2013-05-10T06:36:19-05:00 2012-12-31 010723685 DERMODY BURKE & BROWN CPAS LLC 443 N FRANKLIN ST STE 100 SYRACUSE NY 132041441 990 2012-01-01 161391191 ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC STLU 3153423166 299 EAST RIVER ROAD OSWEGO NY 131269302 TERRENCE GORMAN 3153423166 2013-05-08 1 DAVID J DE SILVA P00005255 3154719171 2012 2016-02-25 16:41:14Z ST LUKE HEALTH SERVICES TERRENCE GORMAN 299 EAST RIVER ROAD OSWEGO NY 131269302 15022766 0 X WWW.STLUKEHS.COM X 1973 NY TO 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. 11 10 413 110 -34457 -34457 492256 515857 16800878 13392149 62295 23349 758016 1016954 18113445 14948309 0 0 0 0 10424325 10660393 0 0 0 7409430 7448400 17833755 18108793 279690 -3160484 17468847 13746245 13089567 12527449 4379280 1218796 X TO 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. 0 0 16373390 13392149 ST. 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. 16373390 1 1 0 0 0 0 0 0 1 0 1 0 0 1 0 0 1 0 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 13 0 1 413 1 1 1 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X NORMA LEWIS 3153423166 299 E RIVER ROAD OSWEGO NY 13126 JEROME A MIRABITO 1.00 X X 0 0 0 MICHAEL CULLINAN 1.00 X X 0 0 0 TERRENCE GORMAN 40.00 X X 159690 0 19322 BRIAN CASWELL 1.00 X X 0 0 0 DAVID O'BRIEN 1.00 X 0 0 0 KATHLEEN DYER 1.00 X 0 0 0 MICHAEL POLLOCK 1.00 X 0 0 0 REV ROBERT STEPHENSON 1.00 X 0 0 0 STEPHEN FRAWLEY 1.00 X 0 0 0 REV JEFFREY KNOX 1.00 X 0 0 0 RICHARD FARFAGLIA 1.00 X 0 0 0 CATHERINE R GILL 40.00 X 106455 0 9815 NORMA LEWIS 40.00 X 73987 0 16240 340132 0 45377 2 0 1 0 REHAB RESOURCES 159 W 1ST STREET OSWEGO NY 13126 PHYS, OCCUP, & SPEECH THERAPIES 912244 SODEXHO INC & AFFILIATES PO BOX 81049 WOBURN MA 01813 DIETARY MANAGEMENT 501101 OSWEGO COUNTY OPPORTUNITIES INC 239 ONEIDA ST FULTON NY 13069 DAYCARE REGISTRANTS TRANSPORTATION 150920 EAGLE JANITORIAL SUPPLY & SERVICE COMPAN 333 ROSE STREET WILLIAMSPORT PA 17701 HOUSEKEEPING MANAGEMENT 111956 4 2185 513672 515857 NET RESIDENT SERVICE R 623000 13392149 13392149 13392149 23349 23349 40000 74457 -34457 -34457 -34457 MANAGEMENT FEES 541610 759925 759925 INSURANCE RECOVERIES 900099 184389 184389 CAFETERIA/VENDING MACHINE INCOME 900099 53995 53995 53102 53102 1051411 14948309 13392149 -34457 1074760 400304 400304 7959916 7494151 465765 257261 160581 96680 1365421 1226823 138598 677491 621632 55859 599156 599156 106159 106159 26541 26541 1298388 1210011 88377 7600 7600 977216 770211 207005 93476 93476 735240 712204 23036 45959 27495 18464 39465 39465 881000 881000 112454 110123 2331 NYS CASH RECEIPTS ASSES 802653 802653 DIETARY EXPENSE 763973 761249 2724 DEVELOPMENT FEES 513672 513672 DRUGS & PHARMACEUTICALS 189457 189457 255991 253507 2484 18108793 16373390 1735403 0 530808 766170 259017 159204 512972 5267934 2758505 128373 119602 20691310 16556535 4379273 4134775 6903442 5295017 17468847 13746245 4646252 4671898 59004 46615 8384311 7808936 13089567 12527449 X 4379280 1218796 4379280 1218796 17468847 13746245 -3160484 0 X 0 1 X 1 1 1 X 16000 13224 9000 492256 515857 1046337 15554860 15081766 15676107 16800878 13392149 76505760 633385 753588 784603 803898 1051411 4026885 16204245 15848578 16469710 18097032 14959417 81578982 0 0 0 81578982 154503 98092 95337 62295 23349 433576 154503 98092 95337 62295 23349 433576 16304 16863 171875 205042 16375052 15963533 16736922 18159327 14982766 82217600 0.99220 0.98870 0.00530 0.00840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 99100 99100 15518583 13014661 2503922 5073627 3541874 1531753 4134775 RESIDENT FUNDS 46615 DEPRECIATION RESERVE FUND 3533555 WORKING CAPITAL ESCROW 11975 MORTGAGE ESCROW DEPOSITS 37249 RESERVE FOR REPLACEMENT 1234841 EDUCATION FUND 29275 MORTGAGE COSTS 206520 DUE FROM RELATED PARTIES 194987 5295017 15022766 74457 74457 14948309 0 14948309 18183250 74457 74457 18108793 0 18108793 PART IV, LINE 2B: RESIDENT'S MONEY IS HELD FOR THEM TO USE FOR PERSONAL BENEFIT PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED WITH INCOME PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED WITH INCOME X X X 0 0 0 0 0 0 0 0 0 TERRENCE GORMAN 159690 0 0 0 0 0 5837 0 13485 0 179012 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C THE 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 15 IN 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 18 THE 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 19 THE 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. MICHAUD RESIDENTIAL HEALTH SERVICES INC 453 PARK STREET FULTON NY 13126 203615539 SKILLED NURSING FACILITY NY 501(C)(3) 3 N/A 0 BISHOP'S COMMONS AT ST LUKE 4 BURKLE STREET OSWEGO NY 13126 161559449 SENIOR ASSISTED LIVING NY 501(C)(3) 9 N/A 0 FOSTER BURDEN CORPORATION 299 EAST RIVER ROAD OSWEGO NY 13126 222460821 FUNDRAISING NY 501(C)(3) 7 N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0