GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC (EIN 23-7310663)
Tax period
2020-01-01 to 2020-12-31
Filed
2022-02-01
IRS object ID
202200329349301620
Schema version
2020v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-02-01T14:30:22-08:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN112513584PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Martin Friedman CPA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12600 Nostrand AveAddressLine1Txt
CityBrooklynCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237310663EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GOOD SAMARITAN LUTHERAN HEALTH CAREBusinessNameLine1Txt
Business Name Line2CENTER INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlGOODBusinessNameControlTxt
Phone5184398116PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 WHITE PLAINS ROAD 377AddressLine1Txt
CitySCARSDALECityNm
State AbbreviationNYStateAbbreviationCd
ZIP10583ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKENNETH ROZENBERGPersonNm
Person TitleOPERATORPersonTitleTxt
Signature2022-02-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKENNETHPersonFirstNm
Person LastROZENBERGPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGerry AdestPreparerPersonNm
PTINP02163197PTIN
Phone7183386900PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 WHITE PLAINS ROAD 377AddressLine1Txt
CitySCARSDALECityNm
State AbbreviationNYStateAbbreviationCd
ZIP10583ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,089,043GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TLCN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSKILLED NURSING FACILITYActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee236TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$165PYContributionsGrantsAmt
CY Contributions Grants$541,283CYContributionsGrantsAmt
PY Program Service Revenue$8,435,339PYProgramServiceRevenueAmt
CY Program Service Revenue$10,422,072CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$140,328PYOtherRevenueAmt
CY Other Revenue$125,688CYOtherRevenueAmt
PY Total Revenue$8,575,832PYTotalRevenueAmt
CY Total Revenue$11,089,043CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,901,421PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,768,877CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,401,650PYOtherExpensesAmt
CY Other Expenses$4,698,390CYOtherExpensesAmt
PY Total Expenses$10,303,071PYTotalExpensesAmt
CY Total Expenses$10,467,267CYTotalExpensesAmt
PY Revenues Less Expenses-$1,727,239PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$621,776CYRevenuesLessExpensesAmt
Total Assets BOY$4,571,709TotalAssetsBOYAmt
Total Assets EOY$7,044,819TotalAssetsEOYAmt
Total Liabilities BOY$13,315,020TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,166,354TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$8,743,311NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$8,121,535NetAssetsOrFundBalancesEOYAmt
MissionA MINISTRY OF HEALING, HOSPITALITY, AND COMMUNITY THROUGH PARTNERSHIPS IN CARING.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,441,196ExpenseAmt
Revenue$10,422,072RevenueAmt
DescA 120 BED SKILLED NURSING FACILITY. THE NURSING DEPARTMENT PROVIDES SKILLED NURSING CARE ON A DAILY BASIS PER NYS DOH GUIDELINES. RESIDENTS ARE ADMITTED ON A VOLUNTARY BASIS. SERVICES INCLUDE, ASSISTANCE AND/OR SUPERVISION, WHEN REQUIRED, WITH ACTIVITIES OF DAILY LIVING, RECREATIONAL AND MOTIVATIONAL ACTIVITIES, AS WELL AS DIAGNOSTIC SERVICES, MEDICATION MONITORING, AND USE OF GENERAL HOUSEHOLD MEDICINECABINET SUPPLIES.Desc
Total Program Service Expenses$8,441,196TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee236EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKenneth RozenbergPersonNm
Phone7189319700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14770 White Plains RoadAddressLine1Txt
CityBronxCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10470ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LARAINE FELLEGARA
CEO2.0034.00Yes (X)Yes (X)$0$408,381$26,601
THERESA NICHOLSON
DIR OF FINANCE2.0034.00Yes (X)$0$160,650$100
REV DEREK LECAKES
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
REV DANIEL COHN
BOARD MEMBER1.000.00Yes (X)$0$0$0
WILLIAM TEATOR
BOARD MEMBER1.000.00Yes (X)$0$0$0
THOMAS ROEMKE
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
Avi Garritano
CFO1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$569,031TotReportableCompRltdOrgAmt
Total Other Compensation$26,701TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Centers For Care
4770 White Plains RoadBronxNY10470Office Consulting$623,485
Regional Care Network
1 Radisson Plaza Suite 906New RochelleNY10801Staffing Agency$561,200
Stradley Ronon Stevens & Young
100 Park Ave 2000New YorkNY10017Law$259,405
LI Script North
333 Crossways Park DrWoodburyNY11797Pharmacy$310,324
Ginsbergs Foods
29 Ginsberg LaneHudsonNY12534Dietary$136,453
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Government Grants$541,283GovernmentGrantsAmt
Total Contributions$541,283TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescINPATIENT CAREDesc
Business623000BusinessCd
Total Revenue Column$10,422,072TotalRevenueColumnAmt
Related Or Exempt Func Income$10,422,072RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,422,072TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MANAGEMENT FEE561000$118,069$118,069
OTHER INCOME900099$7,619$7,619
FieldValueIRS element (for citing)
Other Revenue Total$125,688OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,089,043TotalRevenueColumnAmt
Related Or Exempt Func Income$10,422,072RelatedOrExemptFuncIncomeAmt
Exclusion$125,688ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,576,527TotalAmt
Program Services$4,347,701ProgramServicesAmt
Management And General$228,826ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$727,485TotalAmt
Program Services$691,111ProgramServicesAmt
Management And General$36,374ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$464,865TotalAmt
Program Services$441,622ProgramServicesAmt
Management And General$23,243ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$460,721TotalAmt
Management And General$460,721ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$45,153TotalAmt
Management And General$45,153ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$682,284TotalAmt
Management And General$682,284ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$46,051TotalAmt
Management And General$46,051ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$243,446TotalAmt
Management And General$243,446ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$531,850TotalAmt
Program Services$505,257ProgramServicesAmt
Management And General$26,593ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$46,774TotalAmt
Management And General$46,774ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$30,320TotalAmt
Management And General$30,320ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$156,286TotalAmt
Management And General$156,286ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES & DRUGS$1,615,362$1,615,362
DIETARY & HOUSEKEEPING$434,251$434,251
HEALTH FACILITY ASSESSMENT$405,892$405,892

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,467,267TotalAmt
Program Services$8,441,196ProgramServicesAmt
Management And General$2,026,071ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$318,794BOYAmt
EOY$316,113EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$696,946BOYAmt
EOY$2,530,529EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$273,160EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$26,099EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$85,072BOYAmt
EOY$72,089EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$27,700EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,470,897BOYAmt
EOY$3,799,129EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,571,709BOYAmt
EOY$7,044,819EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,843,937BOYAmt
EOY$3,376,562EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,536,243BOYAmt
EOY$2,536,243EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,934,840BOYAmt
EOY$9,253,549EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,315,020BOYAmt
EOY$15,166,354EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$8,743,311BOYAmt
EOY-$8,121,535EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$8,743,311BOYAmt
EOY-$8,121,535EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,571,709BOYAmt
EOY$7,044,819EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$621,776ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,524CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,005CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$450CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$165CurrentTaxYearMinus1YearAmt
Current Tax Year$541,283CurrentTaxYearAmt
Total$547,427TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,717,168CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,863,335CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,592,235CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,435,339CurrentTaxYearMinus1YearAmt
Current Tax Year$10,103,292CurrentTaxYearAmt
Total$47,711,369TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,721,692CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,864,340CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,592,685CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,435,504CurrentTaxYearMinus1YearAmt
Current Tax Year$10,644,575CurrentTaxYearAmt
Total$48,258,796TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$48,258,796PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$154,452CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$154,606CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$148,529CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$140,328CurrentTaxYearMinus1YearAmt
Current Tax Year$125,688CurrentTaxYearAmt
Total$723,603TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,876,144CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,018,946CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,741,214CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,575,832CurrentTaxYearMinus1YearAmt
Current Tax Year$10,770,263CurrentTaxYearAmt
Total$48,982,399TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98520PublicSupportCY509Pct
Public Support PY5090.98350PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
ASSETS HELD FOR SALE$3,756,136
PATIENT FUNDS$25,948
SECURITY DEPOSITS$17,045
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,799,129TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO LUTHERAN CARE NETWORK$7,257,554
NOTES & LOANS PAYABLE$1,970,047
PATENTS TRUST FUND PAYABLE$25,948
FieldValueIRS element (for citing)
Total Liability$9,253,549TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$11,089,043TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$11,089,043RevenueSubtotalAmt
Total Revenue Per Form990$11,089,043TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,467,267TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$10,467,267ExpensesSubtotalAmt
Total Expenses Per Form990$10,467,267TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
LARAINE FELLEGARA
CEO$408,381$26,601$434,982
THERESA NICHOLSON
DIR OF FINANCE$160,650$100$160,750

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyTHE ORGANIZATION'S SOLE MEMBER, THE LUTHERAN CARE NETWORK, INC. PROVIDEDCERTAIN MANAGEMENT FUNCTIONS, INCLUDING THE CEO AND CFO FUNCTIONS THROUGH MAY 31,2020. AS OF JUNE 1, 2020, WHILE IT IS STILL IN RECEIVERSHIP, DELMAR SNF OPERATIONS ASSOCIATES, LLC IS MANAGING THE FACILITY. SEE SCHEDULE O, PART VI, LINE 31 INFORMATION.
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderTHE ORGANIZATION HAS ONE MEMBER - THE LUTHERAN CARE NETWORK, INC.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyTHE BOARD OF DIRECTORS ARE ELECTED BY THE SOLE MEMBER AS PER THEORGANIZATION'S BYLAWS.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersAS PER THE ORGANIZATION'S BYLAWS, THE VOTE OF THE MEMBERSHIP IS REQUIREDFOR THE FOLLOWING ACTIONS: 1) THE AMENDMENT OF THE BYLAWS, 2) INCURRINGDEBT IN EXCESS OF $100,000, 3) INITIATION OF ANY ACTIVITIES REQUIRING ACERTIFICATE OF NEED, AND 4) ESTABLISHING A SUBSIDIARY OR OTHERWISEAFFILIATING WITH ANY OTHER ENTITY.
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE CHAIR OR AT LEAST ONEMEMBER OF THE AUDIT COMMITTEE. ONCE APPROVED, A COPY IS GIVEN TO EACH BOARD MEMBER BEFORE SIGNING AND FILING WITH THE IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAT BEGINNING OF EMPLOYMENT, MANAGEMENT LEVEL EMPLOYEES ARE REQUIRED TO SIGNA CONFLICT OF INTEREST AND OUTSIDE ACTIVITIES FORM. THE ORGANIZATIONENFORCES THIS POLICY BY ASSESSING AND MONITORING SITUATIONS IN WHICH ANYPOTENTIAL CONFLICT OF INTEREST ARISES.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementCOMPENSATION OF CEO AND EXECUTIVE STAFF IS AT THE DISCRETION OF THE BOARDOF DIRECTORS UNDER ADVISEMENT OF AN INDEPENDENT THIRD PARTY COMPENSATIONFIRM. A CONSULTANT FIRM IS USED THAT PROVIDES STRATEGIC HUMAN RESOURCESSOLUTIONS TO CORPORATE AND NON PROFIT EMPLOYERS AND WAS SELECTED FROMSEVERAL VENDORS.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNO DOCUMENTS AVAILABLE TO THE PUBLIC OTHER THAN THOSE REQUIRED BY LAW.THOSE DOCUMENTS THAT ARE REQUIRED TO BE AVAILABLE TO THE PUBLIC AREAVAILABLE UPON REQUEST.
PART IV, LINE 31REORGANIZATION UNDER BANKRUPTCY PROCEEDINGS:IN DECEMBER 2019, THE COMPANY FILED PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE FEDERAL BANKRUPTCY LAWS IN THE UNITED STATES BANKRUPTCY COURT FOR THE NORTHERN DISTRICT OF NEW YORK. THIS GENERALLY DELAYS PAYMENT OF LIABILITIES INCURRED PRIOR TO FILING THOSE PETITIONS WHILE THE COMPANY DEVELOPS A PLAN OF REORGANIZATION THAT IS SATISFACTORY TO ITS CREDITORS AND ALLOWS IT TO CONTINUE AS A GOING CONCERN. THE CARRYING AMOUNTS OF ASSETS AND LIABILITIES ARE UNAFFECTED BY THE PROCEEDINGS. UNDER CHAPTER 11, CERTAIN CLAIMS AGAINST THE COMPANY IN EXISTENCE BEFORE THE FILING OF THE PETITIONS OF RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS ARE STAYED WHILE THE COMPANY CONTINUES BUSINESS OPERATIONS AS DEBTOR-IN-POSSESSION. ADDITIONAL CLAIMS MAY ARISE AFTER THE FILING DATE RESULTING FROM REJECTION OF EXECUTORY CONTRACTS, INCLUDING LEASES, AND FROM THE DETERMINATION OF THE COURT (OR AGREED TO BY PARTIES IN INTEREST) OF ALLOWED CLAIMS FOR CONTINGENCIES AND OTHER DISPUTED AMOUNTS. CLAIMS SECURED AGAINST THE COMPANYS ASSETS (SECURED CLAIMS) ARE ALSO STAYED, ALTHOUGH THE HOLDERS OF SUCH CLAIMS HAVE THE RIGHT TO MOVE THE COURT FOR RELIEF FROM THE STAY. SECURED CLAIMS ARE SECURED PRIMARILY BY LIENS ON THE COMPANYS PROPERTY AND EQUIPMENT. THE COMPANY RECEIVED APPROVAL FROM THE BANKRUPTCY COURT TO PAY OR OTHERWISE HONOR CERTAIN OF ITS PREPETITION OBLIGATIONS, INCLUDING EMPLOYEE WAGES, UTILITIES, AND INSURANCES.THE COMPANY SIGNED AN ASSET PURCHASE AGREEMENT WITH DELMAR SNF OPERATIONS ASSOCIATES, LLC AND A PURCHASE AND SALE AGREEMENT FOR THE REAL ESTATE WITH DELMAR SNF REALTY ASSOCIATES, LLC. THE AGREEMENTS STIPULATE THE SALE OF THE OPERATIONS AND THE RELATED REAL ESTATE CLOSING IS CONTINGENT UPON SUCCESSFUL COMPLETION OF THE RECEIVERSHIP AND OTHER REGULATORY APPROVALS. AS OF JUNE 1, 2020, WHILE IT IS STILL IN RECEIVERSHIP, DELMAR SNF OPERATIONS ASSOCIATES, LLC IS MANAGING THE FACILITY.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
COBURG VILLAGE
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583113211085INDEPENDENT LIVING SENIOR HOUSINGNY501(C)3LINE 11N/Afalse
WARTBURG NUSRING HOME
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583237087284INACTIVENY501(C)3LINE 11N/Afalse
KENWOOD MANOR
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583141368178LICENSED ADULT HOME FACILITYNY501(C)3LINE 11N/Afalse
GOOD SAMARITAN SENIOR HOUSING DEVELOPMEN
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583141727655LOW INCOME HOUSINGNY501(C)3LINE 11N/Afalse
LUTHERAN CENTER AT POUGHKEEPSIE
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583233408456SKILLED NURSING CARE AND HEALTH SERVICESNY501(C)3LINE 11N/Afalse
LUTHERAN HOUSING DEVELOPMENT CORP AT CON
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583030436196RESIDENTIAL APARTMENT BUILDING FOR THE ENY501(C)3LINE 11N/Afalse
LUTHERAN HOUSING DEVELOPMENT CORP OF LON
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583112574183RESIDENTIAL APARTMENT BUILDING FOR THE ENY501(C)3LINE 11N/Afalse
LUTHERAN HOUSING DEVELOPMENT CORP OF PAW
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583113269257RESIDENTIAL APARTMENT BUILDING FOR THE ENY501(C)3LINE 11N/Afalse
WARTBURG HOUSING DEVELOPMENT FUND CORP
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583113051052TO PROVIDE HOUSING FOR LOW INCOME AND INNY501(C)3LINE 11N/Afalse
THE LUTHERAN CARE NETWORK FOUNDATION INC
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583112645255TO DEVELOP & SUPPORT NOT FOR PROFIT HEALNY501(C)3LINE 11N/Afalse
WARTBURG LUTHERAN HOME FOR THE AGING INC
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583111631836MANAGE LOW INCOME HOUSING COMPANIESNY501(C)3LINE 11N/Afalse
THE LUTHERAN CARE NETWORK INC
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583112896230PROVIDE MGMT, DEVP & FUNDRAINSING SERVICNY501(C)3LINE 11N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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