2019-11-13T13:58:45-06:00 2018-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY CT ALBANY NY 12205 990 2018-01-01 223408456 LUTHERAN CENTER AT POUGHKEEPSIE INC LUTH 9143656365 700 WHITE PLAINS ROAD STE 377 SCARSDALE NY 10583 LARAINE FELLEGARA CEO 9143656365 2019-11-07 1 KENNETH MCGIVNEY P01324731 5184644080 2019-11-07 24.103.149.254 2019-11-07 13:09:30 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 86E6F92F558D743C159114FDCA77A2339B094F2C 2018 2020-03-31 21:24:44Z LARAINE FELLEGARA 700 WHITE PLAINS ROAD STE 377 SCARSDALE NY 10583 21343614 0 X WWW.TLCN.ORG X 1998 NY PROVISION OF SKILLED NURSING CARE AND HEALTH RELATED FACILITY CARE 16 14 370 22 0 2613 0 0 22728050 21343614 0 0 329885 0 23057935 21343614 0 0 0 0 13143659 13474500 0 0 0 9099604 8063801 22243263 21538301 814672 -194687 12839708 11771518 13337942 12826064 -498234 -1054546 PROVISION OF SKILLED NURSING CARE AND HEALTH RELATED FACILITY CARE. THE ORGANIZATION IS PART OF THE LUTHERAN CARE NETWORK, WHICH IS A MINISTRY OF HEALING, HOSPITALITY AND COMMUNITY THROUGH PARTNERSHIP AND CARING. 0 0 15444657 19670054 PROVIDING SKILLED NURSING CARE. 160 BEDS - APPROXIMATELY 57,099 DAYS IN 2018. 2441422 1049572 PROVIDE ADULT DAY CARE SERVICES TO AN AVERAGE OF 20 PATIENTS. APPROXIMATELY 11,229 VISITS IN 2018. 418847 623988 EXTENDED FAMILY PROGRAM - FOSTER FAMILY CARE 18304926 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 38 0 1 370 1 0 0 0 0 0 0 0 0 0 0 X 16 14 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X LARAINE FELLEGARA 9143656365 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 JOHN MESLOH BOARD MEMBER 1.00 X X 0 0 0 PETER MAZER BOARD MEMBER 1.00 X X 0 0 0 FR BRIAN MCWEENEY BOARD MEMBER 1.00 X 0 0 0 ARTHUR UPRIGHT BOARD MEMBER 1.00 X 0 0 0 JOHN RUTH CHAIRMAN 1.00 X X 0 0 0 JOHN SHANE BOARD MEMBER 1.00 X 0 0 0 LYNETTE TAYLOR BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER JONES BOARD MEMBER 1.00 X 0 0 0 ANNA MAE KNOWLES BOARD MEMBER 1.00 X 0 0 0 BARBARA RACZAK BOARD MEMBER 1.00 X 0 0 0 REV DR ROBERT HARTWELL BOARD MEMBER 1.00 X 0 0 0 STEVE JONES SECRETARY 1.00 X X 0 0 0 JOHN DELVECCHIO TREASURER 1.00 X X 0 0 0 CHARLES NORTH BOARD MEMBER 1.00 X 0 0 0 FRANK TRIPODI BOARD MEMBER & CEO (THRU 2/2018) 5.00 31.00 X X 0 121694 5099 LARAINE FELLEGARA CEO 5.00 31.00 X 0 395811 29956 SHARON SIEGEL CFO 5.00 31.00 X 0 153267 100 PATRICIA A LUDINGTON ADMINISTATOR 35.00 X 133561 0 1699 GILBERT PREIRA ADMINISTATOR 35.00 X 161002 0 11263 294563 670772 48117 5 0 1 0 PROCARE SYSTEMS 111 EXECUTIVE BOULEVARD FARMINGDALE NY 11735 MEDICAL PRACTICE MANAGEMENT 319598 QUIK HEALTH PROFESS STAFFING LLC 6 HAWKINS STREET POUGHKEEPSIE NY 12601 HEALTHCARE STAFFING 265816 PRIME HOME HEALTH SERVICES LLC 3125 EMMONS AVENUE BROOKLYN NY 11235 HOME HEALTH SERVICES 207057 3 NURSING FACILITY 623000 19670054 19670054 HOSPICE-ADULT DAY HEALTH 623000 1049572 1049572 EXTENDED FAMILY PROGRAM 623000 623988 623988 21343614 21343614 21343614 0 0 9682860 8866820 816040 3791640 3472093 319547 2082471 886291 1196180 10103 1473 8630 96365 96365 106341 94872 11469 7971 5926 2045 368436 368436 499749 499749 194676 194676 OTHER PURCHASED SERVICE 1484449 1469632 14817 PROVISION FOR DOUBTFUL 855868 855868 CASH RECEIPTS ASSESSMEN 735022 735022 SUPPLIES, FEES, & OTHER 728153 646287 81866 894197 770893 123304 21538301 18304926 3233375 0 1527964 409706 480236 318026 3763740 4437152 51315 63542 209440 149218 21372994 16541029 5163166 4831965 1643847 1561909 12839708 11771518 1882009 1870085 60 10475082 9980053 488533 504749 492258 471177 13337942 12826064 X -498234 -1054546 -498234 -1054546 12839708 11771518 X -194687 -20312 -341313 X X 0 1 X 1 1 1 X 394 394 21701937 20577403 21074306 22728050 21343614 107425310 21702331 20577403 21074306 22728050 21343614 107425704 0 0 0 107425704 859 651 1088 1322 2086 6006 859 651 1088 1322 2086 6006 21703190 20578054 21075394 22729372 21345700 107431710 0.99990 1.00000 0.00010 X 857836 857836 8638501 5786329 2852172 8925645 8282588 643057 2951012 2472112 478900 4831965 DUE FROM AFFILIATED COMPANIES 250000 ASSETS WHOSE USE IS LIMITED 1311909 1561909 RESIDENT FUNDS 318026 CAPITAL LEASE OBLIGATION 5011 DUE TO THIRD PARTY PAYORS 148140 471177 21343614 0 21343614 0 21343614 21538301 0 21538301 0 21538301 