ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC (EIN 16-1391191)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-10
IRS object ID
201301309349301000
Schema version
2012v2.1
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)
Timestamp2013-05-10T06:36:19-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN010723685EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DERMODY BURKE & BROWN CPAS LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1443 N FRANKLIN ST STE 100AddressLine1
CitySYRACUSECity
StateNYState
ZIP Code132041441ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN161391191EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST LUKE RESIDENTIAL HEALTH CARE FACILITY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTLUNameControl
Phone3153423166Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1299 EAST RIVER ROADAddressLine1
CityOSWEGOCity
StateNYState
ZIP Code131269302ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTERRENCE GORMANName
TitleTREASURERTitle
Phone3153423166Phone
Date Signed2013-05-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID J DE SILVAName
PTINP00005255PTIN
Phone3154719171Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1ST LUKE HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonTERRENCE GORMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1299 EAST RIVER ROADAddressLine1
CityOSWEGOCity
StateNYState
ZIP Code131269302ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15022766GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STLUKEHS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO MEET THE EVOLVING HEALTHCARE NEEDS OF OUR COMMUNITY, ST. LUKE RESIDENTIAL HEALTHCARE FACILITY, INC. IS DEDICATED TO HELPING THE PEOPLE WE SERVE LIVE TO THEIR MAXIMUM POTENTIAL AND PROMOTE DIGNITY OF LIFE THROUGHOUT ALL OF ITS STAGES.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees413TotalNbrEmployees
Total Nbr Volunteers110TotalNbrVolunteers
Total Gross UBI-34457TotalGrossUBI
Net Unrelated Business Txbl Income-34457NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year492256ContributionsGrantsPriorYear
Contributions Grants Current Year515857ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16800878ProgramServiceRevenuePriorYear
Program Service Revenue CY13392149ProgramServiceRevenueCY
Investment Income Prior Year62295InvestmentIncomePriorYear
Investment Income Current Year23349InvestmentIncomeCurrentYear
Other Revenue Prior Year758016OtherRevenuePriorYear
Other Revenue Current Year1016954OtherRevenueCurrentYear
Total Revenue Prior Year18113445TotalRevenuePriorYear
Total Revenue Current Year14948309TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10424325SalariesEtcPriorYear
Salaries Etc Current Year10660393SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7409430OtherExpensePriorYear
Other Expenses Current Year7448400OtherExpensesCurrentYear
Total Expenses Prior Year17833755TotalExpensesPriorYear
Total Expenses Current Year18108793TotalExpensesCurrentYear
Revenues Less Expenses Prior Year279690RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3160484RevenuesLessExpensesCY
Total Assets BOY17468847TotalAssetsBOY
Total Assets EOY13746245TotalAssetsEOY
Total Liabilities BOY13089567TotalLiabilitiesBOY
Total Liabilities EOY12527449TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4379280NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1218796NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO MEET THE EVOLVING HEALTHCARE NEEDS OF OUR COMMUNITY, ST. LUKE RESIDENTIAL HEALTHCARE FACILITY, INC. IS DEDICATED TO HELPING THE PEOPLE WE SERVE LIVE TO THEIR MAXIMUM POTENTIAL AND PROMOTE DIGNITY OF LIFE THROUGHOUT ALL OF ITS STAGES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16373390Expense
Revenue13392149Revenue
DescriptionST. LUKE HEALTH SERVICES IS LOCATED IN OSWEGO, NEW YORK, OVERLOOKING THE SCENIC OSWEGO RIVER. ST. LUKE IS EASILY ACCESSIBLE AND CLOSE TO NEIGHBORS AND FRIENDS IN THE GREATER-OSWEGO/FULTON AREA. ST. LUKE IS A NON-DENOMINATIONAL, NOT-FOR-PROFIT ORGANIZATION THAT HAS BEEN SERVING THE GREATER-OSWEGO, NEW YORK COMMUNITY FOR OVER 30 YEARS. OUR SHORT-STAY REHAB UNITS OFFER INTENSIVE PHYSICAL, OCCUPATIONAL OR SPEECH THERAPY LASTING GENERALLY NO MORE THAN 90 DAYS FOR THOSE WHO ARE RECOVERING FROM SURGERY, OR A MAJOR MEDICAL EVENT SUCH AS A STROKE OR HEART ATTACK. ST. LUKE ADULT DAY HEALTH CARE IS A DAILY HEALTH MONITORING AND ACTIVITIES PROGRAM DESIGNED TO PROMOTE INDEPENDENCE AND DELAY INSTITUTIONALIZATION OF THE DISABLED ADULT, AVAILABLE FOR 20 REGISTRANTS FROM THROUGHOUT OSWEGO COUNTY. A MEDICAID ELIGIBLE PROGRAM, ADULT DAY HEALTH CARE IS A MEDICAL MODEL PROGRAM PROVIDING HEALTH AND MEDICAL CARE, INCLUDING CASE MANAGEMENT, HEALTH ASSESSMENT, PHYSICAL REHABILITATION, OCCUPATION THERAPY, SPEECH THERAPY, DENTAL SERVICES, THERAPEUTIC DIETS, NUTRITIONAL EDUCATION AND MORE.Description
Total Program Service Expense16373390TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees413NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1NORMA LEWISBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3153423166TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1299 E RIVER ROADAddressLine1
CityOSWEGOCity
StateNYState
ZIP Code13126ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JEROME A MIRABITO
PRESIDENT1.00XX000
MICHAEL CULLINAN
SECRETARY1.00XX000
TERRENCE GORMAN
TREASURER40.00XX159690019322
BRIAN CASWELL
VICE PRESIDENT1.00XX000
DAVID O'BRIEN
BOARD MEMBER1.00X000
KATHLEEN DYER
BOARD MEMBER1.00X000
MICHAEL POLLOCK
BOARD MEMBER1.00X000
REV ROBERT STEPHENSON
BOARD MEMBER1.00X000
STEPHEN FRAWLEY
BOARD MEMBER1.00X000
REV JEFFREY KNOX
BOARD MEMBER1.00X000
RICHARD FARFAGLIA
BOARD MEMBER1.00X000
CATHERINE R GILL
CHIEF OPERATING OFFICER40.00X10645509815
NORMA LEWIS
FINANCE DIRECTOR40.00X73987016240
FieldValueIRS element (for citing)
Total Reportable Comp From Org340132TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation45377TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHAB RESOURCES
