS, INCLUDING SHORT-TERM REHABILITATION, SUB-ACUTE CARE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH AND AUDIOLOGY SERVICES, SWALLOWING DISORDERS PROGRAM, SPIRITUAL SERVICES INCLUDING VARIOUS INTERFAITH SERVICES AND DAILY CATHOLIC MASS, SPECIAL CARE DEMENTIA UNIT, CONTRACTED HOSPICE SERVICES AND MENTAL HEALTH SERVICES. THE HOME ALSO TAKES GREAT PRIDE IN OFFERING INDIVIDUALS SPECIAL DIETS, MEAL CHOICES, NUTRITIONAL COUNSELING AND SEASONAL AND SOCIAL SPECIALTIES. FURTHERMORE, RESIDENTS AND FAMILIES CAN ENGAGE IN AN ARRAY OF LIFESTYLE ENHANCEMENTS INCLUDING THERAPEUTIC RECREATION, PET THERAPY, RESIDENT COUNCIL AND FAMILY SUPPORT GROUPS.IN 2010, CCNR PROVIDED SKILLED NURSING AND SHORT TERM REHABILITATION SERVICES TO 532 INDIVIDUALS. 271 OF THOSE WERE ABLE TO RETURN HOME TO THE COMMUNITY AFTER RECEIVING SHORT-TERM REHABILITATION CARE AT CCNR. THESE INDIVIDUALS NOT ONLY HAVE DIVERSE MEDICAL BACKGROUNDS, BUT ALSO DIVERSE ETHNIC AND RELIGIOUS BACKGROUNDS. THE HOME'S PROGRAMS AND SERVICES CATER TO THIS DIVERSE POPULATION. FOR EXAMPLE, AN AUTHENTIC CHINESE MENU AND CHOP STICKS ARE PROVIDED FOR THE LARGE NUMBER OF CHINESE RESIDENTS THAT RESIDE ON CCNR'S "CHINA TOWN" UNIT, WHICH FEATURES TRADITIONAL CHINESE DECOR AND CHINESE SPEAKING STAFF TO BETTER ACCOMMODATE RESIDENTS' NEEDS AND LIFESTYLE.IN ADDITION, CCNR'S PASTORAL CARE DEPARTMENT REACHES OUT TO RESIDENTS FROM A VARIETY OF RELIGIOUS BACKGROUNDS THAT MAKE UP THE HOME'S DIVERSITY. THOUGH THE MAJORITY OF RESIDENTS ARE CATHOLIC, CCNR CELEBRATES BUDDHIST AND PROTESTANT HOLIDAYS AS WELL AS HOLDS A CANDLE LIGHTING CEREMONY TO MARK THE BEGINNING OF SABBATH FOR THE JEWISH POPULATION.CCNR'S DEDICATION TO THE ELDERCARE COMMUNITY IS REFLECTED BY THEIR VARIOUS COMMUNITY PARTNERSHIPS DEVELOPED TO OPTIMIZE PATIENT CARE AND EXPAND UPON PROGRAMS AND SERVICES. FOR EXAMPLE, IN RESPONSE TO THE GROWING NEED FOR POST-HOSPITAL REHABILITATION AND SUB-ACUTE CARE, CCNR EXPANDED ITS SHORT TERM REHABILITATION-SUB ACUTE CARE PROGRAM DESIGNATING AN ADDITIONAL 20 BEDS ON THE 6TH FLOOR. IN 2010 CCNR'S SHORT TERM REHABILITATION PROGRAM ENJOYED A HIGH CENSUS AND ALSO BENEFITED FROM AN AFFILIATION WITH BETH ISRAEL MEDICAL CENTER GERIATRIC FELLOWSHIP PROGRAM.MOREOVER, CCNR CONTINUED ITS WORK IN THE CONTINUUM OF CARE IMPROVEMENT THROUGH THE INFORMATION NEW YORK (CCITI NY) PROJECT, WHICH WAS ESTABLISHED TO IMPROVE THE QUALITY, PATIENT SAFETY, COST, AND SATISFACTION ASPECTS OF TRANSFERRING PATIENTS BETWEEN ACUTE, POST-ACUTE AND AMBULATORY CARE ORGANIZATIONS IN THE GREATER NEW YORK METROPOLITAN REGION. THE CCITI NY PROJECT WILL COMBINE THE STRENGTH OF A STANDARD ELECTRONIC TRANSFER FORM PROCESS WITH AN AUTOMATED CLINICAL DECISION SUPPORT TOOL.CCNR ALSO ENJOYS AN EXPANSIVE VOLUNTEER PROGRAM DUE TO PARTNERSHIPS FOSTERED WITH INDIVIDUAL CORPORATIONS AND LARGE VOLUNTEER GROUPS SUCH AS NEW YORK CARES. CCNR HAS ALSO FOSTERED A RELATIONSHIP WITH LOCAL SCHOOLS, COMMUNITY GROUPS AND A VARIETY OF THE ARTS. AS A RESULT, RESIDENTS OFTEN ENJOY PREMIUM ENTERTAINMENT SUCH AS CONCERTS BY STUDENTS FROM THE JULLIARD SCHOOL OF MUSIC.IN 2010 CCNR CONTINUED TO EXAMINE THE NEEDS OF AGING PRISONERS WITHIN THE NEW YORK STATE DEPARTMENT OF CORRECTIONAL SERVICES ("NYSDOCS"). WITH FUNDING RECEIVED IN 2007 FROM THE ASC FOUNDATION, CABRINI DEVELOPED AND CONDUCTED GERIATRIC TRAININGS FOR MULTIDISCIPLINARY MEDICAL STAFF AT FISHKILL, BEDFORD AND COXSACKIE REGIONAL MEDICAL UNITS. THESE TOPICS INCLUDED POLYPHARMACY, THE AGING PROCESS, ALZHEIMER'S DISEASE AND OTHER DEMENTIAS AND END-OF-LIFE CARE. ADDITIONAL SOURCES OF FUNDING ARE BEING SOUGHT AND PLANNING IS UNDERWAY TO CONTINUE THE TRAINING PROGRAM AS WELL AS DEVELOP A MODEL FOR RE-ENTRY SERVICES FOR THE OLDER PAROLEE.
4b (Code:   ) (Expenses $ 2,292,633 including grants of $   ) (Revenue $ 2,408,991 )
THE LONG TERM HOME HEALTH CARE PROGRAM (LTHHCP) IS COMMITTED TO THE PROVISION OF QUALITY HOME CARE SERVICES TO INDIVIDUALS IN THE COMMUNITY. THE GOAL OF THE PROGRAM IS TO PROVIDE PATIENTS WITH COMPREHENSIVE AND COORDINATED SERVICES. AN INDIVIDUALIZED PLAN OF CARE IS DEVELOPED, BY THE NURSE COORDINATOR, TO MEET THE NEEDS OF THE CULTURALLY DIVERSE COMMUNITIES THAT ARE SERVED. THIS ALSO ENABLES PATIENTS TO REMAIN IN THEIR HOME FOR AS LONG AS POSSIBLE. THE FOCUS HAS BEEN TO PROVIDE SERVICES TO THE FRAIL ELDERLY, DISABLED, AND CHRONICALLY ILL. THE LTHHCP SERVICES ARE PROVIDED TO THOSE RESIDING IN THE COUNTIES OF BROOKLYN, QUEENS AND MANHATTAN.IN ADDITION, OUTREACH TO THE DIVERSE COMMUNITIES SERVED IS ONGOING IN ORDER TO IDENTIFY ANY NEW NEEDS AND/OR CHALLENGES. IN 2003, THE LTHHCP BECAME AN AIDS HOME CARE PROGRAM (AHCP) TO PROVIDE COMPREHENSIVE THERAPEUTIC SERVICES TO INDIVIDUALS WITH AN HIV/AIDS DIAGNOSIS IN THE COMFORT OF THEIR HOME.AMONG THE PATIENT CARE AND SUPPORT SERVICES OFFERED THROUGH THE LTHHCP ARE THE FOLLOWING: SKILLED NURSING, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH LANGUAGE PATHOLOGY, AUDIOLOGY, MEDICAL SOCIAL WORKER, HOUSEKEEPER, HOMEMAKER, HOME HEALTH AIDES, PERSONAL CARE WORKERS, NUTRITIONAL COUNSELING, RESPIRATORY THERAPY, LABORATORY TESTING, MEDICAL TRANSPORTATION, DURABLE MEDICAL EQUIPMENT AND SUPPLIES, TELEHEALTH MONITORING, AND PERSONAL EMERGENCY RESPONSE SYSTEM. THE PROGRAM HAS THE CAPACITY TO SERVICE 125 PATIENTS AND TO SERVICE INDIVIDUALS WITH HIV/AIDS WITHOUT CAPITATION.IN SEPTEMBER 2008, A TELEHEALTH PROGRAM WAS INITIATED, THROUGH A GRANT FROM THE MISSIONARY SISTERS OF THE SACRED HEART OF JESUS. THE PROGRAM IS AVAILABLE TO PATIENTS WITH HEART FAILURE, DIABETES, AND HYPERTENSION. THROUGH TELEHEALTH TECHNOLOGY, THESE PATIENTS ARE ABLE TO PARTICIPATE IN DISEASE MANAGEMENT BY TAKING THEIR BLOOD PRESSURE AND WEIGHING THEMSELVES ON DAILY BASIS. THERE WERE NINE PATIENT INSTALLATIONS WITH MONTHLY MAINTENANCE. THE LTHHCP AT CCNR WAS APPROVED FOR MEDICAID REIMBURSEMENT AND THIS HAS PROVIDED AN ADDITIONAL SOURCE OF REVENUE. DURING 2010, THERE WERE 105 UNDUPLICATED PATIENTS SERVED IN THE LTHHCP WITH A TOTAL OF 28,138 VISITS MADE. AS PART OF A COMMUNITY BENEFITS PROJECT, THE LTHHCP CONTINUES TO DO OUTREACH IN THE COUNTIES SERVED BY PROVIDING BLOOD PRESSURE SCREENING AND HEALTH EDUCATION WORKSHOPS IN THE SENIOR HOUSING COMMUNITY.
4c (Code:   ) (Expenses $ 1,061,019 including grants of $   ) (Revenue $ 1,014,467 )
