WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH (EIN 13-1740497)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201303179349305445
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)
Timestamp2013-11-13T17:23:13-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN271728945EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1O'CONNOR DAVIES LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 MAMARONECK AVENUEAddressLine1
CityHARRISONCity
StateNYState
ZIP Code105281633ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN131740497EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCHBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWARTNameControl
Phone9146990800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1WARTBURG PLACEAddressLine1
CityMOUNT VERNONCity
StateNYState
ZIP Code10552ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID GENTNERName
TitlePRESIDENT/CEOTitle
Phone9146990800Phone
Date Signed2013-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGARRETT M HIGGINSName
PTINP00543209PTIN
Phone9143818900Phone
Date Prepared2013-11-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID GENTNERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1WARTBURG PLACEAddressLine1
CityMOUNT VERNONCity
StateNYState
ZIP Code10552ZIPCode
FieldValueIRS element (for citing)
Gross Receipts63435578GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.THEWARTBURG.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE RESIDENTIAL HEALTH, LONG-TERM HEALTH, ADULT DAY AND RESPITE CARE IN A SKILLED NURSING FACILITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees972TotalNbrEmployees
Total Nbr Volunteers106TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4631583ContributionsGrantsPriorYear
Contributions Grants Current Year12018731ContributionsGrantsCurrentYear
Program Service Revenue Prior Year38359833ProgramServiceRevenuePriorYear
Program Service Revenue CY36821995ProgramServiceRevenueCY
Investment Income Prior Year266021InvestmentIncomePriorYear
Investment Income Current Year474524InvestmentIncomeCurrentYear
Other Revenue Prior Year1079947OtherRevenuePriorYear
Other Revenue Current Year209154OtherRevenueCurrentYear
Total Revenue Prior Year44337384TotalRevenuePriorYear
Total Revenue Current Year49524404TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year10650GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY7090GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year24129446SalariesEtcPriorYear
Salaries Etc Current Year24015468SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year10000TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year706859TotalFundrsngExpCurrentYear
Other Expense Prior Year18671549OtherExpensePriorYear
Other Expenses Current Year19043839OtherExpensesCurrentYear
Total Expenses Prior Year42821645TotalExpensesPriorYear
Total Expenses Current Year43066397TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1515739RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6458007RevenuesLessExpensesCY
Total Assets BOY35053530TotalAssetsBOY
Total Assets EOY37417759TotalAssetsEOY
Total Liabilities BOY21552716TotalLiabilitiesBOY
Total Liabilities EOY17120873TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13500814NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20296886NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE RESIDENTIAL HEALTH, LONG-TERM HEALTH, ADULT DAY AND RESPITE CARE IN A SKILLED NURSING FACILITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense24281337Expense
Grants7090Grants
Revenue26378383Revenue
DescriptionTHE SKILLED NURSING PROGRAM PROVIDES VARIOUS LEVELS OF LONG TERM CARE BASED ON THE INDIVIDUALS NEEDS. IT ALSO INCLUDES SHORT TERM SUB-ACUTE REHABILITATION SERVICES DESIGNED FOR ADULTS WHO ARE RECOVERING FROM INJURY, SURGERY OR DISEASE. THE SKILLED NURSING PROGRAM HAS SERVICED 740 ADULTS THROUGHOUT 2012.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2247315Expense
Revenue2868602Revenue
DescriptionTHE ADULT DAY SERVICES CONSIST OF MEDICAL AND SOCIAL MODELS. THE MEDICAL MODEL IS FOR ADULTS NEEDING BOTH ENRICHED SOCIAL ACTIVITIES AND MEDICAL/HEALTH SUPPORT SERVICES. THIS PROGRAM PROVIDES COMPREHENSIVE MONITORING OF HEALTH NEEDS AND A CAREFULLY PLANNED PROGRAM OF THERAPIES AND ACTIVITIES DESIGNED TO MAINTAIN AND IMPROVE THEIR WELL BEING. THE SOCIAL MODEL IS FOR ADULTS WHO WOULD BENEFIT FROM AN ENRICHED PROGRAM OF RECREATIONAL AND SOCIAL ACTIVITIES IN A PROFESSIONALLY SUPERVISED ENVIRONMENT. IT OFFERS A WIDE RANGE OF ACTIVITIES TO HELP SENIORS IN REASONABLY GOOD HEALTH MAINTAIN THEIR ZEST FOR LIVING. THE WARTBURG ADULT DAY CARE PROGRAMS HAVE SERVICED 132 PERSONS THROUGHOUT 2012.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense6353034Expense
Revenue7250131Revenue
