2016-11-14T10:17:02-06:00 2015-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY COURT ALBANY NY 12205 990 2015-01-01 223408456 LUTHERAN CENTER AT POUGHKEEPSIE INC LUTH 9143656365 277 NORTH AVENUE NEW ROCHELLE NY 10801 LARAINE FELLEGARA CFO 9143656365 2016-11-08 1 KENNETH MCGIVNEY P01324731 5184644080 2015 2017-02-10 21:41:12Z FRANK TRIPODI 277 NORTH AVENUE NEW ROCHELLE NY 10801 20902061 0 X WWW.TLCN.ORG X 1998 NY PROVISION OF SKILLED NURSING CARE AND HEALTH RELATED FACILITY CARE 17 16 378 16 0 0 394 0 21703905 20901410 -2796 651 0 0 21701503 20902061 0 0 0 0 11804737 11715763 0 0 0 8862121 8715730 20666858 20431493 1034645 470568 12594663 12779224 14740042 14454035 -2145379 -1674811 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 16227538 18838713 PROVIDING SKILLED NURSING CARE. 160 BEDS - APPROXIMATELY 56,242 DAYS IN 2015. 85006 9901 PROVIDE LONG TERM HOME HEALTH CARE SERVICES. APPROX 254 VISITS IN 2015. THE PROGRAM WAS DISCONTINUED AS OF DECEMBER 31, 2014, AND WAS WINDING DOWN OPERATIONS DURING 2015. 645288 1292142 PROVIDE ADULT DAY CARE SERVICES TO AN AVERAGE OF 20 PATIENTS. APPROX 9,034 VISITS IN 2015. 526210 760654 EXTENDED FAMILY PROGRAM - FOSTER FAMILY CARE 526210 760654 17484042 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 39 0 1 378 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/CEO 8.00 27.00 X X 0 483985 8164 GILBERT PREIRA ADMINISTRATOR 35.00 X 131691 0 5150 LARAINE FELLEGARA CFO 8.00 27.00 X 0 320312 31095 PATRICIA A LUDINGTON DIRECTOR OF NURSING 35.00 X 106518 0 2520 238209 804297 46929 1 0 1 0 MORRISON PO BOX 102289 ATLANTA GA 30368 DIETARY SERVICES 1081019 NPORT THERAPY PO BOX 504884 ST LOUIS MO 63150 REHAB/ NURSING AGENCY 299322 QUIAMBAO SERVICES INC 6 HAWKINS STREET POUGHKEEPSIE NY 12601 REHAB AGENCY 245760 MAJOR STAFFING AGENCY 40 GROVE STREET MIDDLETOWN NY 10940 NURSING AGENCY 115520 SHARED TEXTILE 161 SOUTH MACQUESTEN PARKWAY MT VERNON NY 10550 LAUNDRY 101965 5 NURSING FACILITY 623000 18773113 18773113 HOSPICE-ADULT DAY HEALTH 623000 1292142 1292142 EXTENDED FAMILY PROGRAM 623000 760654 760654 MISCELLANEOUS 623000 65600 65600 LONG TERM HOME HEALTH CARE 623000 9901 9901 20901410 651 651 20902061 20901410 0 651 136841 136841 8070027 7624946 445081 2881790 2681582 200208 627105 585344 41761 70752 70752 31542 31542 1762954 1137938 625016 465358 461346 4012 113375 113375 479408 455438 23970 622453 591330 31123 165446 157174 8272 SUPPLIES, FEES, & OTHER 1756350 1352026 404324 FOOD/DIETARY 1103627 1103627 CASH RECIEPTS ASSESSMEN 704350 704350 DEFERRED FINANCING COST 589004 589004 851111 515566 335545 20431493 17484042 2947451 0 2569451 2802806 318282 202740 2013707 2240830 50549 56954 183946 298438 20844368 14836111 6436276 6008257 1022452 1169199 12594663 12779224 1899798 2007553 12030000 12063681 810244 382801 14740042 14454035 X -2145379 -1674811 -2145379 -1674811 12594663 12779224 470568 0 X X 0 1 X 1 0 X 226967 201250 394 0 428611 23158131 23380170 23257722 21701937 20577403 112075363 23158131 23607137 23458972 21702331 20577403 112503974 0 0 0 112503974 1504 997 404 859 651 4415 1504 997 404 859 651 4415 23159635 23608134 23459376 21703190 20578054 112508389 1.00000 1.00000 0.00000 X 857836 857836 8627663 5318386 3309277 8534932 7276040 1258892 2823937 2241685 582252 6008257 DEBT ISSUANCE COSTS 189546 DUE FROM AFFILIATED COMPANIES 565719 ASSETS WHOSE USE IS LIMITED 413934 1169199 RESIDENT FUNDS 202740 DUE TO THIRD PARTY PAYOR 154481 CAPITAL LEASE OBLIGATION 25580 382801 20902061 0 20902061 0 20902061 20431493 0 20431493 0 20431493 PART XI, LINE 4B INTEREST INCOME $651 TOTAL OTHER EXPENSES REPORTED $651 0 0 0 0 0 0 0 0 0 FRANK TRIPODI BOARD MEMEBER & PRESIDENT/CEO 0 433528 0 0 0 50457 0 5300 0 2864 0 492149 0 0 LARAINE FELLEGARA CFO 0 315512 0 0 0 4800 0 5300 0 25795 0 351407 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 11 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 12B: BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST ON AN ANNUAL BASIS. 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 9 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 9 0 KENWOOD MANOR INC 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 141368178 LISCENCED ADULT HOME FACILITY NY 501(C)(3) LINE 9 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 9 0 WARTBURG NURSING HOME 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 237087284 DORMANT NY 501(C)(3) LINE 9 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 9 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 9 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 9 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 9 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 9 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 9 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 9 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 THE LUTHERAN CARE NETWORK INC D 848578 GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER D 785 THE LUTHERAN CARE NETWORK INC P 690867 HUDSON VALLEY SENIOR RESIDENCE Q 46694 HUDSON VALLEY SENIOR RESIDENCE P 220