159 W 1ST STREETOSWEGONY13126PHYS, OCCUP, & SPEECH THERAPIES912244
SODEXHO INC & AFFILIATES
PO BOX 81049WOBURNMA01813DIETARY MANAGEMENT501101
OSWEGO COUNTY OPPORTUNITIES INC
239 ONEIDA STFULTONNY13069DAYCARE REGISTRANTS TRANSPORTATION150920
EAGLE JANITORIAL SUPPLY & SERVICE COMPAN
333 ROSE STREETWILLIAMSPORTPA17701HOUSEKEEPING MANAGEMENT111956
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations2185RelatedOrganizations
Government Grants513672GovernmentGrants
Total Contributions515857TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET RESIDENT SERVICE RDescription
Business Code623000BusinessCode
Total Revenue Column13392149TotalRevenueColumn
Related Or Exempt Function Income13392149RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13392149TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column23349TotalRevenueColumn
Exclusion$23,349ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real40000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real74457Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-34457Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-34457TotalRevenueColumn
Unrelated Business Revenue-34457UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MANAGEMENT FEES541610759925$759,925
INSURANCE RECOVERIES900099184389$184,389
CAFETERIA/VENDING MACHINE INCOME90009953995$53,995

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column53102TotalRevenueColumn
Exclusion$53,102ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1051411TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14948309TotalRevenueColumn
Related Or Exempt Function Income13392149RelatedOrExemptFunctionIncome
Unrelated Business Revenue-34457UnrelatedBusinessRevenue
Exclusion$1,074,760ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total400304Total
Management And General400304ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7959916Total
Program Services7494151ProgramServices
Management And General465765ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total257261Total
Program Services160581ProgramServices
Management And General96680ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1365421Total
Program Services1226823ProgramServices
Management And General138598ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total677491Total
Program Services621632ProgramServices
Management And General55859ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total599156Total
Program Services599156ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total106159Total
Management And General106159ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26541Total
Management And General26541ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1298388Total
Program Services1210011ProgramServices
Management And General88377ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total7600Total
Management And General7600ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total977216Total
Program Services770211ProgramServices
Management And General207005ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total93476Total
Management And General93476ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total735240Total
Program Services712204ProgramServices
Management And General23036ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total45959Total
Program Services27495ProgramServices
Management And General18464ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total39465Total
Program Services39465ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total881000Total
Program Services881000ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total112454Total
Program Services110123ProgramServices
Management And General2331ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NYS CASH RECEIPTS ASSES802653802653
DIETARY EXPENSE7639737612492724
DEVELOPMENT FEES513672513672
DRUGS & PHARMACEUTICALS189457189457

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total255991Total
Program Services253507ProgramServices
Management And General2484ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18108793Total
Program Services16373390ProgramServices
Management And General1735403ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY530808BOY
EOY766170EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY259017BOY
EOY159204EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY512972EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5267934BOY
EOY2758505EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY128373BOY
EOY119602EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20691310LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16556535LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4379273BOY
EOY4134775EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6903442BOY
EOY5295017EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17468847BOY
EOY13746245EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4646252BOY
EOY4671898EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY59004BOY
EOY46615EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8384311BOY
EOY7808936EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13089567BOY
EOY12527449EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4379280BOY
EOY1218796EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4379280BOY
EOY1218796EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17468847BOY
EOY13746245EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-3160484ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13224CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year492256CurrentTaxYearMinus1Year
Current Tax Year515857CurrentTaxYear
Total1046337Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15554860CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15081766CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15676107CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16800878CurrentTaxYearMinus1Year