PART XII, LINE 4B - OTHER ADJUSTMENTS: DISCONTINUED OPERATIONS 0 0 0 0 0 0 0 0 0 LARAINE FELLEGARA CEO 0 395811 0 0 0 0 0 0 0 29956 0 425767 0 0 SHARON SIEGEL CFO 0 153267 0 0 0 0 0 0 0 100 0 153367 0 0 GILBERT PREIRA ADMINISTATOR 161002 0 0 0 0 0 0 0 11263 0 172265 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION'S SOLE MEMBER, THE LUTHERAN CARE NETWORK, INC., PROVIDES CERTAIN MANAGEMENT FUNCTIONS, INCLUDING THE CEO AND CFO FUNCTIONS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER - THE LUTHERAN CARE NETWORK, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS ARE ELECTED BY THE SOLE MEMBER AS PER THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B AS PER THE ORGANIZATION'S BYLAWS, THE VOTE OF THE MEMBERSHIP IS REQUIRED FOR THE FOLLOWING ACTIONS: 1) THE AMENDMENT OF THE BYLAWS, 2) INCURRING DEBT IN EXCESS OF $100,000, 3) INITATION OF ANY ACTIVITIES REQUIRING A CERTIFICATE OF NEED, AND 4) ESTABLISHING A SUBSIDIARY OR OTHERWISE AFFILIATING WITH ANY OTHER ENTITY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE CHAIR OR AT LEAST ONE MEMBER 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, SECTION B, LINE 12C AT BEGINNING OF EMPLOYMENT, MANAGEMENT LEVEL EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST AND OUTSIDE ACTIVITIES FORM. THE ORGANIZATION ENFORCES THIS POLICY BY ASSESSING AND MONITORING SITUATIONS IN WHICH ANY POTENTIAL CONFLICT OF INTEREST ARISES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF CEO AND EXECUTIVE STAFF IS AT THE DISCRETION OF THE BOARD OF DIRECTORS, OF THE MANAGEMENT COMPANY, THE LUTHERAN CARE NETWORK, UNDER ADVISEMENT OF AN INDEPENDENT 3RD PARTY COMPENSATION FIRM. A CONSULTANT FIRM IS USED THAT PROVIDES STRATEGIC HUMAN RESOURCES SOLUTIONS TO CORPORATE AND NON PROFIT EMPLOYERS AND WAS SELECTED FROM SEVERAL VENDORS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE AVAILABLE ON THE WEBSITE. FORM 990, PART XI, LINE 9: OTHER EXPENSE -341,313. FORM 990, PART XI, LINE 2C: NO CHANGE FROM PRIOR YEAR. COBURG VILLAGE 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 113211085 SENIOR HOUSING NY 501(C)(3) LINE 11 0 GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 237310663 SKILLED NURSING FACILITY NY 501(C)(3) LINE 11 0 KENWOOD MANOR INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 141368178 LISCENCED ADULT HOME FACILITY NY 501(C)(3) LINE 11 0 GOOD SAMARITAN SENIOR DEVELOPMENT FUND COMPANY INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 141727655 LOW INCOME HOUSING NY 501(C)(3) LINE 11 0 WARTBURG NURSING HOME 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 237087284 DORMANT NY 501(C)(3) LINE 11 0 LUTHERAN HOUSIGN DEVELOPMENT CORPORATION AT CONCORD VILLAGE 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 030436196 RESIDENTIAL APARTMENT BUILDINGS FOR THE ELDERLY NY 501(C)(3) LINE 11 0 LUTHERAN HOUSIGN DEVELOPMENT CORPORATION OF LONG ISLAND 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 112574183 RESIDENTIAL APARTMENT BUILDINGS FOR THE ELDERLY NY 501(C)(3) LINE 11 0 LUTHERAN HOUSING DEVELOPMENT CORPORATION OF PAWLING 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 113269257 RESIDENTIAL APARTMENT COMPLEX FOR THE ELDERLY NY 501(C)(3) LINE 11 0 WARTBURG HOUSING DEVELOPMENT FUND CORPORATION 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 113051052 TO PROVIDE HOUSING FOR LOW INCOME AND INDIGENT PEOPLE NY 501(C)(3) LINE 11 0 THE LUTHERAN CARE NETWORK FOUNDATION INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 112645255 TO DEVELOP AND SUPPORT NOT FOR PROFIT HEALTH CARE ENTITIES NY 501(C)(3) LINE 7 0 WARTBURG LUTHERAN HOME FOR THE AGING INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 111631836 MANAGES SENIOR HOUSING PROGRAMS NY 501(C)(3) LINE 11 0 THE LUTHERAN CARE NETWORK INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 112896230 PROVIDE MGMT, DEVP & FUNDRAISING TO RELATED 501 (C)(3) NY 501(C)(3) LINE 11 0 HUDSON VALLEY SENIOR RESIDENCE 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 141364545 ADULT HOME-ASSISTED LIVING RESIDENCE NY 501(C)(3) LINE 11 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 THE LUTHERAN CARE NETWORK INC D 113107 THE LUTHERAN CARE NETWORK INC P 1045000 HUDSON VALLEY SENIOR RESIDENCE D 267891 COBURG VILLAGE D 664