GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC (EIN 23-7310663)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201833189349301088
Schema version
2017v2.3
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)
Return2018-11-14T07:42:06-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16 WEMBLEY COURTAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12205ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

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 NO 377AddressLine1Txt
CitySCARSDALECityNm
State AbbreviationNYStateAbbreviationCd
ZIP10583ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLARAINE FELLEGARAPersonNm
Person TitleINTERIM-CEOPersonTitleTxt
Phone5184398116PhoneNum
Signature2018-10-26SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKENNETH MCGIVNEYPreparerPersonNm
PTINP01324731PTIN
Phone5184644080PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address72.45.188.222IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-10-26IPDt
IP Tm15:23:37IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id965D4368A5CC4225FDFBF03B4402BB85A5BF21B8AtSubmissionCreationDeviceId
At Submission Filing Device Id9E2B52A468555999F3A24CBC70C34B5B3D75C8D0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLARAINE FELLEGARAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1125 ROCKEFELLER ROADAddressLine1Txt
CityDELMARCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12054ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,018,946GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TLCN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSKILLED NURSING FACILTYActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee232TotalEmployeeCnt
Total Volunteers28TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,524PYContributionsGrantsAmt
CY Contributions Grants$1,005CYContributionsGrantsAmt
PY Program Service Revenue$9,717,168PYProgramServiceRevenueAmt
CY Program Service Revenue$9,863,335CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$154,452PYOtherRevenueAmt
CY Other Revenue$154,606CYOtherRevenueAmt
PY Total Revenue$9,876,144PYTotalRevenueAmt
CY Total Revenue$10,018,946CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,315,607PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,511,183CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,509,162PYOtherExpensesAmt
CY Other Expenses$4,359,082CYOtherExpensesAmt
PY Total Expenses$10,824,769PYTotalExpensesAmt
CY Total Expenses$11,870,265CYTotalExpensesAmt
PY Revenues Less Expenses-$948,625PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,851,319CYRevenuesLessExpensesAmt
Total Assets BOY$5,982,438TotalAssetsBOYAmt
Total Assets EOY$5,670,041TotalAssetsEOYAmt
Total Liabilities BOY$7,588,189TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,127,111TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,605,751NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$3,457,070NetAssetsOrFundBalancesEOYAmt
MissionA MINISTRY OF HEALING, HOSPITALITY AND COMMUNITY THROUGH PARTNERSHIPS IN CARING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,986,857ExpenseAmt
Revenue$10,017,941RevenueAmt
DescA 120 BED SKILLED NURSING FACILITY. THE NUTRSING 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 MEDICINE CABINET SUPPLIES. THE FACILITY HAD 40,954 DAYS IN 2017.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$855,272ExpenseAmt
DescDIETARY SERVICES - PROVIDES THREE MEALS PER DAY, 365 DAYS PER YEAR. MEALS SERVED TO INDIVIDUALS WITH SPECIAL DIETARY NEEDS ARE SUPERVISED BY A CONSULTING AND REGISTERED DIETICIAN. TOTAL MEALS SERVED IN 2017 WERE 124,830.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$712,018ExpenseAmt
DescPLANT OPERATIONS. THE PLANT OPERATIONS DEPARTMENT PROVIDES MAINTENANCE, HOUSEKEEPING, GROUNDS, LAUNDRY, AND TRANSPORTATION SERVICES 365 DAYS PER YEAR. THIS DEPARTMENT ENSURES A CLEAN, HEALTHY, SHELTERED ENVIRONMENT AND PROPERLY OUTFITTED FACILITY PER NYS DOH GUIDELINES. THIS DEPARTMENT PROVIDES FRESH BED LINEN, CHANGED AT LEAST TWICE WEEKLY, AS WELL AS LAUNDRY SERVICES FOR HOSPITAL GOWNS OR PAJAMAS AS REQUIRED BY THE CLINICAL CONDITION OF THE RESIDENT OR OTHER, IF ELECTED, PERSONAL CLOTHING ITEMS. TOTAL SERVICE DAYS PROVIDED IN 2017 EQUALED 365.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$9,554,147TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee232EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLARAINE FELLEGARAPersonNm
Phone9143656365PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
JOHN MESLOH
BOARD CHAIR1.00Yes (X)Yes (X)$0$0$0
ALEC DAVIS
DIRECTOR1.00Yes (X)$0$0$0
PETER MAZER
BOARD MEMBER1.00Yes (X)$0$0$0
FRBRIAN MCWEENEY
BOARD MEMBER1.00Yes (X)$0$0$0
RICHARD OLSON
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN RUTH
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN SHANE
BOARD MEMBER1.00Yes (X)$0$0$0
LYNETTE TAYLOR
BOARD MEMBER1.00Yes (X)$0$0$0
ARTHUR UPRIGHT
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
CHRIS JONES
BOARD MEMBER1.00Yes (X)$0$0$0
ANNETTE BALL
BOARD MEMBER1.00Yes (X)$0$0$0
ANNA MAE KNOWLES
BOARD MEMBER1.00Yes (X)$0$0$0
BARBARA RACZAK
BOARD MEMBER1.00Yes (X)$0$0$0
LOUIS ALBANO
BOARD MEMBER1.00Yes (X)$0$0$0
REV DR ROBERT HARTWELL
BOARD MEEBER1.00Yes (X)$0$0$0
FRANK TRIPODI
BOARD MEMBER & PRES & CEO9.00Yes (X)Yes (X)$0$463,481$32,96026.00
REV DEREK LECAKES
BOARD MEMBER1.00Yes (X)$0$0$0
ED KLEINKE
BOARD MEMBER1.00Yes (X)$0$0$0
DAVE HAHN
BOARD MEMBER1.00Yes (X)$0$0$0
LARAINE FELLEGARA
INTERIM-CEO (CFO THRU 2/20189.00Yes (X)$0$328,552$25,97126.00
KAREN WOODCOCK
