2017-08-14T13:23:00-05:00 2016-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY COURT ALBANY NY 12205 990 2016-01-01 223408456 LUTHERAN CENTER AT POUGHKEEPSIE INC LUTH 9143656365 277 NORTH AVENUE NEW ROCHELLE NY 10801 LARAINE FELLEGARA CFO 9143656365 2017-07-26 1 JOHN C OLSEN P00321116 5184644080 4.14.157.194 2017-07-26 16:38:35 ED P 549C513E4E63F70F8AC3EB28B44FFE2763F7A1B3 D01A67795876EF4CF800481503ACC34362B8F34B 2016 2021-01-29 14:40:06Z FRANK TRIPODI 277 NORTH AVENUE NEW ROCHELLE NY 10801 21626233 0 X WWW.TLCN.ORG X 1998 NY PROVISION OF SKILLED NURSING CARE AND HEALTH RELATED FACILITY CARE 17 16 405 16 0 0 0 0 20901410 21074306 651 1088 0 550839 20902061 21626233 0 0 0 0 11715763 12161846 0 0 0 8715730 8418399 20431493 20580245 470568 1045988 12779224 13312029 14454035 13940852 -1674811 -628823 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 16388791 18467812 PROVIDING SKILLED NURSING CARE. 160 BEDS - APPROXIMATELY 55,939 DAYS IN 2016. 684480 1230379 PROVIDE ADULT DAY CARE SERVICES TO AN AVERAGE OF 20 PATIENTS. APPROXIMATELY 8,412 VISITS IN 2016. 505353 1376115 EXTENDED FAMILY PROGRAM - FOSTER FAMILY CARE 550839 550839 17578624 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 33 0 1 405 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 X X LARAINE FELLEGARA 8454869494 277 NORTH AVENUE NEW ROCHELLE NY 10801 JOHN MESLOH CHAIRMAN 1.00 X X 0 0 0 THOMAS KEON SECRETARY 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 CHRIS 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 RAZAK 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 MEMEBER & PRESIDENT/ 8.00 27.00 X X 0 477579 24048 GILBERT PREIRA ADMINISTRATOR 35.00 X 133833 0 14427 LARAINE FELLEGARA CFO 8.00 27.00 X 0 328552 25561 PATRICIA A LUDINGTON DIRECTOR OF NURSING 35.00 X 109573 0 2200 243406 806131 66236 1 0 1 0 MORRISON PO BOX 102289 ATLANTA GA 30368 DIETARY SERVICES 1067057 PROCARE SYSTEMS 111 EXECUTIVE BOULEVARD FARMINGDALE NY 11735 MEDICAL PRACTICE MANAGEMENT 336463 NPORT PLLC PO BOX 504884 ST LOUIS MO 63150 HEALTHCARE STAFFING 166736 QUIAMBAO SERVICES INC 6 HAWKINS STREET POUGHKEEPSIE NY 12601 HEALTHCARE STAFFING 157805 QUIK HEALTH PROFESS STAFFING LLC 6 HAWKINS STREET POUGHKEEPSIE NY 12601 HEALTHCARE STAFFING 137270 6 NURSING FACILITY 623000 18467812 18467812 EXTENDED FAMILY PROGRAM 623000 1376115 1376115 HOSPICE-ADULT DAY HEALTH 623000 1230379 1230379 21074306 1088 1088 PRIOR YEAR ADJUSTMENTS 900099 541173 541173 MISCELLANEOUS 900099 9666 9666 550839 21626233 21625145 0 1088 133833 133833 8490890 7988172 502718 2890147 2676839 213308 646976 599226 47750 18919 18919 44900 44900 1921785 1100530 821255 429688 425357 4331 89571 89571 399527 379551 19976 613855 583162 30693 231734 220147 11587 SUPPLIES, FEES, & OTHER 1619485 1280336 339149 FOOD/DIETARY 1116394 1116394 PROVISION FOR DOUBTFUL 813202 813202 CASH RECIEPTS ASSESSMEN 674823 674823 444516 444516 20580245 17578624 3001621 0 2802806 2972496 202740 409164 2240830 2337300 56954 51251 298438 308689 21015899 15449967 6008257 5565932 1169199 1667197 12779224 13312029 2007553 1948632 0 137538 12063681 