THE GOAL OF THE SR. JOSEPHINE TSUEI ADULT DAY HEALTH CARE PROGRAM IS TO HELP ADULTS WITH SPECIAL MEDICAL NEEDS REMAIN IN THE COMMUNITY BY PROVIDING A HEALTH SUPPORTIVE DAYTIME ENVIRONMENT THAT PROMOTES THEIR PHYSICAL, MENTAL AND EMOTIONAL WELL BEING.THE PROGRAM SERVES INDIVIDUALS WITH CHRONIC ILLNESSES, DISABILITIES, COGNITIVE IMPAIRMENTS AND SPECIAL NEEDS THAT REQUIRE ASSESSMENT AND MONITORING ON A REGULAR BASIS AS WELL AS THE FRAIL ELDERLY WHO ARE ELIGIBLE TO ATTEND THE PROGRAM.THE PROGRAM PROVIDES THE FOLLOWING ON-SITE SERVICES: MEDICAL CARE, FEATURING PRIMARY CARE, NURSING CARE, SOCIAL WORK SUPPORT, MEDICATION ADMINISTRATION, DENTAL, PODIATRY, AUDIOLOGY, PSYCHIATRY/PSYCHOLOGY, RADIOLOGY AND LAB SERVICES, OPHTHALMOLOGY/OPTOMETRY, REHABILITATION, INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH AND LANGUAGE PATHOLOGY, DIETARY SUPERVISION AND NUTRITIONAL COUNSELING. IN ADDITION, AN ABUNDANCE OF RECREATIONAL ACTIVITIES ARE AVAILABLE SUCH AS: ART THERAPY, PET VISITS, HORTICULTURAL THERAPY, EXERCISE AND WELLNESS PROGRAMS, MUSIC AND ENTERTAINMENT, SPECIAL SEASONAL AND HOLIDAY EVENTS, DISCUSSION GROUPS, CRAFTS, MOVIES AND COMMUNITY TRIPS. IN 2010, THE SR. JOSEPHINE TSUEI ADULT DAY HEALTH CARE PROGRAM SERVED A TOTAL OF 55 REGISTRANTS OVER THE COURSE OF THE YEAR. ADDITIONALLY, IN 2010, THE ADHC PROGRAM PARTNERED WITH MERCY COLLEGE TO ENABLE OCCUPATIONAL THERAPY STUDENTS TO COMPLETE EDUCATIONAL INTERNSHIPS DURING THE SCHOOL YEAR. THE ADHC PROGRAM PARTNERED WITH FEGS, FROM THE METRO DDSO TO ENABLE VOLUNTEERS TO ASSIST WITH RECREATIONAL PROGRAMS AND GAIN EXPERIENCE IN WORKING WITH FRAIL, DISABLED ELDERLY INDIVIDUALS. THIS VOLUNTEER EXPERIENCE STRENGTHENS THE WORK SKILLS AND COMPETENCIES THAT ARE REQUIRED TO SECURE GAINFUL EMPLOYMENT. THE VOLUNTEERS ARE SUPERVISED BY THE CLINICAL COORDINATOR/ASST. DIRECTOR. TEN TO FIFTEEN INDIVIDUALS BENEFIT FROM THIS SERVICE ON AN ANNUAL BASIS.IN CONJUNCTION WITH CABRINI IMMIGRANT SERVICES, THE ADHC PROGRAM SPACE WAS USED TO ACCOMMODATE THE EDUCATIONAL NEEDS OF ESL STUDENTS THREE TIMES PER WEEK. APPROXIMATELY TWENTY FIVE STUDENTS BENEFITED FROM THIS SERVICE LAST YEAR.
(Code:   ) (Expenses $ 112,000 including grants of $ 6,680 ) (Revenue $   )
CABRINI IMMIGRANT SERVICES IS A MULTI-SERVICE COMMUNITY AND FAITH-BASED AGENCY THAT PROVIDES A BROAD RANGE OF CULTURALLY AND LANGUAGE APPROPRIATE SERVICES TO IMMIGRANTS, REFUGEES, AND ASYLEES AND THEIR FAMILIES. CIS, LOCATED ON THE LOWER EAST SIDE/CHINATOWN AREA OF MANHATTAN, IS ABLE TO MEET THE SPECIAL NEEDS OF IMMIGRANT POPULATIONS THROUGH BOTH SUPPORTIVE SERVICES AND CONCRETE ASSISTANCE THAT ENCOURAGES ECONOMIC INDEPENDENCE AND SOCIAL EMPOWERMENT, FOSTERS INDIVIDUAL GROWTH AND DEVELOPMENT AND PROMOTE SELF-DETERMINATION FOR IMMIGRANT FAMILIES, CHILDREN AND YOUTH. CABRINI IMMIGRANT SERVICES' STAFF, WHO ARE BOTH BI-CULTURAL AND MULTI-LINGUAL, PROVIDE INDIVIDUAL, FAMILY AND GROUP COUNSELING, FOOD PANTRY ASSISTANCE, INFORMATION AND REFERRAL TO COMMUNITY RESOURCES, ADVOCACY WITH SCHOOLS, HEALTH CARE, HOUSING, CHILD WELFARE AND LEGAL SERVICES. CABRINI IMMIGRANT SERVICES ALSO WORKS COLLABORATIVELY WITH A NUMBER OF ORGANIZATIONS CITY-WIDE TO PROVIDE INFORMATION SEMINARS AND REFERRALS.CABRINI IMMIGRANT SERVICES, AN OUTREACH OF CABRINI CENTER FOR NURSING AND REHABILITATION, SHARES THE CORE VALUES OF PROVIDING HIGH QUALITY SERVICES WHICH FOSTER DIGNITY, RESPECT, AND COMPASSION TO THE IMMIGRANT COMMUNITY OF NEW YORK CITY. LIKE CCNR, CIS STRIVES TO EMPOWER OUR COMMUNITY MEMBERS AND THEIR FAMILIES REGARDLESS OF AGE, RACE, RELIGION, ETHNIC BACKGROUND, OR FINANCIAL NEED. CIS IS COMMITTED TO IMPROVING FAMILY STABILITY, PHYSICAL AND MENTAL HEALTH, AND THE WELL BEING OF THE IMMIGRANT COMMUNITY THROUGH ITS MANY PROGRAMS. ALONG WITH EMPOWERING OUR COMMUNITY MEMBERS, CIS ALSO IS COMMITTED TO TEACHING NEW SERVICE PROVIDERS IN THE FIELD AND WORKING CLOSELY WITH HUNTER COLLEGE SCHOOL OF SOCIAL WORK, COLUMBIA SCHOOL OF SOCIAL WORK, AND THE CABRINI MISSION CORPS. THESE ALLIANCES HELP US PROVIDE LEARNING EXPERIENCES WHICH ENSURE THERE IS A CONTINUOUS FLOW OF HIGH QUALITY, COMPASSIONATE SERVICE PROVIDERS IN THE CARE GIVING PROFESSIONS. WHILE OVER 2,200 INDIVIDUALS RECEIVED SERVICES FROM CABRINI IMMIGRANT SERVICES IN 2010, THE FOLLOWING IS A DESCRIPTION OF EACH OF THE MAIN PROGRAMS INCLUDING THE NUMBER OF PEOPLE SERVED: IMMIGRANT FAMILY PROGRAM: SERVED OVER 633 IN 2010THE IMMIGRANT FAMILY PROGRAM PROVIDES LEGAL, EDUCATIONAL, SUPPORTIVE, AND CASE MANAGEMENT SERVICES TO IMMIGRANTS AND THEIR FAMILIES. AS AN ORGANIZATION ACCREDITED BY THE BUREAU OF IMMIGRATION APPEALS, CIS PROVIDES FAMILY BASED LEGAL IMMIGRATION SERVICES AS WELL AS ASSISTANCE WITH CITIZENSHIP AND NATURALIZATION. THE FAMILY PROGRAM ALSO PROVIDES CULTURALLY COMPETENT INDIVIDUAL AND GROUP COUNSELING WITH A FOCUS ON ISSUES PROMINENT IN THE IMMIGRANT COMMUNITY: ADJUSTMENT AND ACCULTURATION STRESSORS, DOMESTIC VIOLENCE, ANXIETY AND DEPRESSION, INTERFAMILIAL CONFLICT, AND STRESS MANAGEMENT. CIS ALSO WORKS WITH IMMIGRANT STUDENTS AND THEIR FAMILIES TO ENSURE THAT THEY ARE ABLE TO ACCESS THE SERVICES NECESSARY TO THRIVE IN THE EDUCATIONAL SYSTEM AND PROVIDES RESOURCES AND INFORMATION NECESSARY TO CONTINUE ON TO HIGHER EDUCATION AFTER HIGH SCHOOL GRADUATION. THROUGH THE FAMILY PROGRAM, CIS ALSO OFFERS MONTHLY JUSTICE FOR IMMIGRANTS MEETINGS WHERE COMMUNITY MEMBERS ARE PROVIDED WITH IMMIGRATION LAW UPDATES, LEADERSHIP TRAINING, KNOW YOUR RIGHTS WORKSHOPS, AND THE OPPORTUNITY TO WORK CLOSELY WITH THEIR ELECTED OFFICIALS TO PROMOTE PRO-IMMIGRANT LEGISLATION. IN 2010, CIS ALSO TOOK ITS MOST INVOLVED FAMILIES ON 3 FAMILY TRIPS OUTSIDE OF THE CITY PROVIDING THE OPPORTUNITY FOR LOW INCOME FAMILIES TO ENJOY QUALITY TIME AND EXPLORE NEW ENVIRONMENTS TOGETHER. ESOL PROGRAM: SERVED OVER 100 STUDENTS PER SEMESTERTHE CIS ESOL PROGRAM PROVIDES 5 LEVELS OF ENGLISH CLASSES, CITIZENSHIP PREP, PERSONAL FINANCE, AND INTERVIEW SKILLS CLASSES TO NATIVE SPEAKERS OF LANGUAGE OTHER THAN ENGLISH. STUDENTS ARE GIVEN A STANDARDIZED ASSESSMENT BY THE PROGRAM COORDINATOR TO DETERMINE THEIR LEVEL AND THEN ARE PLACED IN A CLASS OF NO MORE THAN 15 STUDENTS. A SMALL DONATION OF $25 IS ASKED OF EACH STUDENT TO HELP OFFSET THE COST OF TEXTBOOKS. HOWEVER, NO STUDENT IS TURNED AWAY BECAUSE OF AN INABILITY TO PAY. A CORE OF VOLUNTEER TEACHERS WHO ARE TRAINED IN CURRICULUMS AND TEACHING TECHNIQUES EFFECTIVE FOR ADULT LEARNERS TEACH CLASSES AND CONDUCT REGULAR ASSESSMENTS TO DETERMINE IF THE STUDENT SHOULD REMAIN IN THEIR CURRENT CLASS OR IF THEY HAVE PROGRESSED TO THE NEXT LEVEL. STUDENTS WHO ARE NOT ABLE TO COME TO GROUP CLASSES CAN ALSO OPT FOR PRIVATE OR SMALL GROUP TUTORING. FOOD PANTRY: SERVED AVERAGE OF 700 FAMILIES MONTHLYTHE CIS FOOD PANTRY DISPENSES NUTRITIOUS FOOD INCLUDING FRESH PRODUCE, BREAD, MEAT, AND FISH TO FAMILIES RESIDING IN THE 10002 OR 10003 ZIP CODES. FAMILIES ARE ELIGIBLE TO RECEIVE A PACKAGE ONCE A MONTH. FAMILIES ARE ASKED TO PROVIDE ONLY PROOF OF ADDRESS TO ENROLL IN THE FOOD PANTRY; THERE ARE NO OTHER ELIGIBILITY REQUIREMENTS. SPECIAL DISTRIBUTIONS ARE GIVEN FOR THANKSGIVING, CHRISTMAS, AND EASTER. THESE PACKAGES PROVIDE HOLIDAY MEALS INCLUDING TURKEY, CHICKEN, OR HAM TO COMMUNITY MEMBERS.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 112,000 including grants of $ 6,680 ) (Revenue $   )
4e Total program service expensesMediumBullet$ 26,965,034
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
Yes
 