DescriptionTHE LONG TERM HOME HEALTH CARE PROGRAM OFFERS IN-HOME CARE FOR PEOPLE LIVING WITH CHRONIC ILLNESS OR DISABILITIES. PROFESSIONAL SERVICE PLANS ARE DEVELOPED FOR EACH INDIVIDUAL BASED ON THEIR NEEDS IN CONSULTATION WITH THE PATIENT, FAMILY AND PERSONAL PHYSICIAN. THIS PROGRAM ENABLES THE CLIENTS TO REMAIN IN THEIR HOME AND RECEIVE A WIDE RANGE OF SERVICES. THE WARTBURG HAS SERVICED 354 CLIENTS THROUGHOUT 2012.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense330425Expense
Revenue324879Revenue
DescriptionTHE ORGANIZATION ALSO OFFERS OTHER OUTPATIENT SERVICES AND RESPITE CARE.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp330425TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev324879TotalOfOtherProgramServiceRev
Total Program Service Expense33212111TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
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 Organizations1GrantsToOrganizations
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 Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096136NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees972NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOSEPH SESSABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9146990800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1WARTBURG PLACEAddressLine1
CityMOUNT VERNONCity
StateNYState
ZIP Code10552ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CAROLYN WAGNER
BOARD MEMBER1.001.00X000
CAROL DELANEY
BOARD MEMBER1.001.00X000
REV AMANDUS DERR
CHAIR1.001.00X000X
DR MARY ROSSER
BOARD MEMBER1.001.00X000
CAROL TROWER
VICE CHAIR1.001.00X000X
KARL WESTERVILLE
SECRETARY1.001.00X000X
FLOYD V MYERS
BOARD MEMBER1.001.00X000
ED J MYERS
BOARD MEMBER1.001.00X000
REV ERIC O OLSEN
BOARD MEMBER1.001.00X000
MAE R CARPENTER
BOARD MEMBER1.001.00X000
DAVID M HAHN
BOARD MEMBER1.001.00X000
THOMAS A ROTH
BOARD MEMBER1.001.00X000
DR NICHILAS CICCHETTI
TERM ENDED APRIL 20120.501.00X000
JANE BELLO BURKE
TERM ENDED SEPTEMBER 20120.501.00X000
DAVID J GENTNER
PRESIDENT/CEO27.008.00378726051684X
MARK HAMMOND
CFO/TREASURER27.008.0023972001534X
JOSEPH SESSA
CORPORATE CONTROLLER27.008.00154945011946X
DOROTHEA BELL
EXEC. VP HUMAN RESOURCES22.0013.0015492201342X
PAULETTE LOPEZ-WATSON
DIRECTOR OF NURSING35.00133095010802X
ROBERT WELSER
CIO30.504.50130565010565X
PAULA RESS
NURSING ADMINISTRATOR35.00142873011340X
MYRLHENE DESCOLLINES
HOME CARE ADMINISTRATOR17.5017.5013398001041X
RYAN HERCHENROETHER
DIRECTOR OF STRATEGIC PLANNING17.5017.5011830407604X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1587130TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation107858TotalOtherCompensation
Number Individuals GT100 K17NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LECESSE CONSTRUCTION
75 THRUWAY PARK DRIVE WEST HENRIETNEW YORKNY14586CONSTRUCTION5715759
MORRISON MANAGEMENT SPECIALIST
PO BOX 102289ATLANTAGA30368FOOD SERVICE COMPANY1590165
WESTCHESTER AMBULETTE SERVICE INC
58 PALISADES AVEYONKERSNY10701RESIDENT TRANSPORTATION806417
PERKINS EASTMAN ARCHITECTS PC
115 FIFTH AVENUENEW YORKNY10003ARCHITECTURAL SERVICES554311
A&A STAFFING
203 LAFAYETTE STREET 5TH FLOORNEW YORKNY10012STAFFING399863
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
Related Organizations1314732RelatedOrganizations
Government Grants10407885GovernmentGrants
All Other Contributions296114AllOtherContributions
Noncash Contributions1641NoncashContributions
Total Contributions12018731TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID6230001730746217307462
PRIVATE PAY AND OTHER PATIENT REV6230001308195813081958
MEDICARE62300064325756432575
FieldValueIRS element (for citing)
Total Program Service Revenue36821995TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column385871TotalRevenueColumn
Exclusion$385,871ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real10380Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real11561Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-1181Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-1181TotalRevenueColumn
Exclusion-$1,181ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13988266Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13899613Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities88653Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column88653TotalRevenueColumn
Exclusion$88,653ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PURCHASE SERVICE AGREEMENT900099149279$149,279
VENDOR DISCOUNTS90009938998$38,998
MISC.90009913721$13,721

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column8337TotalRevenueColumn
Exclusion$8,337ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue210335TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column49524404TotalRevenueColumn
Related Or Exempt Function Income36821995RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$683,678ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total7090Total
Program Services7090ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1044787Total
Program Services350927ProgramServices
Management And General693860ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16416548Total