10953784 472837 382801 428061 14454035 13940852 X -1674811 -628823 -1674811 -628823 12779224 13312029 1045988 0 X X 0 1 X 1 1 1 X 226967 201250 394 428611 23380170 23257722 21701937 20577403 21074306 109991538 23607137 23458972 21702331 20577403 21074306 110420149 0 0 0 110420149 997 404 859 651 1088 3999 997 404 859 651 1088 3999 23608134 23459376 21703190 20578054 21075394 110424148 1.00000 1.00000 0.00000 X 857836 857836 8628370 5476940 3151430 8700506 7654844 1045662 2829187 2318183 511004 5565932 DUE FROM AFFILIATED COMPANIES 400935 ASSETS WHOSE USE IS LIMITED 1266262 1667197 RESIDENT FUNDS 409164 CAPITAL LEASE OBLIGATION 18897 428061 21626233 0 21626233 0 21626233 20580245 0 20580245 0 20580245 0 0 0 0 0 0 0 0 0 FRANK TRIPODI BOARD MEMEBER & PRESIDENT/ 0 425759 0 0 0 51820 0 5300 0 18748 0 501627 0 0 LARAINE FELLEGARA CFO 0 323752 0 0 0 4800 0 5300 0 20261 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 XI, LINE 2C: NO CHANGE FROM PRIOR YEAR. COBURG VILLAGE 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 113211085 SENIOR HOUSING NY 501(C)(3) LINE 10 0 GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 237310663 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 0 KENWOOD MANOR INC 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 141368178 LISCENCED ADULT HOME FACILITY NY 501(C)(3) LINE 10 0 GOOD SAMARITAN SENIOR DEVELOPMENT FUND COMPANY INC 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 141727655 LOW INCOME HOUSING NY 501(C)(3) LINE 10 0 WARTBURG NURSING HOME 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 237087284 DORMANT NY 501(C)(3) LINE 10 0 LUTHERAN HOUSIGN DEVELOPMENT CORPORATION AT CONCORD VILLAGE 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 030436196 RESIDENTIAL APARTMENT BUILDINGS FOR THE ELDERLY NY 501(C)(3) LINE 10 0 LUTHERAN HOUSIGN DEVELOPMENT CORPORATION OF LONG ISLAND 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 112574183 RESIDENTIAL APARTMENT BUILDINGS FOR THE ELDERLY NY 501(C)(3) LINE 10 0 LUTHERAN HOUSING DEVELOPMENT CORPORATION OF PAWLING 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 113269257 RESIDENTIAL APARTMENT COMPLEX FOR THE ELDERLY NY 501(C)(3) LINE 10 0 WARTBURG HOUSING DEVELOPMENT FUND CORPORATION 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 113051052 TO PROVIDE HOUSING FOR LOW INCOME AND INDIGENT PEOPLE NY 501(C)(3) LINE 10 0 THE LUTHERAN CARE NETWORK FOUNDATION INC 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 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 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 111631836 MANAGES SENIOR HOUSING PROGRAMS NY 501(C)(3) LINE 10 0 THE LUTHERAN CARE NETWORK INC 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 112896230 PROVIDE MGMT, DEVP & FUNDRAISING TO RELATED 501 (C)(3) NY 501(C)(3) LINE 10 0 HUDSON VALLEY SENIOR RESIDENCE 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 141364545 ADULT HOME-ASSISTED LIVING RESIDENCE NY 501(C)(3) LINE 10 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 592235 THE LUTHERAN CARE NETWORK INC P 847418 HUDSON VALLEY SENIOR RESIDENCE D 42439