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
70
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
357
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
8
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
8
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
DAVID ARDITTI
542 E 5TH STREET
NEW YORK,NY10009
(212) 358-6265
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) FREDDA VLADECK
TRUSTEE
 .30 X           0 0 0
(2) MIKE HOFFMAN
CHAIRMAN
 .30 X   X       0 0 0
(3) ROBERT DAVIS KENNEDY MD
TRUSTEE
 .30 X           0 0 0
(4) SR DIANE OLMSTEAD MSC
VICE CHAIR
 .30 X   X       0 0 0
(5) RICHARD M SCARLATA
TRUSTEE
 .30 X           0 0 0
(6) DAVID DECERBO ESQ
TRUSTEE
 .30 X           0 0 0
(7) PAUL NEUBELT
TRUSTEE
 .30 X           0 0 0
(8) JAMES LEE
TRUSTEE
 .30 X           0 0 0
(9) PATRICIA KRASNAUSKY
PRESIDENT, CEO
 18.80     X       0 352,359 30,206
(10) MARY DEVLIN
ADMINISTRATOR/COO/SECRETARY
 35.00     X       190,318 0 22,014
(11) DAVID ARDITTI
VP/CFO/TREASURER
 18.80     X       0 216,887 30,310
(12) JEFFREY N NICHOLS
MEDICAL DIRECTOR
 33.20         X   275,439 0 36,444
(13) LORRAINE HORGAN
VP OF EXTERNAL AFFAIRS
 18.80         X   0 157,626 27,889
(14) DEBORAH ENGELSON
CONTROLLER
 15.00         X   0 150,808 27,952
(15) CLAIRE BOLAND ARELLANO
VP HUMAN RESOURCES
 17.80         X   0 160,576 30,843
(16) KEVIN HOWE
DIRECTOR OF RESIDENTS ACCOUNTS
 18.80         X   0 162,372 28,144


Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 465,757 1,200,628 233,802
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet7
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
CABRINI CARE AT HOME
220 EAST 19TH STREET
NEW YORK,NY10003 		HEALTHCARE SERVICES 557,170
MED FIRST INC
PO BOX 931974
CLEVELAND,OH44193 		HEALTHCARE SERVICES 453,873
MITCHELL MARTIN INC
307 WEST 38TH STREET SUITE 1305
NEW YORK,NY10018 		HEALTHCARE SERVICES 291,714
RELIABLE COMMUNITY CARE
160 BROADWAY
NEW YORK,NY10038 		HEALTHCARE SERVICES 263,398
SPECIALISTS TEMPORARY PERSONNEL
PO BOX 931974
CLEVELAND,OH44193 		HEALTHCARE SERVICES 252,665
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet11
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 95,795
d Related organizations...1d 5,000
e Government grants (contributions)1e 112,432
f All other contributions, gifts, grants, and
similar amounts not included above1f 		85,679
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 298,906
Program Service Revenue Business Code
2a MEDICAID REVENUE 623,000 16,932,019 16,932,019    
b MEDICARE REVENUE 623,000 11,437,855 11,437,855    
c PRIVATE PATIENT REVENU 623,000 1,357,605 1,357,605    
d OTHER PATIENT REVENUE 623,000 120,768 120,768    
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 29,848,247
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 5,483     5,483
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet        
8a Gross income from fundraising events (not including
$ 95,795
of contributions reported on line 1c). See Part IV, line 18 ...
a 12,005
b Less: direct expenses ...b 12,330
c Net income or (loss) from fundraising events..MediumBullet -325   -325
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 5,525
b Less: direct expenses ...b 1,000
c Net income or (loss) from gaming activities...MediumBullet 4,525     4,525
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a MANAGEMENT FEE 541,610 121,488     121,488
b VENDING MACHINES 900,099 1,203     1,203
c MEDICAL RECORD ABST FE 900,099 1,150     1,150
d All other revenue .... 325     325
e Total. Add lines 11a–11d ......MediumBullet 124,166
12 Total revenue. See Instructions....MediumBullet 30,281,002 29,848,247 0 133,849
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 6,680 6,680
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 212,332   212,332  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 12,289,481 10,919,997 1,327,983 41,501
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 840,488 743,483 94,110 2,895
9 Other employee benefits ....... 3,817,721 3,379,220 425,782 12,719
10 Payroll taxes ........... 963,120 840,162 119,687 3,271
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 122,756 6,155 116,601  
c Accounting ........... 42,000   42,000  
d Lobbying ........... 14,808   14,808  
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 1,099,774 995,963 103,811  
12 Advertising and promotion .... 13,822 336 6,736 6,750
13 Office expenses ....... 2,661,005 2,458,615 188,845 13,545
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 1,618,399 1,618,399    
17 Travel ............ 43,138 33,285 9,017 836
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 715,050 676,804 36,315 1,931
23 Insurance .............. 226,505 20,861 205,644  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PURCHASED & CONTRACTED 3,790,639 3,576,316 214,323  
b NYS CASH RECEIPTS ASSES 1,016,029 1,016,029    
c BAD DEBT EXPENSES 658,403 658,403    
d OTHER DIRECT EXPENSES 45,022 14,326 27,897 2,799
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 30,197,172 26,965,034 3,145,891 86,247
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 329,394 1 156,408
2 Savings and temporary cash investments ....... 849,550 2 2,342,351
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 4,977,007 4 4,407,049
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 62,924 8 62,924
9 Prepaid expenses and deferred charges ............ 265,224 9 197,362
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 7,155,582
b Less: accumulated depreciation. ..... 10b 5,618,306 1,963,186 10c 1,537,276
11 Investments—publicly traded securities .......... 185,783 11 204,215
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 402,100 15 256,272
16 Total assets. Add lines 1 through 15 (must equal line 34)... 9,035,168 16 9,163,857
Liabilities 17 Accounts payable and accrued expenses . 3,602,479 17 3,282,817
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 147,697 21 133,397
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 5,650,019 25 6,015,161
26 Total liabilities. Add lines 17 through 25..... 9,400,195 26 9,431,375
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... -422,608 27 -294,943
28 Temporarily restricted net assets ..... 57,581 28 27,425
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... -365,027 33 -267,518
34 Total liabilities and net assets/fund balances ..... 9,035,168 34 9,163,857
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
30,281,002
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
30,197,172
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
83,830
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
-365,027
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
13,679
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
-267,518
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
CABRINI CENTER FOR NURSING & REHABILITATION
 