Current Tax Year13392149CurrentTaxYear
Total76505760Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years633385CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years753588CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years784603CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year803898CurrentTaxYearMinus1Year
Current Tax Year1051411CurrentTaxYear
Total4026885Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16204245CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15848578CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16469710CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18097032CurrentTaxYearMinus1Year
Current Tax Year14959417CurrentTaxYear
Total81578982Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50981578982PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years154503CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years98092CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years95337CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62295CurrentTaxYearMinus1Year
Current Tax Year23349CurrentTaxYear
Total433576Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years154503CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years98092CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years95337CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62295CurrentTaxYearMinus1Year
Current Tax Year23349CurrentTaxYear
Total433576Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16304CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16863CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years171875CurrentTaxYearMinus2Years
Total205042Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16375052CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15963533CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16736922CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18159327CurrentTaxYearMinus1Year
Current Tax Year14982766CurrentTaxYear
Total82217600Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99220PublicSupportPercentage509
Prior Year Support Percentage0.98870PriorYearSupportPercentage
Investment Income Percentage0.00530InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00840PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis99100OtherCostOrOtherBasis
Book Value99100BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15518583OtherCostOrOtherBasis
Depreciation13014661Depreciation
Book Value2503922BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5073627OtherCostOrOtherBasis
Depreciation3541874Depreciation
Book Value1531753BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4134775TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
RESIDENT FUNDS46615
DEPRECIATION RESERVE FUND3533555
WORKING CAPITAL ESCROW11975
MORTGAGE ESCROW DEPOSITS37249
RESERVE FOR REPLACEMENT1234841
EDUCATION FUND29275
MORTGAGE COSTS206520
DUE FROM RELATED PARTIES194987
FieldValueIRS element (for citing)
Total Book Value Other Assets5295017TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt15022766TotRevenueEtcAuditedFinclStmt
Other Revenues74457OtherRevenues
Revenue Not Rptd F99074457RevenueNotRptdF990
Revenue Subtotal14948309RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014948309TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18183250TotExpensesEtcAuditedFinclStmt
Other Expenses Included74457OtherExpensesIncluded
Expenses Not Rptd F99074457ExpensesNotRptdF990
Expenses Subtotal18108793ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018108793TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:RESIDENT'S MONEY IS HELD FOR THEM TO USE FOR PERSONAL BENEFIT
RENTAL EXPENSES NETTED WITH INCOMEPART XI, LINE 2D - OTHER ADJUSTMENTS:
RENTAL EXPENSES NETTED WITH INCOMEPART XII, LINE 2D - OTHER ADJUSTMENTS:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonTERRENCE GORMANNamePerson
TitleTREASURERTitle
Base Compensation Filing Org159690BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org5837DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org13485NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org179012TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE REVIEWS THE FORM 990. ONCE REVIEWED AND APPROVED BY THE FINANCE COMMITTEE, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. THE APPROVED FORM 990 IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION ENFORCES ITS CONFLICT OF INTEREST POLICY BY REQUIRING THE BOARD OF DIRECTORS AND OFFICERS TO COMPLETE AND SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT. THE CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED THROUGHOUT THE YEAR FOR ANY CHANGES BY THE MANAGEMENT COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15IN 2008, THE ORGANIZATIONS BOARD OF DIRECTORS CONTRACTED WITH AN OUTSIDE MANAGEMENT CONSULTING FIRM TO PERFORM A SALARY REVIEW FOR KEY STAFF INCLUDING THE ADMINISTRATOR/C.E.O., ASSISTANT ADMINISTRATOR/C.O.O. AND FINANCE DIRECTOR. THE MANAGEMENT CONSULTING FIRM CONDUCTED A SURVEY OF SEVERAL SIMILAR ORGANIZATION AND COMPILED DATA RELATED TO EDUCATION, SALARY, OTHER COMPENSATION, RESPONSIBILITIES, ETC. THIS INFORMATION WAS USED BY THE BOARD OF DIRECTORS TO DETERMINE LEVELS OF COMPENSATION FOR THE KEY STAFF. PERIODICALLY, THIS SALARY REVIEW IS CONDUCTED AND UPDATED AS NEEDED.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION'S FORM 1023, 990 AND 990-T ARE AVAILABLE UPON REQUEST AND ARE HOUSED ON SITE AT THE FACILITY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE HOUSED ON SITE AT THE FACILITY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
MICHAUD RESIDENTIAL HEALTH SERVICES INC
453 PARK STREETFULTONNY13126203615539SKILLED NURSING FACILITYNY501(C)(3)3N/A0
BISHOP'S COMMONS AT ST LUKE
4 BURKLE STREETOSWEGONY13126161559449SENIOR ASSISTED LIVINGNY501(C)(3)9N/A0
FOSTER BURDEN CORPORATION
299 EAST RIVER ROADOSWEGONY13126222460821FUNDRAISINGNY501(C)(3)7N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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