Preview
FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023
NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023
BUDIMIR EXHIBIT 53B
FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023
NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023
1/10/2023 2:07 PM 1 of 7
HOLLIS OPERATING CO., LLC D/B/A HOLLISWOOD CENTER FOR REHABILITATION AND HEALTHCARE
TRIAL BALANCE
1/1/2018 through 12/31/2018
*** ADJUSTED BALANCE ***
ACCOUNT ACCOUNT NAME DEBIT CREDIT
ASSETS
1010.0000 CASH 1,322.60
1016.0000 CASH 1,159,740.10
1022.0000 CASH P/R 10,553.88
1023.0000 CASH P/R 237,468.75
1024.0000 CASH P/R 720,134.78
1031.0000 CASH PAT FD 381,761.50
1060.0000 PETTY CASH 300.00
1061.0000 PETTY CASH 0.00
1110.0000 A/R PRIVATE 518,607.27
1111.0000 A/R PRIVATE 1,698,962.46
1112.0000 A/R PRIVATE 52,150.00
1120.0000 A/R MEDICARE 846,724.69
1130.0000 A/R MEDICAID 5,062,047.32
1135.0000 A/R MEDICAID 313,676.46
1140.0000 A/R BUDGET 252,132.32
1161.0000 ALLOWANCE BAD DEBTS 110,999.97
1170.0000 SEC DEPT PVT PAT 1,496.07
1222.0000 PPD INSURANCE 133,692.10
1291.0000 PPD R.E.T. 94,824.70
1292.0000 PPD UBT/CORP TAX 19,652.00
1300.0000 INVENTORY 44,975.77
1410.0000 L&E (ASSET) 7,779,690.88
1420.0000 ESCROW DEPOSITS 2,446.66
1423.0000 ESCROW OTHER 429,697.99
1430.0000 REPLACEMENT RESERVE 744,393.14
1450.0000 SECURITY DEP L/T 123,213.16
1540.0000 LEASEHOLD IMPROVEMENTS 4,009,548.84
1560.0000 MAJOR MOVEABLE EQUIP 2,307,853.86
1561.0000 TRANSP EQUIP 39,184.79
1580.0000 ORGANIZATION COST 66,643.05
1640.0000 ACC AMORT LHI 1,290,269.23
1660.0000 ACC DEPR MOV EQUIP 1,574,230.58
1661.0000 ACC DEPR TRANSP 35,266.32
1680.0000 ACC AMORT ORG COSTS 39,985.83
1701.0000 GOODWILL 16,376,390.00
TOTAL ASSETS 43,361,315.93 3,118,721.14
NET ASSETS 40,242,594.79
LIABILITIES
2100.0000 ACCOUNTS PAYABLE 2,845,943.17
2110.0003 NOTES PAYABLE S/T 229,028.77
2110.0004 NOTES PAYABLE S/T 31,140.30
HOLL1218 Trial Balance 12/31/18 For Internal Management Purposes Only
1
FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023
NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023
1/10/2023 2:07 PM 2 of 7
HOLLIS OPERATING CO., LLC D/B/A HOLLISWOOD CENTER FOR REHABILITATION AND HEALTHCARE
TRIAL BALANCE
1/1/2018 through 12/31/2018
*** ADJUSTED BALANCE ***
ACCOUNT ACCOUNT NAME DEBIT CREDIT
2113.0000 NOTES PAYABLE L/T 15,714,651.14
2114.0000 NOTES PAYABLE L/T 134,325.32
2120.0000 LOANS PAYABLE S/T 1,460,000.00
2129.0000 OTHER PAYABLE S/T 15,939,670.32
2260.0000 PATIENT ALLOW EXCH 6,309.50
2262.0000 PATIENT FUND 381,761.50
2298.0000 DUE TO 3RD PARTY PAYERS 399,032.36
2310.0000 FICA PAYABLE 1,778.79
2320.0000 FWT PAYABLE 4.97
2330.0000 SWT PAYABLE 0.80
2360.0000 UNION DUES PAYABLE 102,618.06
2363.0000 401K PENSION 12,306.71
2370.0000 GARNISHEE PAYABLE 2,496.02
2380.0000 EMPLOYEE LOANS 32,039.78
2420.0000 VOLUNTARY DED EXC 1,791.87
2500.0000 ACCRUED EXPENSES 1,053,084.14
2501.0000 ACCRUED PAYROLL 332,261.60
2501.1000 ACCR PTO 376,246.59
2502.0000 ACCRUED PAYROLL TAX 53,995.62
2504.0000 ACCRUED UNION 628,842.68
TOTAL LIABILITIES 35,610.44 39,703,719.57
NET LIABILITIES 39,668,109.13
CAPITAL