Employer identification number

13-3742893
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 202,116 331,030 304,796 382,150 298,906 1,518,998
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... 26,293,040 27,787,823 28,756,792 29,216,318 29,865,777 141,919,750
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5. 26,495,156 28,118,853 29,061,588 29,598,468 30,164,683 143,438,748
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...         24,100 24,100
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.           0
c Add lines 7a and 7b..         24,100 24,100
8 Public Support (Subtract line 7c from line 6.)           143,414,648
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6... 26,495,156 28,118,853 29,061,588 29,598,468 30,164,683 143,438,748
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 16,351 21,810 12,695 6,728 5,483 63,067
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b. 16,351 21,810 12,695 6,728 5,483 63,067
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) 81,634 40,937 58,981 96,423 124,166 402,141
13 Total support (Add lines 9, 10c, 11 and 12.). 26,593,141 28,181,600 29,133,264 29,701,619 30,294,332 143,903,956
14
Section C. Computation of Public Support Percentage
15
15
99.660 %
16
16
99.730 %
Section D. Computation of Investment Income Percentage
17
17
0.040 %
18
18
0.060 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME NET INCOME FROM SPECIAL EVENTS MEDICAL RECORDS ABSTRACT FEE VENDING MACHINE MANAGEMENT FEE
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
CABRINI CENTER FOR NURSING & REHABILITATION
 
Employer identification number

13-3742893
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
CABRINI CENTER FOR NURSING & REHABILITATION
  		Employer identification number

13-3742893
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
CABRINI CENTER FOR NURSING & REHABILITATION
  		Employer identification number

13-3742893
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
CABRINI CENTER FOR NURSING & REHABILITATION
  		Employer identification number

13-3742893
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
CABRINI CENTER FOR NURSING & REHABILITATION
 
Employer identification number

13-3742893
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
14,808
j
Total. lines 1c through 1i ...................................
14,808
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: PORTION OF MEMBERSHIP DUES ASSOCIATED WITH LOBBYING PURPOSES.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CABRINI CENTER FOR NURSING & REHABILITATION
 
Employer identification number

13-3742893
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............   3,340,783 2,891,932 448,851
d Equipment ................   3,482,328 2,726,374 755,954
e Other .................   332,471   332,471
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 1,537,276
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
DUE TO AFFILIATES 85,161
DUE TO THIRD PARTY 5,930,000







Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 6,015,161
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 30,281,002
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 30,197,172
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 83,830
4 Net unrealized gains (losses) on investments .......................... 4 13,679
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 13,679
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 97,509
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 30,294,681
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 13,679
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e 13,679
3 Subtract line 2e from line 1..................... 3 30,281,002
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 30,281,002
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 30,197,172
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e 0
3 Subtract line 2e from line 1..................... 3 30,197,172
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 30,197,172
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
  PART IV, LINE 2B: RESIDENTS' FUNDS ARE HELD BY THE CENTER ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT LIVING ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE CENTER FOR SAFEKEEPING. THE 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 RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS 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. THE CENTER IS NO LONGER SUBJECT TO AUDITS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2007.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CABRINI CENTER FOR NURSING & REHABILITATION
 
Employer identification number

13-3742893
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

BOWLING EVENT
(event type) 		(b) Event #2

 
(event type) 		(c) Other Events

  
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 107,800     107,800
2 Less: Charitable
contributions . . . 		95,795     95,795
3 Gross income (line 1
minus line 2) . . . 		12,005     12,005
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . . 150     150
6 Rent/facility costs . .        
7 Food and beverages . . 12,180     12,180
8 Entertainment . . .        
9 Other direct expenses .        
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 12,330
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -325
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
CABRINI CENTER FOR NURSING & REHABILITATION
 
Employer identification number
13-3742893
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance






















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
 
3
Enter total number of other organizations ................................ . Bullet Image
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) THE ANGEL FUND IS AN EDUCATIONAL SCHOLARSHIP FUND TO HELP IMMIGRANTS WHO ARE NOT ELIGIBLE FOR THE USUAL STUDENT FINANCIAL AID PROGRAMS CONTINUE WITH THEIR EDUCATION. THE SCHOLARSHIP COVERS ANY PROVEN EDUCATIONAL RELATED EXPENSES, SUCH AS TUITION, FEES, SCHOOL SUPPLIES AND BOOKS. 10 6,680      