Program Services12958252ProgramServices
Management And General3158864ManagementAndGeneral
Fundraising299432Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1470732Total
Program Services1146135ProgramServices
Management And General298573ManagementAndGeneral
Fundraising26024Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2402852Total
Program Services1398660ProgramServices
Management And General928745ManagementAndGeneral
Fundraising75447Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2680549Total
Program Services2049101ProgramServices
Management And General585261ManagementAndGeneral
Fundraising46187Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total84911Total
Program Services84911ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total488357Total
Management And General488357ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total98888Total
Management And General98888ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1577Total
Management And General1577ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total45820Total
Management And General45820ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6385139Total
Program Services5500970ProgramServices
Management And General772299ManagementAndGeneral
Fundraising111870Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total280335Total
Program Services7936ProgramServices
Management And General177710ManagementAndGeneral
Fundraising94689Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2039185Total
Program Services1635480ProgramServices
Management And General382511ManagementAndGeneral
Fundraising21194Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total204352Total
Program Services22944ProgramServices
Management And General177894ManagementAndGeneral
Fundraising3514Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1611711Total
Program Services976765ProgramServices
Management And General634946ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total61600Total
Program Services46935ProgramServices
Management And General13991ManagementAndGeneral
Fundraising674Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total56098Total
Program Services20518ProgramServices
Management And General32973ManagementAndGeneral
Fundraising2607Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total299276Total
Program Services277480ProgramServices
Management And General21796ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2016587Total
Program Services2007477ProgramServices
Management And General9110ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total395550Total
Program Services12831ProgramServices
Management And General381432ManagementAndGeneral
Fundraising1287Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NYS CASH RECEIPTS ASSES15845441584544
PURCHASED & CONTRACTED920828787164133664
RESIDENT TRANSPORTATION799502799502
BAD DEBT EXPENSE549996549996

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1119583Total
Program Services986493ProgramServices
Management And General109156ManagementAndGeneral
Fundraising23934Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total43066397Total
Program Services33212111ProgramServices
Management And General9147427ManagementAndGeneral
Fundraising706859Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY180288BOY
EOY27398EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4224362BOY
EOY2832305EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY84399BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5737016BOY
EOY4474312EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1203598BOY
EOY2935333EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY350538BOY
EOY370810EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis42065815LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec27996181LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7394703BOY
EOY14069634EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5274838BOY
EOY9618380EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10603788BOY
EOY3089587EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY35053530BOY
EOY37417759EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4898685BOY
EOY6519787EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1308485BOY
EOY1650453EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY178332BOY
EOY195449EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY12579874BOY
EOY6184786EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY782661BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1804679BOY
EOY2570398EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21552716BOY
EOY17120873EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12660533BOY
EOY19725928EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY686578BOY
EOY405511EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY153703BOY
EOY165447EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13500814BOY
EOY20296886EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35053530BOY