2800.0000 CAPITAL 730,455.37
2860.0000 1ST PART DRAW (CONT) 855,000.00
2864.0000 20,000.00
2866.0000 125,000.00
2870.0000 2ND PART DRAW (CONT) 25,000.00
TOTAL CAPITAL 1,025,000.00 730,455.37
NET CAPITAL 294,544.63
BALANCE SHEET TOTALS 44,421,926.37 43,552,896.08
NET INCOME 869,030.29
INCOME
HOLL1218 Trial Balance 12/31/18 For Internal Management Purposes Only
2
FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023
NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023
1/10/2023 2:07 PM 3 of 7
HOLLIS OPERATING CO., LLC D/B/A HOLLISWOOD CENTER FOR REHABILITATION AND HEALTHCARE
TRIAL BALANCE
1/1/2018 through 12/31/2018
*** ADJUSTED BALANCE ***
ACCOUNT ACCOUNT NAME DEBIT CREDIT
3110.0000 INC.MCD R&B 46,697,110.00
3120.0000 INC.MCD COINS 735,243.00
3130.0000 MCD CONT ALLOW 26,160,774.71
3164.0000 INC.MCD RETRO RT ADJ 525,235.45
3175.0000 INC REV ASSMNT ADD-ON 1,762,101.56
3275.0000 REVENUE ASSESSMENT 1,795,165.00
3310.0000 INC.MDCR R&B 5,018,515.00
3320.0000 INC.MDCR COINS 1,023,054.50
3320.0001 MDCR A COINS W/O 21,110.00
3330.0000 MDCR A CONTR ALLOW 261,893.93
3331.0000 MDCR B CONT ALLOW 1,203,749.57
3345.0000 MDCR FINAL SETTL 15,903.04
3349.0000 MDCR B PHYS THPY 1,026,490.67
3350.0000 MDCR B OCCP THPY 790,407.31
3351.0000 MDCR B SP THPY 84,680.64
3355.0000 MDCR B IV THPY 67,109.12
3357.0000 MDCR B INFLUENZA 44,813.50
3405.0000 INC.COMMERCIAL INS 16,592,975.00
3407.0000 INC.MEDICAID HMO 398,146.76
3410.0000 INC.PRIVATE R&B 945,114.22
3420.0000 INC.PVT COINS 287,811.50
3430.0000 INC.PVT CONT ALLOW 21,154.62
3432.0000 INC. COMM.INS.CONT ALLW 8,437,930.66
3436.0000 PRIVATE CONT ALLOW 52,150.00
3511.0000 INTEREST INCOME 3,755.96
3515.0000 OTHER INCOME 335,790.87
TOTAL REVENUE 38,715,089.06 75,593,097.53
NET REVENUE 36,878,008.47
EXPENSES
3805.0000 P/R OPERATORS SALARY 73,099.42
3810.0000 P/R OPERATORS SALARY 350,877.19
3811.0000 P/R ADMINISTRATOR 170,888.33
3821.0000 P/R OFFICE FISCAL 142,062.08
3822.0000 P/R OFFICE EMPLOYEES 139,751.67
3828.0001 P/R ADMISSION CLER 59,695.54
3831.0000 P/R DIR OF NURSING 233,761.14
3831.0001 P/R ASST DNS 200,321.15
3832.0000 P/R RNS SUPERV 706,783.22
3833.0000 P/R MDS NURSING 301,510.26
3834.0000 P/R RNS 4,107.86
3836.0000 P/R LPN 2,444,216.07
3838.0000 P/R AIDES & ORD 4,174,882.62
3840.0000 P/R NURSES SECT 64,868.28
HOLL1218 Trial Balance 12/31/18 For Internal Management Purposes Only
3
FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023
NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023
1/10/2023 2:07 PM 4 of 7
HOLLIS OPERATING CO., LLC D/B/A HOLLISWOOD CENTER FOR REHABILITATION AND HEALTHCARE
TRIAL BALANCE
1/1/2018 through 12/31/2018
*** ADJUSTED BALANCE ***
ACCOUNT ACCOUNT NAME DEBIT CREDIT
3841.0000 P/R CENTRAL SUPPLY 15,778.74
3843.0000 P/R LIBRARIAN 65,143.51
3847.0005 P/R HUMAN SERVICES 82,417.09
3850.0000 P/R PHYS THPY 45,243.57
3851.0000 P/R PHYS THPY AIDE 56,673.29
3852.0000 P/R PHYS THPY ASST 364,364.35
3854.0000 P/R REHAB COORDINATOR 91,792.42
3860.0000 P/R SPEECH THERAPY 90,367.43
3865.0000 P/R OCCUPATNL THPY 176,506.53
3866.0000 P/R OCCUP THPY AIDE 358,437.96
3870.0000 P/R SOCIAL SERVICES 76,848.14