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ANGEL FUND IS AN EDUCATIONAL SCHOLARSHIP FUND TO HELP IMMIGRANTS WHO ARE NOT ELIGIBLE FOR THE USUAL STUDENT FINANCIAL AID PROGRAMS TO CONTINUE WITH THEIR EDUCATION. THE APPLICANTS HAVE TO PROVIDE INFORMATION ON THE CLASSES THEY ARE INTERESTED IN AND EXPLAIN WHY THEY NEED THE ASSISTANCE. THE RECIPIENTS PROVIDE PROOF OF ENROLLMENT IN THE PROGRAM AND IN 2010, ARE ALSO REQUIRED TO PROVIDE VOLUNTEER HOURS AT CABRINI IMMIGRANT SERVICES (OR THE EQUIVALENT). EACH SCHOLARSHIP RECIPENT IS REQUIRED TO SIGN A PARTICIPATION AGREEMENT THAT STATES THE FOLLOWING: - THEY AGREE TO USE THE SCHOLARSHIP MONEY FOR THE AGREED UPON EDUCATIONAL GOALS - VOLUNTEER AT CABRINI IMMIGRANT SERVICES TWO HOURS PER WEEK DURING THE SCHOLARSHIP PERIOD (A SCHEDULE WILL BE WORKED OUT WITH EACH INDIVIDUAL STUDENT); - MEET WITH THE DESIGNATED CIS STAFF PERSON MONTHLY DURING THE SCHOLARSHIP PERIOD; - TO PASS ALL COURSES THAT THEY TAKE. STUDENTS THAT FAIL CLASSES OR DROPOUT FROM CLASSES OR SCHOOL MAY LOSE THEIR EDUCATIONAL FUNDING THROUGH THE ANGEL FUND PROGRAM; - TO CONTACT CABRINI IMMIGRANT SERVICES IMMEDIATELY IF MY PHONE NUMBER OR ADDRESS CHANGES THE SCHOLARSHIP COVERS ANY PROVEN EDUCATIONAL RELATED EXPENSES, SUCH AS TUITION, FEES, SCHOOL SUPPLIES AND BOOKS. THE STUDENT MUST PROVIDE RECEIPTS OF ALL EXPENSES. (NOTE: IT ONLY COVERS COLLEGE ESL LEVEL CLASSES AT UNIVERSITY INSTITUTIONS FOR STUDENTS WHO ARE PLANNING TO GO TO COLLEGE). IT DOES NOT COVER COMPUTERS OR TRANSPORTATION EXPENSES. THE AMOUNT OF THE AWARD PER STUDENT IS DETERMINED ANNUALLY. SCHOLARSHIPS MAY BE GRANTED FOR A MINIMUM OF A SCHOOL SEMESTER (FALL, SPRING, SUMMER, OR WINTER) AND A MAXIMUM OF ONE ACADEMIC YEAR (MAXIMUM 3 SEMESTERS). HALF OF THE AWARD WILL BE DISTRIBUTED AT THE AWARD CEREMONY AT THE END OF JULY 2011 AND THE SECOND PART WILL BE DELIVERED IN JANUARY 2012. TO GET THE SECOND CHECK STUDENTS MUST SUBMIT RECEIPTS OF THEIR EDUCATIONAL EXPENSES BY THE END OF DECEMBER 2011. STUDENTS CAN REAPPLY TO THE ANGEL FUND FOR UP TO 4 CONSECUTIVE YEARS WITH NO GUARANTEE THAT THEY WILL BE AWARDED EACH YEAR. THE SECOND OBJECTIVE IS TO MONITOR STUDENT'S PROGRESS AND ASSIST THEM IN THEIR JOURNEY. IT WILL PROVIDE EMOTIONAL SUPPORT, EDUCATIONAL GUIDANCE, AND ADVOCACY TO HELP STUDENTS TO ATTAIN THEIR EDUCATIONAL GOALS, NAVIGATE THE US SCHOOL SYSTEM, AND IMPROVE THEIR QUALITY OF LIFE IN THE UNITED STATES. STUDENTS MUST AGREE TO COMMIT TWO HOURS OF VOLUNTEER TIME AT CABRINI IMMIGRANT SERVICES ON A WEEKLY BASIS. STUDENTS MUST ALSO MEET WITH THE DESIGNATED CIS STAFF PERSON ON A MONTHLY BASIS TO DISCUSS THEIR PROGRESS AT SCHOOL AND ANY OTHER ISSUES THAT HAVE ARISEN.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CABRINI CENTER FOR NURSING & REHABILITATION
 
Employer identification number

13-3742893
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) PATRICIA KRASNAUSKY (i)
(ii)		 0
352,359 		0
0 		0
0 		0
17,378 		0
12,828 		0
382,565 		0
0
(2) MARY DEVLIN (i)
(ii)		 190,318
0 		0
0 		0
0 		11,804
0 		10,210
0 		212,332
0 		0
0
(3) DAVID ARDITTI (i)
(ii)		 0
216,887 		0
0 		0
0 		0
9,646 		0
20,664 		0
247,197 		0
0
(4) JEFFREY N NICHOLS (i)
(ii)		 275,439
0 		0
0 		0
0 		14,914
0 		21,530
0 		311,883
0 		0
0
(5) LORRAINE HORGAN (i)
(ii)		 0
157,626 		0
0 		0
0 		0
9,719 		0
18,170 		0
185,515 		0
0
(6) DEBORAH ENGELSON (i)
(ii)		 0
150,808 		0
0 		0
0 		0
9,298 		0
18,654 		0
178,760 		0
0
(7) CLAIRE BOLAND ARELLANO (i)
(ii)		 0
160,576 		0
0 		0
0 		0
9,890 		0
20,953 		0
191,419 		0
0
(8) KEVIN HOWE (i)
(ii)		 0
162,372 		0
0 		0
0 		0
10,000 		0
18,144 		0
190,516 		0
0








Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
CABRINI CENTER FOR NURSING & REHABILITATION
 
Employer identification number

13-3742893
Identifier Return Reference Explanation
ORGANIZATION MISSION STATEMENT FORM 990, PART I, LINE 1 CCNR OFFERS THE FOLLOWING PROGRAMS AND SERVICES: NURSING HOME CARE, FEATURING 24-HOUR SKILLED NURSING CARE, SPECIALIZED PROGRAMS INCLUDING, SHORT-TERM REHABILITATION, ALZHEIMER'S AND DEMENTIA CARE, NUTRITIONAL PROGRAMS, SOCIAL WORK SERVICES, AND RECREATIONAL ACTIVITIES. ADULT DAY CARE, SERVES BOTH FRAIL ELDERS AND ADULTS WITH SPECIAL MEDICAL NEEDS, ENABLING THEM TO REMAIN IN THE COMMUNITY BY PROVIDING A MEDICALLY SUPPORTIVE AND SOCIALLY STIMULATING ENVIRONMENT THAT PROMOTES THEIR PHYSICAL, MENTAL AND EMOTIONAL WELL BEING. LONG TERM HOME HEALTH CARE PROGRAM, SEEKS TO PREVENT OR DELAY INSTITUTIONAL PLACEMENT FOR INDIVIDUALS WITH CHRONIC ILLNESSES OR DISABILITIES BY PROVIDING HOME HEALTH SERVICES TO FRAIL ELDERS AND ADULTS WITH MEDICAL NEEDS IN THE COMMUNITY. IN ADDITION, CCNR IS DEDICATED TO THE GROWING IMMIGRANT POPULATION IN THE COMMUNITY. CCNR CREATED A COMMUNITY BASED PROGRAM CALLED, "CABRINI IMMIGRANT SERVICES." THE PROGRAM PROVIDES ASSISTANCE WITH NATURALIZATION AND IMMIGRATION ISSUES, AID IN PROCURING BENEFITS, AND PROVISION OF HEALTH SCREENING AND REFERRALS.
FORM 990, PART VI, SECTION A, LINE 4   THE BY-LAWS WERE AMENDED TO ALLOW A NON-TRUSTEE TO SERVE ON THE AUDIT COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 6   THERE SHALL BE EX-OFFICIO MEMBERS OF THE CORPORATION WHO SHALL BE DIVIDED INTO TWO CLASSES, CLASS A AND CLASS B, WHICH MAY APPOINT ADDITIONAL MEMBERS TO A THIRD CLASS, CLASS C, IN ACCORDANCE WITH SUBSECTIONS (B) (I) AND (II), AS FOLLOWS: (A) CLASS A SHALL BE COMPRISED OF THAT INDIVIDUAL WHO HOLDS THE OFFICE OF PROVINCIAL (HEREINAFTER THE "CLASS A MEMBER" OR "PROVINCIAL ") OF THE MISSIONARY SISTERS OF THE SACRED HEART OF JESUS, STELLA MARIS PROVINCE OR ITS CANONICAL SUCCESSOR (HEREINAFTER THE "RELIGIOUS INSTITUTE"). THE CLASS A MEMBER SHALL BE A VOTING EX-OFFICIO MEMBER OF THE CORPORATION. CLASS B SHALL BE COMPRISED OF THOSE INDIVIDUALS WHO HOLD THE OFFICE OF PROVINCIAL COUNCILORS (HEREINAFTER THE "CLASS B MEMBERS" OR THE "COUNCILORS") OF THE RELIGIOUS INSTITUTE. THE CLASS B MEMBERS SHALL BE VOTING EX-OFFICIO MEMBERS OF THE CORPORATION. THE CLASS A MEMBERS AND THE CLASS B MEMBERS ARE COLLECTIVELY REFERRED TO AS "EX-OFFICIO MEMBERS." (B) THE EX -OFFICIO MEMBERS MAY FROM TIME TO TIME BY A MAJORITY VOTE APPOINT MEMBERS OF CLASS C AS FOLLOWS: (I) A NON-COUNCIL MEMBER OF THE RELIGIOUS INSTITUTE MAY BE APPOINTED TO SIT AS A VOTING MEMBER OF THIS CORPORATION FOR A TERM TO BE SET BY THE APPOINTING EX-OFFICIO MEMBERS, WHICH TERM SHALL BE STATED IN THE APPOINTING RESOLUTION. THE CLASS C MEMBER SO APPOINTED (HEREINAFTER THE "CLASS C MISSIONARY SISTER MEMBER") MAY BE REMOVED, WITH OR WITHOUT CAUSE, DURING SAID TERM BY A RESOLUTION ADOPTED BY THE EX-OFFICIO MEMBERS; AND (II) IN ADDITION TO THE CLASS C MISSIONARY SISTER MEMBER, THE EX-OFFICIO MEMBERS EX-OFFICIO MEMBERS MAY, FROM TIME TO TIME, APPOINT A TRUSTEE, INCLUDING HONORARY TRUSTEES, AS A VOTING MEMBER OF CLASS C (HEREINAFTER REFERRED TO AS "CLASS C TRUSTEE MEMBER. ") IF THE EX -OFFICIO MEMBERS ADOPT A RESOLUTION PROVIDING FOR A CLASS C TRUSTEE MEMBER, THE EX-OFFICIO MEMBERS MAY APPOINT A CLASS C TRUSTEE MEMBER WITH A VOTE FOR A ONE (1) YEAR TERM. IF THE EX -OFFICIO MEMBERS EXERCISE THE RIGHT TO APPOINT A CLASS C TRUSTEE MEMBER PURSUANT TO THE PROVISIONS OF THIS SUBSECTION (B) (II), THE APPOINTMENT SHALL BE MADE AND BECOME EFFECTIVE AT AN ANNUAL MEETING OF THE MEMBERS PURSUANT TO ARTICLE V, SECTION 1 OF THESE BYLAWS AND SHALL TERMINATE AT THE END OF THE BUSINESS DAY IMMEDIATELY PRIOR TO THE NEXT ANNUAL MEETING FOLLOWING THE EFFECTIVE DATE OF OFFICE IN THE APPOINTING RESOLUTION. (C) THE EX-OFFICIO MEMBERS, THE CLASS C MISSIONARY SISTER MEMBER, IF APPOINTED PURSUANT TO SUBSECTION (B) ABOVE; AND THE CLASS C TRUSTEE MEMBER, IF APPOINTED PURSUANT TO SUBSECTION (B) ABOVE, COLLECTIVELY SHALL BE REFERRED TO IN THESE BYLAWS AS THE "MEMBERS." (D) THE PROVINCIAL AND THE PROVINCIAL COUNCILORS SHALL SERVE AS EX-OFFICIO MEMBERS OF THE CORPORATION DURING THEIR TERM IN OFFICE AS PROVINCIAL AND MEMBERS OF THE PROVINCIAL COUNCIL OF THE RELIGIOUS INSTITUTE. MEMBERS CEASING TO FUNCTION AS PROVINCIAL OR AS MEMBERS OF THE PROVINCIAL COUNCIL SHALL CEASE TO BE EX-OFFICIO MEMBERS OF THE CORPORATION. A CERTIFIED RESOLUTION OF THE SECRETARY OF THE RELIGIOUS INSTITUTE NAMING THE VALIDLY ELECTED AND CANONICALLY INSTALLED PROVINCIAL AND PROVINCIAL COUNCIL SHALL BE BINDING IN THIS MATTER. THE APPOINTMENT OR REAPPOINTMENT OF EITHER OR BOTH OF THE CLASS C MISSIONARY SISTER MEMBER AND/OR THE CLASS C TRUSTEE MEMBER SHALL REQUIRE THE AFFIRMATIVE ACTION'S OF THE EX-OFFICIO MEMBERS AT EACH ANNUAL MEETING. FAILURE OF THE EX-OFFICIO MEMBERS TO TAKE ACTION BY RESOLUTION ANNUALLY SHALL MEAN THAT THERE IS NO CLASS C MISSIONARY SISTER MEMBER OR CLASS C TRUSTEE MEMBER, AS THE CASE MAY BE, FOR THE YEAR FOLLOWING THE ANNUAL MEETING AT WHICH THE APPOINTMENT OR ITS RENEWAL WAS TO HAVE BEEN TAKEN BY A RESOLUTION. FOR PURPOSES OF TAKING CORPORATE ACTION FOR APPOINTING MEMBERS PURSUANT TO SECTION L(B), ALL POWER SHALL BE VESTED SOLELY IN THE EX-OFFICIO MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A   THE MISSIONARY SISTERS OF SACRED HEART OF NY HAVE THE POWER TO ELECT MEMBERS OF THE GOVERNING BODY AFTER THE NOMINATING COMMITTEE SENDS THEM A NOMINATION FOR THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7B   THE MEMBERS HAVE THE RIGHT TO AMEND THE BY-LAWS AND CERTIFICATE OF INCORPORATION, AND APPROVE SUBSTANTIAL TRANSACTIONS.