ADMINISTRATOR35.00Yes (X)$106,617$0$8,430
FieldValueIRS element (for citing)
Total Reportable Comp From Org$106,617TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$792,033TotReportableCompRltdOrgAmt
Total Other Compensation$67,361TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE LUTHERAN CARE NETWORK
277 NORTH AVENUE STE 201NEW ROCHELLENY10801MANAGEMENT FEE EXPENSE$358,179
OMNICARE INC
PO BOX 78000DETROITMI48278PHARMACY$257,358
US FOODS INC
PO BOX 642554PITTSBURGHPA15264FOOD SERVICES$228,692
RAINBOW CARE & CONSULTING
417A KENWOOD AVEDELMARNY12054CONSULTING SERVICES AND CARE PRODUCTS$180,096
MEDLINE INDUSTRIES
PO BOX 382075PITTSBURGHPA15251MEDICAL SUPPLIES$171,826
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,005AllOtherContributionsAmt
Total Contributions$1,005TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REGULAR INPATIENT CARE623000$9,871,834$9,871,834
RATE ADJUSTMENT623000-$8,499-$8,499
FieldValueIRS element (for citing)
Total Program Service Revenue$9,863,335TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEES561000$134,152$134,152
OTHER INCOME623000$20,454$20,454
FieldValueIRS element (for citing)
Other Revenue Total$154,606OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,018,946TotalRevenueColumnAmt
Related Or Exempt Func Income$10,017,941RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$115,047TotalAmt
Management And General$115,047ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,326,539TotalAmt
Program Services$5,103,380ProgramServicesAmt
Management And General$223,159ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$320,764TotalAmt
Program Services$282,272ProgramServicesAmt
Management And General$38,492ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,120,200TotalAmt
Program Services$985,776ProgramServicesAmt
Management And General$134,424ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$628,633TotalAmt
Program Services$553,197ProgramServicesAmt
Management And General$75,436ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$359,534TotalAmt
Management And General$359,534ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$52,421TotalAmt
Management And General$52,421ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$34,590TotalAmt
Management And General$34,590ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$617,891TotalAmt
Program Services$581,487ProgramServicesAmt
Management And General$36,404ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,156TotalAmt
Program Services$85ProgramServicesAmt
Management And General$3,071ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$285,233TotalAmt
Program Services$254,159ProgramServicesAmt
Management And General$31,074ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$176,025TotalAmt
Program Services$149,401ProgramServicesAmt
Management And General$26,624ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,356TotalAmt
Program Services$1,131ProgramServicesAmt
Management And General$2,225ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$192,431TotalAmt
Program Services$173,188ProgramServicesAmt
Management And General$19,243ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$103,740TotalAmt
Program Services$93,366ProgramServicesAmt
Management And General$10,374ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
BAD DEBT EXPENSE$847,081$847,081
CASH RECEIPT ASSESSMENT$518,753$518,753
MEDICAL SUPPLIES$349,878$349,878
FOOD$306,054$306,054

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$508,939TotalAmt
Program Services$202,020ProgramServicesAmt
Management And General$306,919ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,870,265TotalAmt
Program Services$9,554,147ProgramServicesAmt
Management And General$2,316,118ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$426,608BOYAmt
EOY$528,339EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,065,355BOYAmt
EOY$1,397,769EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$46,952BOYAmt
EOY$45,786EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,443,523BOYAmt
EOY$3,698,147EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,982,438BOYAmt
EOY$5,670,041EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,012,151BOYAmt
EOY$1,116,210EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$250,000BOYAmt
EOY$255,052EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,921,601BOYAmt
EOY$2,781,536EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,404,437BOYAmt
EOY$4,974,313EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,588,189BOYAmt
EOY$9,127,111EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,605,751BOYAmt
EOY-$3,457,070EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,605,751BOYAmt
EOY-$3,457,070EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,982,438BOYAmt
EOY$5,670,041EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,851,319ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$2,450CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,935CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,175CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,524CurrentTaxYearMinus1YearAmt
Current Tax Year$1,005CurrentTaxYearAmt
Total$12,089TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,594,003CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,316,634CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,173,204CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,717,168CurrentTaxYearMinus1YearAmt
Current Tax Year$9,863,335CurrentTaxYearAmt