EOY37417759EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6458007ReconcilationRevenueExpenses
Reconciliation Unrealized Invest324882ReconciliationUnrealizedInvest
Reconcilation Other Changes13183ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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 Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years680410CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years855474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years759699CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4631583CurrentTaxYearMinus1Year
Current Tax Year12018731CurrentTaxYear
Total18945897Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38513555CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39562006CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37893270CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38359833CurrentTaxYearMinus1Year
Current Tax Year36821995CurrentTaxYear
Total191150659Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39193965CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40417480CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38652969CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year42991416CurrentTaxYearMinus1Year
Current Tax Year48840726CurrentTaxYear
Total210096556Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11008CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15622CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14672CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12867CurrentTaxYearMinus1Year
Current Tax Year24516CurrentTaxYear
Total78685Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11008CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15622CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14672CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12867CurrentTaxYearMinus1Year
Current Tax Year24516CurrentTaxYear
Total78685Total
FieldValueIRS element (for citing)
Public Support Total509210017871PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years181460CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years105214CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years103244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year159515CurrentTaxYearMinus1Year
Current Tax Year396251CurrentTaxYear
Total945684Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years181460CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years105214CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years103244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year159515CurrentTaxYearMinus1Year
Current Tax Year396251CurrentTaxYear
Total945684Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years588998CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years490022CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years743420CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1081331CurrentTaxYearMinus1Year
Current Tax Year210335CurrentTaxYear
Total3114106Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39964423CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41012716CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39499633CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year44232262CurrentTaxYearMinus1Year
Current Tax Year49447312CurrentTaxYear
Total214156346Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98070PublicSupportPercentage509
Prior Year Support Percentage0.97720PriorYearSupportPercentage
Investment Income Percentage0.00440InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00470PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2008 AMOUNT: $ 588,998. 2009 AMOUNT: $ 490,022. 2010 AMOUNT: $ 352,012. 2011 AMOUNT: $ 2,846. PURCHASED SERVICES AGREEMENT - 2010 AMOUNT: $ 391,408. 2011 AMOUNT: $ 80,282. 2012 AMOUNT: $ 149,279. VENDOR DISCOUNTS - 2011 AMOUNT: $ 32,907. 2012 AMOUNT: $ 38,998. VENDING MACHINE COMMISSIONS - 2011 AMOUNT: $ 2,873. 2012 AMOUNT: $ 2,151. TELEPHONE SERVICES - 2011 AMOUNT: $ 360. 2012 AMOUNT: $ 45. FLU SHOTS - 2011 AMOUNT: $ 6,728. 2012 AMOUNT: $ 3,704. MEDICAL RECORDS - 2011 AMOUNT: $ 1,055. 2012 AMOUNT: $ 837. LEGAL SETTLEMENT - 2011 AMOUNT: $ 954,280. COLUMBARIUM - 2012 AMOUNT: $ 1,500. LOST CHECK FEE - 2012 AMOUNT: $ 100. MISCELLANEOUS - 2012 AMOUNT: $ 13,721.GeneralExplanation

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,577OtherActivitiesAmount
Total Lobbying Expenditures IIB1577TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE HOME PAYS DUES AND ASSOCIATION FEES TO 1199 SEIU, AND NYASHA. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 1199 SEIU, AND NYASHA DUES WERE $1,277 AND $300, RESPECTIVELY.Explanation

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance273287BeginningOfYearBalance
Investment Earnings Or Losses24610InvestmentEarningsOrLosses
End Of Year Balance297897EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance288095BeginningOfYearBalance
Investment Earnings Or Losses-14808InvestmentEarningsOrLosses
End Of Year Balance273287EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance211087BeginningOfYearBalance
Investment Earnings Or Losses102810InvestmentEarningsOrLosses
Other Expenditures25802OtherExpenditures
End Of Year Balance288095EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance176404BeginningOfYearBalance
Investment Earnings Or Losses34683InvestmentEarningsOrLosses
End Of Year Balance211087EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance246632BeginningOfYearBalance
Investment Earnings Or Losses-70228InvestmentEarningsOrLosses
End Of Year Balance176404EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.55540PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.44460TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis99675OtherCostOrOtherBasis
Book Value99675BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24279871OtherCostOrOtherBasis
Depreciation21786957Depreciation
Book Value2492914BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6257305OtherCostOrOtherBasis
Depreciation4884473Depreciation
Book Value1372832BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11428964OtherCostOrOtherBasis
Depreciation1324751Depreciation
Book Value10104213BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14069634TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATED ORGANIZATIONS2343735
BENEFICIAL INTEREST IN PERPETUAL TRUST HELD BY THIRD PARTIES297897
BENEFICIAL INTEREST IN POOLED INCOME FUND21248
OTHER RECEIVABLES426707
FieldValueIRS element (for citing)
Total Book Value Other Assets3089587TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO THE WARTBURG FOUNDATION INC.$452,688
DUE TO THIRD PARTY PAYORS$1,028,735
DUE TO AFFILIATES$1,088,975
FieldValueIRS element (for citing)
Total Of Amounts2570398TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt49815027TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments324882NetUnrealizedGainsInvestments
Other Revenues11561OtherRevenues
Revenue Not Rptd F990336443RevenueNotRptdF990
Revenue Subtotal49478584RevenueSubtotal
Investment Expenses Not Included45820InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt45820RevenueNotRptdOnFinStmt
Total Revenue Per Form99049524404TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt43032138TotExpensesEtcAuditedFinclStmt
Other Expenses Included11561OtherExpensesIncluded
Expenses Not Rptd F99011561ExpensesNotRptdF990
Expenses Subtotal43020577ExpensesSubtotal
Investment Expenses Not Included245820InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt45820ExpensesNotRptdOnFinStmt
Total Expenses Per Form99043066397TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:RESIDENTS' FUNDS ARE HELD BY THE HOME ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE HOME FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE HOME AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE.
PART V, LINE 4:THE HOME IS NAMED AS BENEFICIARY IN ONE PERPETUAL TRUST. THE ASSETS OF THIS TRUST ARE HELD BY OTHERS IN PERPETUITY AND THE TRUST INCOME IS MADE AVAILABLE TO THE HOME. ANNUAL DISTRIBUTIONS FROM THE TRUSTS ARE TO BE USED TO SUPPORT THE OPERATIONS OF THE HOME. THE HOME IS ALSO NAMED AS A 3% INCOME BENEFICIARY AS WELL AS A 12.5% REMAINDERMAN INTEREST IN A CHARITABLE REMAINDER TRUST. QUARTERLY INCOME DISTRIBUTIONS FROM THE TRUST ARE TO BE USED TO SUPPORT THE OPERATIONS OF THE HOME. THE HOME IS THE BENEFICIARY OF A NUMBER OF CHARITABLE REMAINDER ANNUITY TRUSTS HELD BY THE EVANGELICAL LUTHERAN CHURCH OF AMERICA. DURING THE LIFETIME OF THE DONORS, THE TRUSTEE SHALL PAY TO THE DONORS AN ANNUITY EQUAL TO 6.2% - 8.1% OF THE ORIGINAL CONTRIBUTION, ACCORDING TO THEIR GIFT ANNUITY AGREEMENT. UPON THE DONOR'S DEATH, THE TRUST WILL DISTRIBUTE TO THE HOME ALL OF THE THEN REMAINING PRINCIPAL AND INCOME OF THE TRUST.DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
PART X, LINE 2:THE HOME RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HOME HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE HOME IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2009.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
RENT EXPENSES REPORTED ON PART VIII, LINE 8B 11,561.PART XI, LINE 2D - OTHER ADJUSTMENTS:
RENT EXPENSES REPORTED ON PART VIII, LINE 8B 11,561.PART XII, LINE 2D - OTHER ADJUSTMENTS:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
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 Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID J GENTNER
PRESIDENT/CEO318726060000000171500345340430410000
MARK HAMMOND
CFO/TREASURER239720000000015340241254000
JOSEPH SESSA
CORPORATE CONTROLLER1531620178300010815011310166891000
DOROTHEA BELL
EXEC. VP HUMAN RESOURCES154922000000013420156264000
PAULA RESS
NURSING ADMINISTRATOR1411850168800010238011020154213000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ADAVID GENTNER RECEIVED A HOUSING ALLOWANCE OF $33,600, WHICH IS REPORTED IN SCHEDULE J, PART II, COLUMN (D).
PART I, LINE 7THE FOLLOWING EMPLOYEES RECEIVED AN APPROVED BOARD DISCRETIONARY BONUS PAYMENT WHICH WAS INCLUDED IN THEIR 2012 W-2: - DAVID GENTNER, $60,000 - JOSEPH SESSA, $ 1,783 - PAULA RESS, $ 1,688 - MYRLHENE DESCOLLINES, $ 1,558 - ROBERT WELSER, $ 1,545 - PAULETTE WATSON, $ 1,718 - RYAN HERCHENROETHER, $ 1,431

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART I, LINE 6IN 2011 THERE WAS A TOTAL OF 230 REGULAR VOLUNTEERS. 136 IN THE NURSING HOME, MEADOWVIEW IS 34 AND ADC IS 22, FINANCE IS 1, VOLUNTEER OFFICE IS 1, AMERICORPS VOLUNTEER IS 2 AND THE FOUNDATION/DEVELOPMENT HAD 4 VOLUNTEERS. THERE HAVE BEEN 30 WESTCHESTER SHELTER YOUNG MEN WHO WORKED THROUGHOUT THE CAMPUS. THROUGHOUT THE YEAR WE HAVE HAD GROUPS COME. IN MEADOWVIEW WE HAVE BRONXVILLE JUNIOR LEAGUE HAD 15 COME EACH MONTH, RYE HS HAD 20 COME ONCE A MONTH, 6 STUDENTS FROM SARAH LAWRENCE ART GROUP SEVERAL TIMES A YEAR AND 6 LONA STUDENTS ALSO COME SEVERAL TIMES A YEAR. IN THE NURSING HOME WE HAD 15 FROM COLONIAL SCHOOL SEVERAL TIMES IN THE YEAR, MANY GIRL SCOUT TROOPS THROUGHOUT THE YEAR INCLUDING ONE THAT BUILT THE GINGERBREAD VILLAGE IN THE LOBBY, CONCORDIA COLLEGE CRAFTS GROUP HAD 6 STUDENTS COME SEVERAL TIMES IN THE YEAR. IN ADC WE HAD 15 FROM COLONIAL SCHOOL, 6 FROM NOW ITS YOUR TURN COME SEVERAL TIMES, URSULINE DAY OF SERVICE WITH 10 GIRLS. WE HAD THREE EAGLE SCOUT AWARD PROJECTS. 6 WERE INVOLVED WITH BUILDING RAISED BEDS FOR FLOWERS, 8 WERE INVOLVED WITH A HORTICULTURE CART AND A GIFT CART AND 8 BUILT A MANGER FOR THE HOLIDAY. CREATIVE ARTS HAD 7 ARTISTS WORKING IN ALL SITES, 1 DRUMMER IN ADC.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS WARTBURG MT. VERNON INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF DIRECTORS OF THE CORPORATION SHALL BE ELECTED BY THE MEMBER AT THE ANNUAL MEETING OF THE MEMBER. IN ADDITION, VACANCIES OCCURRING ON THE BOARD OF DIRECTORS OF THE CORPORATION, FOR ANY REASON, MAY ONLY BE FILLED BY THE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BACTION BY THE VOTE OF AT LEAST TWO-THIRDS OF THE ENTIRE BOARD OF DIRECTORS OF THE CORPORATION AND BY THE CONCURRING VOTE OF TWO-THIRDS OF THE ENTIRE BOARD OF DIRECTORS OF THE MEMBER AT THEIR ANNUAL MEETING, REGULAR MEETING OR SPECIAL MEETING HELD UPON NOTICE OF THE PROPOSED