3872.0000 P/R SOC SVC EMP 139,828.36
3881.0000 P/R ACTIVTS SUPV 59,346.27
3882.0000 P/R ACTIVTS EMP 209,933.19
3891.0000 P/R DIETARY SUPV 111,030.85
3892.0000 P/R DIETARY EMP 916,941.82
3892.0001 P/R COOKS & CHEFS 148,817.62
3899.0000 P/R DIETICIAN 116,253.13
3910.0000 P/R HSKPNG SUPV 63,189.69
3911.0000 P/R HSKPNG EMP 688,905.39
3921.0000 P/R LAUNDRY EMP 61,452.45
3931.0000 P/R MNTNCE SUPV 990.81
3932.0000 P/R MNTNCE EMP 243,636.37
4110.0000 MEDICAL SUPPLIES 127,241.67
4113.0000 OXYGEN 5,287.07
4115.0000 INTRAVENUS 7,281.52
4116.0000 RADIOLOGY (X-RAY) 18,120.25
4120.0000 NURSING MINOR EQUIP 26,466.81
4140.0000 NURSING PURCH SVC. 13,552.34
4151.0000 N/AIDE TESTING COSTS 2,803.97
4160.0000 NRSG CONTRACTED SVC 429,389.63
4162.0000 O/S NURSING LPN 120,853.90
4163.0000 O/S NURSING A&O 1,198,245.14
4211.0002 ENTERAL FEEDING 41,788.82
4240.0000 LAB PURCH SERVICE 18,707.77
4311.0000 RX DRUGS MDCD NH 107,376.41
4313.0000 RX DRUGS MCR 178,470.03
4318.0000 NON LEGEND DRUGS 43,408.54
4330.0000 PHARMACY FEES 17,898.00
4430.0000 PODIATRY FEES 35,000.00
4530.0000 DENTAL FEES 38,241.90
4730.0000 PHYSICIAN SVC -FEE 45,275.31
5110.0000 ACTIVITIES EXPENSE 8,821.37
5140.0000 ACTIV PURCH SERV 22,842.58
5160.0000 ACTIV CONT SERV 36,035.96
5230.0002 PT COORDINATOR 4,592.34
5260.0000 PHYS THPY CONT SVC 203,174.20
5260.0001 PTA CONT. SERVICE 22,770.11
HOLL1218 Trial Balance 12/31/18 For Internal Management Purposes Only
4
FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023
NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023
1/10/2023 2:07 PM 5 of 7
HOLLIS OPERATING CO., LLC D/B/A HOLLISWOOD CENTER FOR REHABILITATION AND HEALTHCARE
TRIAL BALANCE
1/1/2018 through 12/31/2018
*** ADJUSTED BALANCE ***
ACCOUNT ACCOUNT NAME DEBIT CREDIT
5360.0000 OCC THPY CNTRCD SVC 47,510.52
5430.0000 SPEECH THPY FEES 2,154.00
5460.0000 SP & HR THPY C/S 326.95
5510.0000 SOC SVC SUPPLIES 160.01
5540.0000 SOC SERV PURCH SERV 346.31
5560.0000 SOC SVC CONT SVC 6,432.31
5660.0000 MED RECRDS CONT SVC 525.00
5730.0000 MED DIRECTOR FEES 36,000.00
6110.0000 KITCHEN SUPPLIES 145,070.57
6112.0000 PATIENT FOOD 733,453.76
6119.0000 FOOD SUPPLEMENTS 63,405.24
6120.0000 PAT FOOD MINOR EQUIP 8,980.09
6130.0000 DIETICIAN FEE 525.00
6140.0000 DIETARY PURCH SERV 940.47
6160.0000 DIETARY CONT SVC 28,639.03
6310.0000 MAINT SUPPLIES 37,407.90
6340.0000 MAINT PURCH SERV 98,493.24
6341.0000 MAINT PS EXTERM 25,241.58
6342.0000 MAINT PRCH SVC CART 44,451.12
6349.0000 AUTO LEASING 599.23
6391.0000 ELECTRIC 171,172.37
6392.0000 GAS 92,243.73
6394.0000 OIL 121,956.73
6410.0000 GROUNDS SUPPLIES 521.72
6440.0000 GROUNDS PURCH SVCE 14,627.98
6510.0000 HSKPG SUPPLIES 87,695.46
6540.0000 HSKPG PURCH SVC 5,950.56
6560.0000 HSKPG CONT SVC 147,816.70
6610.0000 LAUNDRY SUPPLIES 4,388.15
6611.0000 LAUNDRY LINEN 365.07
6640.0000 LAUNDRY PURCH SVC 386,344.95
6670.0000 LAUND DISP DIAP 82,831.81
6710.0000 SECURITY SUPPLIES 1,663.17
6730.0000 SECURITY FEES 210.00
6735.0000 EMPLOYEE BACKGROUND CHECK 2,312.21
6740.0000 SECURITY PURCH SVC 2,370.02
6760.0000 SEC CONT SVC 84,558.58
6830.0000 TRANP FEES 26,366.21