FORM 990, PART VI, SECTION B, LINE 11   CABRINI CENTER FOR NURSING AND REHABILITATION 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 THE CONFLICT OF INTEREST POLICY IS APPLICABLE TO DIRECTORS, OFFICERS, AND TO ALL EMPLOYEES WHO CAN INFLUENCE THE ACTIONS OF THE ORGANIZATION. ANNUALLY, EACH DIRECTOR, OFFICER, AND MANAGEMENT EMPLOYEE HAS TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, WHICH WILL INFORM THE ORGANIZATION OF ANY POTENTIAL OR ACTUAL CONFLICTS A PERSON MAY HAVE. IF ANYTHING SHOULD CHANGE AFTER SIGNING THE POLICY, THE PERSON IS REQUIRED TO NOTIFY THE CEO OR BOARD CHAIR REGARDING THE CONFLICT. TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: 1. THE CONFLICTING INTEREST IS FULLY DISCLOSED; 2. THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; 3. A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS; AND 4. THE [BOARD OR A DULY CONSTITUTED COMMITTEE THEREOF] HAS DETERMINED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. DISCLOSURE IN THE ORGANIZATION SHOULD BE MADE TO THE CHIEF EXECUTIVE OFFICER (OR IF SHE OR HE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD CHAIR), WHO SHALL BRING THE MATTER TO THE ATTENTION OF THE AUDIT COMMITTEE OF THE BOARD. DISCLOSURE INVOLVING DIRECTORS SHOULD BE MADE TO THE BOARD CHAIR, (OR IF SHE OR HE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD VICE-CHAIR) WHO SHALL BRING THESE MATTERS TO THE AUDIT COMMITTEE OF THE BOARD. THE AUDIT COMMITTEE OF THE BOARD SHALL DETERMINE WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO CCNR. THE DECISION OF THE AUDIT COMMITTEE OF THE BOARD ON THESE MATTERS WILL REST IN THEIR SOLE DISCRETION, AND THEIR CONCERN MUST BE THE WELFARE OF CCNR AND THE ADVANCEMENT OF ITS PURPOSE.
  FORM 990, PART VI, SECTION B, LINE 15 IN 2008 A PROCESS WAS DEVELOPED TO DETERMINE THE COMPENSATION OF KEY EMPLOYEES AND OFFICERS OF THE ORGANIZATION AND ITS RELATED ENTITIES, RESULTING IN IDENTIFICATION OF THESE POSITIONS APPROPRIATE FOR ANNUAL COMPENSATION REVIEW: PRESIDENT AND CEO VICE PRESIDENT AND CFO VICE PRESIDENT AND ADMINISTRATOR (2) VICE PRESIDENT OF LICENSED HOMECARE AGENCY PURSUANT TO THIS PROCESS, COMPARABLE COMPENSATION DATA FOR EACH OF THESE TITLES WERE OBTAINED FROM AN INDEPENDENT COMPENSATION ANALYSIS FIRM. THE FIRM BENCHMARKED THE COMPENSATION OF THESE EXECUTIVE LEVEL POSITIONS USING PROPRIETARY DATABASES AND PARTICIPATORY COMPENSATION SURVEY SOURCES. IN 2009, THE BENCH MARK RESULTS WERE UPDATED BY AN INDEPENDENT COMPENSATION ANALYSIS FIRM. ALL BUT THE VP/CFO POSITION (VACANT AT THE TIME OF ANLYSIS) WETRE FOUND TO BE WITHIN 98% OF THE MARKET AVERAGE (OR MARKET MEAN) FOR EACH OF THE POSITIONS. CONSISTENT WITH ALL OTHER MANAGEMENT AND SUPERVISORY STAFF, IN 2010, THE COMPENSATION OF THESE POSITIONS WAS NOT INCREASED. THE COMPENSATION REVIEW FOR THE PRESIDENT AND CEO POSITION, RELYING UPON INDEPENDENT COMPARABLE COMPENSATION DATA, WAS MADE BY THE BOARD OF TRUSTEES. NOTWITHSTANDING THE BOARD'S CONTINUED CONFIDENCE AND TRUST IN THE CEO, THE BOARD DETERMINED NOT TO INCREASE SALARY BASED UPON PREVAILING ECONOMIC CONDITIONS AND REDUCED NEW YORK STATE FUNDING. DOCUMENTATION CONTEMPORANEOUS WITH THE DELIBERATIONS OF THE BOARD OF TRUSTEES WAS MADE AND ENTERED INTO THE MINUTES OF THE BOARD OF TRUSTEES EXECUTIVE SESSION; A MEMORANDUM AND PERFORMANCE ASSESSMENT SUMMARY WAS ISSUED AND FILED IN THE PERSONNEL FILE.
  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 BY POSTING IT ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST AT 542 EAST 5TH STREET, NEW YORK, NY 10009...OR BY CALLING THE ORGANIZATION DIRECTLY AT (212)-358-3000.
  FORM 990, PART VII, SECTION A THE FOLLOWING BOARD MEMBERS OF CABRINI CENTER FOR NURSING AND REHABILITATION VOLUNTEERED FOR AN AVERAGE OF .10 HOURS FOR CABRINI HOUSING DEVELOPMENT FUND CORPORATION: FREDDA VLADECK, ROBERT DAVIS KENNEDY, AND RICHARD SCARLATA. PATRICIA KRASNAUSKY WORKED AN AVERAGE OF 18.80 HOURS FOR CABRINI OF WESTCHESTER, .10 HOURS FOR CABRINI HOUSING DEVELOPMENT FUND CORPORATION, AND .30 HOURS FOR CABRINI CARE AT HOME. MARY DEVLIN WORKED AN AVERAGE OF .10 HOURS PER WEEK FOR CABRINI HOUSING DEVELOPMENT FUND CORPORATION. DAVID ARDITTI WORKED AVERAGE OF 18.80 HOURS FOR CABRINI OF WESTCHESTER, AND .30 HOURS FOR CABRINI CARE AT HOME. JEFF NICHOLS WORKED AN AVERAGE OF 1.8 HOURS PER WEEK FOR CABRINI OF WESTCHESTER. LORRAINE HORGAN WORKED AN AVERAGE OF 18.80 HOURS PER WEEK FOR CABRINI OF WESTCHESTER. DEBORAH ENGELSON WORKED AN AVERAGE OF 7.50 HOURS PER WEEK FOR CABRINI CARE AT HOME. CLAIRE BOLAND ARELLANO WORKED AN AVERAGE OF 17.80 FOR CABRINI OF WESTCHESTER AND 1.80 HOURS FOR CABRINI CARE AT HOME. KEVIN HOWE WORKED AN AVERAGE OF 18.80 HOURS FOR CABRINI OF WESTCHESTER.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 13,679.
  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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CABRINI CENTER FOR NURSING & REHABILITATION
 
Employer identification number

13-3742893
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) CABRINI OF WESTCHESTER

115 BROADWAY

DOBBS FERRY,NY10522
23-7063399 		RESIDENTIAL NURSING CARE FACILITY NY 501(C)(3) 7 N/A
 
No
(2) CABRINI CARE AT HOME

220 EAST 19TH STREET

NEW YORK,NY10003
02-0568159 		HOME CARE SERVICES FOR THE AGED, DISABLED AND IMPAIRED PERSONS NY 501(C)(3) 9 N/A
 
No
(3) CABRINI HOUSING DEVELOPMENT FUND CORPORATION

220 EAST 19TH STREET

NEW YORK,NY10003
02-0663534 		HOUSING FOR LOW INCOME AND MOBILITY IMPAIRED SENIORS NY 501(C)(3) 7 N/A
 
No








For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership












Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: