2018-11-14T07:52:31-06:00 2017-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY COURT ALBANY NY 12205 990 2017-01-01 223408456 LUTHERAN CENTER AT POUGHKEEPSIE INC LUTH 9143656365 700 WHITE PLAINS ROAD STE 377 SCARSDALE NY 10583 LARAINE FELLEGARA INTERIM CEO 9143656365 2018-10-26 1 KENNETH MCGIVNEY P01324731 5184644080 72.45.188.222 2018-10-26 15:28:31 ED P DF2D7B73C4180480B65CAF3959546349DB6BCBF8 9E2B52A468555999F3A24CBC70C34B5B3D75C8D0 2017 2019-02-21 02:37:17Z LARAINE FELLEGARA 700 WHITE PLAINS ROAD STE 377 SCARSDALE NY 10583 23057935 0 X WWW.TLCN.ORG X 1998 NY PROVISION OF SKILLED NURSING CARE AND HEALTH RELATED FACILITY CARE 17 16 373 16 0 0 0 0 21074306 22728050 1088 0 550839 329885 21626233 23057935 0 0 0 0 12161846 13143659 0 0 0 8418399 9099604 20580245 22243263 1045988 814672 13312029 12839708 13940852 13337942 -628823 -498234 X 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 17860788 20876901 PROVIDING SKILLED NURSING CARE. 160 BEDS - APPROXIMATELY 55,803 DAYS IN 2017. 670387 1159866 PROVIDE ADULT DAY CARE SERVICES TO AN AVERAGE OF 20 PATIENTS. APPROXIMATELY 13,573 VISITS IN 2017. 488923 691283 EXTENDED FAMILY PROGRAM - FOSTER FAMILY CARE 329885 PRIOR YEAR RATE SETTLEMENTS 329885 19020098 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 36 0 1 373 1 0 0 0 0 0 0 0 0 X 17 16 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 CHAIRMAN 1.00 X X 0 0 0 RICHARD OLSON BOARD MEMBER 1.00 X 0 0 0 PETER MAZER BOARD MEMBER 1.00 X 0 0 0 FR BRIAN MCWEENEY BOARD MEMBER 1.00 X 0 0 0 ARTHUR UPRIGHT VICE CHAIR 1.00 X X 0 0 0 JOHN RUTH BOARD MEMBER 1.00 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 ANNETTE BALL 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 ALEC DAVIS BOARD MEMBER 1.00 X 0 0 0 LOUIS ALBANO BOARD MEMBER 1.00 X 0 0 0 REV DR ROBERT HARTWELL BOARD MEMBER 1.00 X 0 0 0 FRANK TRIPODI BOARD MEMBER & PRESIDENT/ 8.00 27.00 X X 0 463481 32960 THOMAS KEON SECRETARY 1.00 X X 0 0 0 GILBERT PREIRA ADMINISTRATOR 30.00 5.00 X 145776 0 13432 LARAINE FELLEGARA CFO 8.00 27.00 X 0 328552 25561 PATRICIA A LUDINGTON DIRECTOR OF NURSING 35.00 X 117645 0 3948 263421 792033 75901 2 0 1 0 MORRISON PO BOX 102289 ATLANTA GA 30368 DIETARY SERVICES 1170843 THE LUTHERAN CARE NETWORK INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 MANAGEMENT FEES 406462 PROCARE SYSTEMS 111 EXECUTIVE BOULEVARD FARMINGDALE NY 11735 MEDICAL PRACTICE MANAGEMENT 378646 QUIK HEALTH PROFESS STAFFING LLC 6 HAWKINS STREET POUGHKEEPSIE NY 12601 HEALTHCARE STAFFING 364365 4 NURSING FACILITY 623000 20876901 20876901 HOSPICE-ADULT DAY HEALTH 623000 1159866 1159866 EXTENDED FAMILY PROGRAM 623000 691283 691283 22728050 PRIOR YEAR RATE SETTLEMENTS 900099 329885 329885 329885 23057935 23057935 0 0 X 145776 145776 9150132 8575472 574660 3130159 2887571 242588 717592 661978 55614 4491 4491 71816 71816 2725618 1699013 1026605 81350 81350 384094 345685 38409 591313 532182 59131 199536 179582 19954 SUPPLIES, FEES, & OTHER 1763498 1264705 498793 FOOD/DIETARY 1156319 1156319 CASH RECEIPTS ASSESSMEN 663573 663573 MISCELLANEOUS 498265 491495 6770 959731 481173 478558 22243263 19020098 3223165 0 2972496 1527964 409164 480236 2337300 3763740 51251 51315 308689 209440 21204445 16041279 5565932 5163166 1667197 1643847 13312029 12839708 1948632 1882009 137538 60 10953784 10475082 472837 488533 428061 492258 13940852 13337942 X -628823 -498234 -628823 -498234 13312029 12839708 X 814672 -684083 X X 0 1 X 1 1 1 X 201250 394 201644 23257722 21701937 20577403 21074306 22728050 109339418 23458972 21702331 20577403 21074306 22728050 109541062 0 0 0 109541062 404 859 651 1088 1322 4324 404 859 651 1088 1322 4324 23459376 21703190 20578054 21075394 22729372 109545386 1.00000 1.00000 0.00000 X 857836 857836 8628370 5635468 2992902 8790362 8010793 779569 2927877 2395018 532859 5163166 DUE FROM AFFILIATED COMPANIES 357591 ASSETS WHOSE USE IS LIMITED 1286256 1643847 RESIDENT FUNDS 480236 CAPITAL LEASE OBLIGATION 12022 492258 23057935 0 23057935 0 23057935 22240033 0 22240033 3230 3230 22243263 PART XII, LINE 4B - OTHER ADJUSTMENTS: DISCONTINUED OPERATIONS 3,230. 0 0 0 0 0 0 0 0 0 FRANK TRIPODI BOARD MEMBER & PRESIDENT/ 0 463481 0 0 0 0 0 0 0 32960 0 496441 0 0 GILBERT PREIRA ADMINISTRATOR 145776 0 0 0 0 0 2991 0 10441 0 159208 0 0 0 LARAINE FELLEGARA CFO 0 328552 0 0 0 0 0 0 0 25561 0 354113 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 IX, LINE 11G AGENCY FEES: PROGRAM SERVICE EXPENSES 1,568,186. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,568,186. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,026,605. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,026,605. PHYSICIAN & DENTAL FEES: PROGRAM SERVICE EXPENSES 130,827. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 130,827. FORM 990, PART XI, LINE 9: OTHER EXPENSE -658,237. LOSS FROM DISCONTINUED OPERATIONS -25,846. 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 522387 THE LUTHERAN CARE NETWORK INC P 1010600 HUDSON VALLEY SENIOR RESIDENCE D 209218 LUTHERAN HOUSING DEVELOPMENT FUND CORPORATION AT CONCORD VILLAGE D 9315 COBURG VILLAGE D 113