6860.0000 TRANP CONT SVC 47,372.73
7110.0000 FISCAL SVC SUPP 30,240.37
7110.0001 GEN & ADMIN SUPP 7,828.78
7130.0000 ACCOUNTING FEE 91,054.17
7140.0000 FISC SVC PS 73,518.43
7160.0000 CONTROLLER FEES 1,288,495.78
7191.0000 BANK CHARGES 24,915.78
7192.0000 INTEREST 107,705.45
7193.0000 PENALTIES 2,128.77
7211.0000 TELEPHONE 59,234.37
HOLL1218 Trial Balance 12/31/18 For Internal Management Purposes Only
5
FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023
NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023
1/10/2023 2:07 PM 6 of 7
HOLLIS OPERATING CO., LLC D/B/A HOLLISWOOD CENTER FOR REHABILITATION AND HEALTHCARE
TRIAL BALANCE
1/1/2018 through 12/31/2018
*** ADJUSTED BALANCE ***
ACCOUNT ACCOUNT NAME DEBIT CREDIT
7211.0001 CELL PHONES & BEEPERS 6,120.18
7212.0000 MAIL POSTAGE 9,508.68
7214.0000 LICENSES PERMITS & FEES 11,125.19
7215.0000 DUES 36,266.53
7218.0000 SUBSCRIPTIONS 534.44
7230.0000 LEGAL FEES 131,214.86
7231.0000 ADMIN CONSULTANT 19,884.44
7235.0000 ADVERTISING EMPLOY 11,487.73
7236.0000 PROMOTIONAL ADS 163,037.58
7236.0001 ADVERTISING 10,712.34
7236.0002 PUBLIC RELATIONS 5,846.57
7238.0000 ADMIN SEMINAR 11,498.56
7260.0000 ADMIN CONTRCTD SVC 111.36
7270.0000 INSURANCE 1,792,123.47
7272.0000 INS GEN LIABILITY 352,787.12
7273.0000 PROPERTY INSURANCE 27,947.37
7276.0000 AUTO INSURANCE 4,788.05
7278.0000 INSURANCE OTHER 4,951.97
7290.0000 AUTO EXPENSE 127,230.19
8100.0000 RENT 4,864,509.00
8102.0000 RENT NJ 28,168.72
8201.0000 COMPUTER RENTAL 180,992.25
8202.0000 EQUIP RENTAL NSG 167,971.86
8205.0000 EQUIP RENTAL OFFICE 17,899.32
8206.0000 EQUIP RENTAL MAINT 15,187.03
8300.0000 REAL ESTATE TAX 185,059.28
8401.0000 FIRST MORTGAGE INT 803,129.94
8600.0000 WATER & SEWER CHARGES 208,438.29
8700.0000 SALES TAX 89,527.01
8802.0000 AMORT ORGANIZ COST 13,328.62
8830.0000 DEPR MOVABLE EQUIP 325,502.28
8831.0000 DEPR AUTO 7,836.96
8840.0000 DEPR LEASEHOLD IMPR 313,071.10
9100.0000 EMPLOYEE BENEFITS 285,844.23
9110.0000 UNION 64,644.59
9111.0000 PENSION UNION 955,664.29
9112.0000 WELFARE UNION 2,816,000.39
9114.0000 EDUCATION UNION 43,099.31
9140.0000 WORKMENS COMP 342,053.65
9150.0000 UNIFORM & TRANSPORT 78,003.84
9170.0000 MEALS 8,420.27
9210.0000 FICA 1,067,295.17
9220.0000 SUI 37,961.18
9222.0000 MTA TAX 43,293.32
9230.0000 FUI 11,245.45
9240.0000 DISABILITY EXPENSE 415.52
9400.0000 NYC UBT 11,969.33
9490.0000 MISC EXPENSES 26,518.70
HOLL1218 Trial Balance 12/31/18 For Internal Management Purposes Only
6
FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023
NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023
1/10/2023 2:07 PM 7 of 7
HOLLIS OPERATING CO., LLC D/B/A HOLLISWOOD CENTER FOR REHABILITATION AND HEALTHCARE
TRIAL BALANCE
1/1/2018 through 12/31/2018
*** ADJUSTED BALANCE ***
ACCOUNT ACCOUNT NAME DEBIT CREDIT
9490.0001 RESIDENT EXP-LOST ITEMS 514.76
9800.0000 DONATION 3,603.68
TOTAL EXPENSES 36,012,122.99 3,144.81
NET EXPENSES 36,008,978.18
INCOME STATEMENT TOTALS 74,727,212.05 75,596,242.34
NET INCOME 869,030.29
GRAND TOTALS 119,149,138.42 119,149,138.42
HOLL1218 Trial Balance 12/31/18 For Internal Management Purposes Only
7
Preview
FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023 NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023 BUDIMIR EXHIBIT 53B FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023 NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023 1/10/2023 2:07 PM 1 of 7 HOLLIS OPERATING CO., LLC D/B/A HOLLISWOOD CENTER FOR REHABILITATION AND HEALTHCARE TRIAL BALANCE 1/1/2018 through 12/31/2018 *** ADJUSTED BALANCE *** ACCOUNT ACCOUNT NAME DEBIT CREDIT ASSETS 1010.0000 CASH 1,322.60 1016.0000 CASH 1,159,740.10 1022.0000 CASH P/R 10,553.88 1023.0000 CASH P/R 237,468.75 1024.0000 CASH P/R 720,134.78 1031.0000 CASH PAT FD 381,761.50 1060.0000 PETTY CASH 300.00 1061.0000 PETTY CASH 0.00 1110.0000 A/R PRIVATE 518,607.27 1111.0000 A/R PRIVATE 1,698,962.46 1112.0000 A/R PRIVATE 52,150.00 1120.0000 A/R MEDICARE 846,724.69 1130.0000 A/R MEDICAID 5,062,047.32 1135.0000 A/R MEDICAID 313,676.46 1140.0000 A/R BUDGET 252,132.32 1161.0000 ALLOWANCE BAD DEBTS 110,999.97 1170.0000 SEC DEPT PVT PAT 1,496.07 1222.0000 PPD INSURANCE 133,692.10 1291.0000 PPD R.E.T. 94,824.70 1292.0000 PPD UBT/CORP TAX 19,652.00 1300.0000 INVENTORY 44,975.77 1410.0000 L&E (ASSET) 7,779,690.88 1420.0000 ESCROW DEPOSITS 2,446.66 1423.0000 ESCROW OTHER 429,697.99 1430.0000 REPLACEMENT RESERVE 744,393.14 1450.0000 SECURITY DEP L/T 123,213.16 1540.0000 LEASEHOLD IMPROVEMENTS 4,009,548.84 1560.0000 MAJOR MOVEABLE EQUIP 2,307,853.86 1561.0000 TRANSP EQUIP 39,184.79 1580.0000 ORGANIZATION COST 66,643.05 1640.0000 ACC AMORT LHI 1,290,269.23 1660.0000 ACC DEPR MOV EQUIP 1,574,230.58 1661.0000 ACC DEPR TRANSP 35,266.32 1680.0000 ACC AMORT ORG COSTS 39,985.83 1701.0000 GOODWILL 16,376,390.00 TOTAL ASSETS 43,361,315.93 3,118,721.14 NET ASSETS 40,242,594.79 LIABILITIES 2100.0000 ACCOUNTS PAYABLE 2,845,943.17 2110.0003 NOTES PAYABLE S/T 229,028.77 2110.0004 NOTES PAYABLE S/T 31,140.30 HOLL1218 Trial Balance 12/31/18 For Internal Management Purposes Only 1 FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023 NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023 1/10/2023 2:07 PM 2 of 7 HOLLIS OPERATING CO., LLC D/B/A HOLLISWOOD CENTER FOR REHABILITATION AND HEALTHCARE TRIAL BALANCE 1/1/2018 through 12/31/2018 *** ADJUSTED BALANCE *** ACCOUNT ACCOUNT NAME DEBIT CREDIT 2113.0000 NOTES PAYABLE L/T 15,714,651.14 2114.0000 NOTES PAYABLE L/T 134,325.32 2120.0000 LOANS PAYABLE S/T 1,460,000.00 2129.0000 OTHER PAYABLE S/T 15,939,670.32 2260.0000 PATIENT ALLOW EXCH 6,309.50 2262.0000 PATIENT FUND 381,761.50 2298.0000 DUE TO 3RD PARTY PAYERS 399,032.36 2310.0000 FICA PAYABLE 1,778.79 2320.0000 FWT PAYABLE 4.97 2330.0000 SWT PAYABLE 0.80 2360.0000 UNION DUES PAYABLE 102,618.06 2363.0000 401K PENSION 12,306.71 2370.0000 GARNISHEE PAYABLE 2,496.02 2380.0000 EMPLOYEE LOANS 32,039.78 2420.0000 VOLUNTARY DED EXC 1,791.87 2500.0000 ACCRUED EXPENSES 1,053,084.14 2501.0000 ACCRUED PAYROLL 332,261.60 2501.1000 ACCR PTO 376,246.59 2502.0000 ACCRUED PAYROLL TAX 53,995.62 2504.0000 ACCRUED UNION 628,842.68 TOTAL LIABILITIES 35,610.44 39,703,719.57 NET LIABILITIES 39,668,109.13 CAPITAL 2800.0000 CAPITAL 730,455.37 2860.0000 1ST PART DRAW (CONT) 855,000.00 2864.0000 20,000.00 2866.0000 125,000.00 2870.0000 2ND PART DRAW (CONT) 25,000.00 TOTAL CAPITAL 1,025,000.00 730,455.37 NET CAPITAL 294,544.63 BALANCE SHEET TOTALS 44,421,926.37 43,552,896.08 NET INCOME 869,030.29 INCOME HOLL1218 Trial Balance 12/31/18 For Internal Management Purposes Only 2 FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023 NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023 1/10/2023 2:07 PM 3 of 7 HOLLIS OPERATING CO., LLC D/B/A HOLLISWOOD CENTER FOR REHABILITATION AND HEALTHCARE TRIAL BALANCE 1/1/2018 through 12/31/2018 *** ADJUSTED BALANCE *** ACCOUNT ACCOUNT NAME DEBIT CREDIT 3110.0000 INC.MCD R&B 46,697,110.00 3120.0000 INC.MCD COINS 735,243.00 3130.0000 MCD CONT ALLOW 26,160,774.71 3164.0000 INC.MCD RETRO RT ADJ 525,235.45 3175.0000 INC REV ASSMNT ADD-ON 1,762,101.56 3275.0000 REVENUE ASSESSMENT 1,795,165.00 3310.0000 INC.MDCR R&B 5,018,515.00 3320.0000 INC.MDCR COINS 1,023,054.50 3320.0001 MDCR A COINS W/O 21,110.00 3330.0000 MDCR A CONTR ALLOW 261,893.93 3331.0000 MDCR B CONT ALLOW 1,203,749.57 3345.0000 MDCR FINAL SETTL 15,903.04 3349.0000 MDCR B PHYS THPY 1,026,490.67 3350.0000 MDCR B OCCP THPY 790,407.31 3351.0000 MDCR B SP THPY 84,680.64 3355.0000 MDCR B IV THPY 67,109.12 3357.0000 MDCR B INFLUENZA 44,813.50 3405.0000 INC.COMMERCIAL INS 16,592,975.00 3407.0000 INC.MEDICAID HMO 398,146.76 3410.0000 INC.PRIVATE R&B 945,114.22 3420.0000 INC.PVT COINS 287,811.50 3430.0000 INC.PVT CONT ALLOW 21,154.62 3432.0000 INC. COMM.INS.CONT ALLW 8,437,930.66 3436.0000 PRIVATE CONT ALLOW 52,150.00 3511.0000 INTEREST INCOME 3,755.96 3515.0000 OTHER INCOME 335,790.87 TOTAL REVENUE 38,715,089.06 75,593,097.53 NET REVENUE 36,878,008.47 EXPENSES 3805.0000 P/R OPERATORS SALARY 73,099.42 3810.0000 P/R OPERATORS SALARY 350,877.19 3811.0000 P/R ADMINISTRATOR 170,888.33 3821.0000 P/R OFFICE FISCAL 142,062.08 3822.0000 P/R OFFICE EMPLOYEES 139,751.67 3828.0001 P/R ADMISSION CLER 59,695.54 3831.0000 P/R DIR OF NURSING 233,761.14 3831.0001 P/R ASST DNS 200,321.15 3832.0000 P/R RNS SUPERV 706,783.22 3833.0000 P/R MDS NURSING 301,510.26 3834.0000 P/R RNS 4,107.86 3836.0000 P/R LPN 2,444,216.07 3838.0000 P/R AIDES & ORD 4,174,882.62 3840.0000 P/R NURSES SECT 64,868.28 HOLL1218 Trial Balance 12/31/18 For Internal Management Purposes Only 3 FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023 NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023 1/10/2023 2:07 PM 4 of 7 HOLLIS OPERATING CO., LLC D/B/A HOLLISWOOD CENTER FOR REHABILITATION AND HEALTHCARE TRIAL BALANCE 1/1/2018 through 12/31/2018 *** ADJUSTED BALANCE *** ACCOUNT ACCOUNT NAME DEBIT CREDIT 3841.0000 P/R CENTRAL SUPPLY 15,778.74 3843.0000 P/R LIBRARIAN 65,143.51 3847.0005 P/R HUMAN SERVICES 82,417.09 3850.0000 P/R PHYS THPY 45,243.57 3851.0000 P/R PHYS THPY AIDE 56,673.29 3852.0000 P/R PHYS THPY ASST 364,364.35 3854.0000 P/R REHAB COORDINATOR 91,792.42 3860.0000 P/R SPEECH THERAPY 90,367.43 3865.0000 P/R OCCUPATNL THPY 176,506.53 3866.0000 P/R OCCUP THPY AIDE 358,437.96 3870.0000 P/R SOCIAL SERVICES 76,848.14 