Total$50,664,344TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,596,453CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,319,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,174,379CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,721,692CurrentTaxYearMinus1YearAmt
Current Tax Year$9,864,340CurrentTaxYearAmt
Total$50,676,433TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$50,676,433PublicSupportTotal509Amt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$342,247CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$214,652CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$204,647CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$154,452CurrentTaxYearMinus1YearAmt
Current Tax Year$154,606CurrentTaxYearAmt
Total$1,070,604TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,938,700CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,534,221CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,379,026CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,876,144CurrentTaxYearMinus1YearAmt
Current Tax Year$10,018,946CurrentTaxYearAmt
Total$51,747,037TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97930PublicSupportCY509Pct
Public Support PY5090.97590PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ASSETS WHOSE USE IS LIMITED$255,052
ASSETS HELD FOR SALE$3,443,095
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,698,147TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO THE LUTHERAN CARE NETWORK, INC.$4,482,281
DUE TO COBURG VILLAGE, INC.$22,193
PAYABLE TO THIRD PARTY$175,498
LIABILITIES HELD FOR SALE$294,341
FieldValueIRS element (for citing)
Total Liability$4,974,313TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$10,018,946TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$10,018,946RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,018,946TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,870,265TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$11,870,265ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,870,265TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FRANK TRIPODI
BOARD MEMBER & PRES & CEO$0$463,481$0$0$0$0$0$0$0$32,960$0$496,441$0$0
LARAINE FELLEGARA
INTERIM-CEO (CFO THRU 2/2018$0$328,552$0$0$0$0$0$5,400$0$20,571$0$354,523$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE 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 6THE ORGANIZATION HAS ONE MEMBER - THE LUTHERAN CARE NETWORK, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF DIRECTORS ARE ELECTED BY THE SOLE MEMBER AS PER THE ORGANIZATION'S BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7BAS 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) INITIATION 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 11BTHE 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 12CAT 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 15ACOMPENSATION OF CEO AND EXECUTIVE STAFF IS AT THE DISCRETION OF THE BOARD OF DIRECTORS UNDER ADVISEMENT OF AN INDEPENDENT THIRD 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 19NO DOCUMENTS AVAILABLE TO THE PUBLIC OTHER THAN THOSE REQUIRED BY LAW. THOSE DOCUMENTS THAT ARE REQUIRED TO BE AVAILABLE TO THE PUBLIC ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 2C:NO CHANGE IN THE PROCESS FROM PRIOR YEARS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
COBURG VILLAGE
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583113211085INDEPENDENT LIVING SENIOR HOUSINGNY501(C)(3)LINE 110
WARTBURG NURSING HOME
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583237087284INACTIVENY501(C)(3)LINE 110
KENWOOD MANOR INC
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583141368178LICENSED ADULT HOME FACILITYNY501(C)(3)LINE 110
GOOD SAMARITAN SENIOR HOUSING DEVELOPMENT FUND COMPANY INC
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583141727655LOW INCOME HOUSINGNY501(C)(3)LINE 110
LUTHERAN CENTER AT POUGHKEEPSIE
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583223408456SKILLED NURSING CARE AND HEALTH SERVICES TO THE ELDERLYNY501(C)(3)LINE 110
LUTHERAN HOUSING DEVELOPMENT CORPORATION AT CONCORD VILLAGE
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583030436196RESIDENTIAL APARTMENT BUILDING FOR THE ELDERLYNY501(C)(3)LINE 110
LUTHERAN HOUSING DEVOLOPMENT CORPORATION OF LONG ISLAND
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583112574183RESIDENTIAL APARTMENT BUILDING FOR THE ELDERLYNY501(C)(3)LINE 110
LUTHERAN HOUSING DEVOPMENT CORPORATION OF PAWLING
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583113269257RESIDENTIAL APARTMENT BUILDING FOR THE ELDERLYNY501(C)(3)LINE 110
WARTBURG HOUSING DEVELOPMENT FUND CORPORATION
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583113051052TO PROVIDE HOUSING FOR LOW INCOME AND INDIGENT PEOPLENY501(C)(3)LINE 110
THE LUTHERAN CARE NETWORK FOUNDATION INC
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583112645255TO DEVELOP AND SUPPORT NOT FOR PROFIT HEALTH CARE ENTITIESNY501(C)(3)LINE 70
WARTBURG LUTHERAN HOME FOR THE AGING INC
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583111631836MANAGE LOW INCOME HOUSING COMPANIESNY501(C)(3)LINE 110
THE LUTHERAN CARE NETWORK INC
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583112896230PROVIDE MGMT, DEVP & FUNDRAISING SERVICES RELATED TO 501(C)(3)NY501(C)(3)LINE 110
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
THE LUTHERAN CARE NETWORK INC
E$4,482,281
KENWOOD MANOR INC
L$112,455
THE LUTHERAN CARE NETWORK INC
M$358,179
COBURG VILLAGE INC
E$22,193
KENWOOD MANOR INC (GUARANTEE)
E$1,653,206

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