3872.0000 P/R SOC SVC EMP 139,828.36 3881.0000 P/R ACTIVTS SUPV 59,346.27 3882.0000 P/R ACTIVTS EMP 209,933.19 3891.0000 P/R DIETARY SUPV 111,030.85 3892.0000 P/R DIETARY EMP 916,941.82 3892.0001 P/R COOKS & CHEFS 148,817.62 3899.0000 P/R DIETICIAN 116,253.13 3910.0000 P/R HSKPNG SUPV 63,189.69 3911.0000 P/R HSKPNG EMP 688,905.39 3921.0000 P/R LAUNDRY EMP 61,452.45 3931.0000 P/R MNTNCE SUPV 990.81 3932.0000 P/R MNTNCE EMP 243,636.37 4110.0000 MEDICAL SUPPLIES 127,241.67 4113.0000 OXYGEN 5,287.07 4115.0000 INTRAVENUS 7,281.52 4116.0000 RADIOLOGY (X-RAY) 18,120.25 4120.0000 NURSING MINOR EQUIP 26,466.81 4140.0000 NURSING PURCH SVC. 13,552.34 4151.0000 N/AIDE TESTING COSTS 2,803.97 4160.0000 NRSG CONTRACTED SVC 429,389.63 4162.0000 O/S NURSING LPN 120,853.90 4163.0000 O/S NURSING A&O 1,198,245.14 4211.0002 ENTERAL FEEDING 41,788.82 4240.0000 LAB PURCH SERVICE 18,707.77 4311.0000 RX DRUGS MDCD NH 107,376.41 4313.0000 RX DRUGS MCR 178,470.03 4318.0000 NON LEGEND DRUGS 43,408.54 4330.0000 PHARMACY FEES 17,898.00 4430.0000 PODIATRY FEES 35,000.00 4530.0000 DENTAL FEES 38,241.90 4730.0000 PHYSICIAN SVC -FEE 45,275.31 5110.0000 ACTIVITIES EXPENSE 8,821.37 5140.0000 ACTIV PURCH SERV 22,842.58 5160.0000 ACTIV CONT SERV 36,035.96 5230.0002 PT COORDINATOR 4,592.34 5260.0000 PHYS THPY CONT SVC 203,174.20 5260.0001 PTA CONT. SERVICE 22,770.11 HOLL1218 Trial Balance 12/31/18 For Internal Management Purposes Only 4 FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023 NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023 1/10/2023 2:07 PM 5 of 7 HOLLIS OPERATING CO., LLC D/B/A HOLLISWOOD CENTER FOR REHABILITATION AND HEALTHCARE TRIAL BALANCE 1/1/2018 through 12/31/2018 *** ADJUSTED BALANCE *** ACCOUNT ACCOUNT NAME DEBIT CREDIT 5360.0000 OCC THPY CNTRCD SVC 47,510.52 5430.0000 SPEECH THPY FEES 2,154.00 5460.0000 SP & HR THPY C/S 326.95 5510.0000 SOC SVC SUPPLIES 160.01 5540.0000 SOC SERV PURCH SERV 346.31 5560.0000 SOC SVC CONT SVC 6,432.31 5660.0000 MED RECRDS CONT SVC 525.00 5730.0000 MED DIRECTOR FEES 36,000.00 6110.0000 KITCHEN SUPPLIES 145,070.57 6112.0000 PATIENT FOOD 733,453.76 6119.0000 FOOD SUPPLEMENTS 63,405.24 6120.0000 PAT FOOD MINOR EQUIP 8,980.09 6130.0000 DIETICIAN FEE 525.00 6140.0000 DIETARY PURCH SERV 940.47 6160.0000 DIETARY CONT SVC 28,639.03 6310.0000 MAINT SUPPLIES 37,407.90 6340.0000 MAINT PURCH SERV 98,493.24 6341.0000 MAINT PS EXTERM 25,241.58 6342.0000 MAINT PRCH SVC CART 44,451.12 6349.0000 AUTO LEASING 599.23 6391.0000 ELECTRIC 171,172.37 6392.0000 GAS 92,243.73 6394.0000 OIL 121,956.73 6410.0000 GROUNDS SUPPLIES 521.72 6440.0000 GROUNDS PURCH SVCE 14,627.98 6510.0000 HSKPG SUPPLIES 87,695.46 6540.0000 HSKPG PURCH SVC 5,950.56 6560.0000 HSKPG CONT SVC 147,816.70 6610.0000 LAUNDRY SUPPLIES 4,388.15 6611.0000 LAUNDRY LINEN 365.07 6640.0000 LAUNDRY PURCH SVC 386,344.95 6670.0000 LAUND DISP DIAP 82,831.81 6710.0000 SECURITY SUPPLIES 1,663.17 6730.0000 SECURITY FEES 210.00 6735.0000 EMPLOYEE BACKGROUND CHECK 2,312.21 6740.0000 SECURITY PURCH SVC 2,370.02 6760.0000 SEC CONT SVC 84,558.58 6830.0000 TRANP FEES 26,366.21 6860.0000 TRANP CONT SVC 47,372.73 7110.0000 FISCAL SVC SUPP 30,240.37 7110.0001 GEN & ADMIN SUPP 7,828.78 7130.0000 ACCOUNTING FEE 91,054.17 7140.0000 FISC SVC PS 73,518.43 7160.0000 CONTROLLER FEES 1,288,495.78 7191.0000 BANK CHARGES 24,915.78 7192.0000 INTEREST 107,705.45 7193.0000 PENALTIES 2,128.77 7211.0000 TELEPHONE 59,234.37 HOLL1218 Trial Balance 12/31/18 For Internal Management Purposes Only 5 FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023 NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023 1/10/2023 2:07 PM 6 of 7 HOLLIS OPERATING CO., LLC D/B/A HOLLISWOOD CENTER FOR REHABILITATION AND HEALTHCARE TRIAL BALANCE 1/1/2018 through 12/31/2018 *** ADJUSTED BALANCE *** ACCOUNT ACCOUNT NAME DEBIT CREDIT 7211.0001 CELL PHONES & BEEPERS 6,120.18 7212.0000 MAIL POSTAGE 9,508.68 7214.0000 LICENSES PERMITS & FEES 11,125.19 7215.0000 DUES 36,266.53 7218.0000 SUBSCRIPTIONS 534.44 7230.0000 LEGAL FEES 131,214.86 7231.0000 ADMIN CONSULTANT 19,884.44 7235.0000 ADVERTISING EMPLOY 11,487.73 7236.0000 PROMOTIONAL ADS 163,037.58 7236.0001 ADVERTISING 10,712.34 7236.0002 PUBLIC RELATIONS 5,846.57 7238.0000 ADMIN SEMINAR 11,498.56 7260.0000 ADMIN CONTRCTD SVC 111.36 7270.0000 INSURANCE 1,792,123.47 7272.0000 INS GEN LIABILITY 352,787.12 7273.0000 PROPERTY INSURANCE 27,947.37 7276.0000 AUTO INSURANCE 4,788.05 7278.0000 INSURANCE OTHER 4,951.97 7290.0000 AUTO EXPENSE 127,230.19 8100.0000 RENT 4,864,509.00 8102.0000 RENT NJ 28,168.72 8201.0000 COMPUTER RENTAL 180,992.25 8202.0000 EQUIP RENTAL NSG 167,971.86 8205.0000 EQUIP RENTAL OFFICE 17,899.32 8206.0000 EQUIP RENTAL MAINT 15,187.03 8300.0000 REAL ESTATE TAX 185,059.28 8401.0000 FIRST MORTGAGE INT 803,129.94 8600.0000 WATER & SEWER CHARGES 208,438.29 8700.0000 SALES TAX 89,527.01 8802.0000 AMORT ORGANIZ COST 13,328.62 8830.0000 DEPR MOVABLE EQUIP 325,502.28 8831.0000 DEPR AUTO 7,836.96 8840.0000 DEPR LEASEHOLD IMPR 313,071.10 9100.0000 EMPLOYEE BENEFITS 285,844.23 9110.0000 UNION 64,644.59 9111.0000 PENSION UNION 955,664.29 9112.0000 WELFARE UNION 2,816,000.39 9114.0000 EDUCATION UNION 43,099.31 9140.0000 WORKMENS COMP 342,053.65 9150.0000 UNIFORM & TRANSPORT 78,003.84 9170.0000 MEALS 8,420.27 9210.0000 FICA 1,067,295.17 9220.0000 SUI 37,961.18 9222.0000 MTA TAX 43,293.32 9230.0000 FUI 11,245.45 9240.0000 DISABILITY EXPENSE 415.52 9400.0000 NYC UBT 11,969.33 9490.0000 MISC EXPENSES 26,518.70 HOLL1218 Trial Balance 12/31/18 For Internal Management Purposes Only 6 FILED: NEW YORK COUNTY CLERK 06/28/2023 02:27 PM INDEX NO. 451549/2023 NYSCEF DOC. NO. 170 RECEIVED NYSCEF: 06/28/2023 1/10/2023 2:07 PM 7 of 7 HOLLIS OPERATING CO., LLC D/B/A HOLLISWOOD CENTER FOR REHABILITATION AND HEALTHCARE TRIAL BALANCE 1/1/2018 through 12/31/2018 *** ADJUSTED BALANCE *** ACCOUNT ACCOUNT NAME DEBIT CREDIT 9490.0001 RESIDENT EXP-LOST ITEMS 514.76 9800.0000 DONATION 3,603.68 TOTAL EXPENSES 36,012,122.99 3,144.81 NET EXPENSES 36,008,978.18 INCOME STATEMENT TOTALS 74,727,212.05 75,596,242.34 NET INCOME 869,030.29 GRAND TOTALS 119,149,138.42 119,149,138.42 HOLL1218 Trial Balance 12/31/18 For Internal Management Purposes Only 7