ACTION SHALL BE REQUIRED FOR: - AMENDMENT OF THE CERTIFICATE OF INCORPORATION OF THE CORPORATION - AMENDMENT OF THE BY-LAWS OF THE CORPORATION - THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION - MERGER OR CONSOLIDATION OF THE CORPORATION IN ACCORDANCE WITH ARTICLE IX OF THE NOT-FOR-PROFIT CORPORATION LAW - NON-JUDICIAL DISSOLUTION OF THE CORPORATION IN ACCORDANCE WITH ARTICLE X OF THE NOT-FOR-PROFIT CORPORATION LAW - AUTHORIZATION FOR AMENDMENT OF THESE BY-LAWS TO PROVIDE THAT THE QUORUM OR VOTING REQUIREMENT FOR THE TRANSACTION OF ANY ITEM OF BUSINESS BE GREATER THAN THAT WHICH IS REQUIRED BY THE NOT-FOR-PROFIT CORPORATION LAW
FORM 990, PART VI, SECTION B, LINE 11WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS ADOPTED A CONFLICT OF INTEREST POLICY TO ASSURE A UNIFORM POLICY EXISTS FOR COVERED PERSONS AND THAT EFFECTIVE COMMUNICATION AND DECISION MAKING COURSE REGARDING POTENTIAL CONFLICTS OF INTEREST. COVERED PERSONS, AS DEFINED BY THE POLICY, REFERS TO DIRECTORS AND OFFICERS OF THE ORGANIZATION, AS WELL AS EMPLOYEES, CONSULTANTS AND OTHER PERSONS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE ORGANIZATIONS AFFAIRS. ANNUALLY, COVERED PERSONS ARE REQUIRED TO COMPLETE A FORM QUESTIONNAIRE CONCERNING FINANCIAL INTERESTS AND AFFIRMATION RE: CONFLICT OF INTEREST POLICY. POTENTIAL CONFLICTS ARE EVALUATED BY THE BOARD OF DIRECTORS OR AN APPROPRIATE COMMITTEE OF THE BOARD. PERSONS IDENTIFIED WITH A CONFLICT MAY BE EXCLUDED FROM VOTING ON/MAKING A DECISION REGARDING A TRANSACTION/ARRANGEMENT WHICH CREATES THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15THE WARTBURG ALIGNS ITS COMPENSATION PHILOSOPHY WITH THE OVERALL MISSION AND BUSINESS STRATEGY OF THE ORGANIZATION. EMPLOYEES ARE COMPENSATED FAIRLY WITHOUT REGARD TO AGE, SEX, RACE, COLOR, RELIGION, CREED, NATIONAL ORIGIN, DISABILITY (INCLUDING PREGNANCY DISABILITY), VETERAN OR MILITARY STATUS, MARITAL STATUS, SEXUAL ORIENTATION, CITIZENSHIP STATUS, IN ACCORDANCE WITH ALL APPLICABLE LAWS AND REGULATIONS, AND AS OUTLINED IN HUMAN RESOURCE POLICY. THE COMPENSATION PHILOSOPHY IS DESIGNED TO PROVIDE COMPETITIVE COMPENSATION POSITIONING COMPARED TO PEER GROUPS/OTHER HEALTHCARE ORGANIZATIONS SIMILAR IN SIZE AND PROGRAM OFFERING. IT CONSIDERS EXTERNAL MARKET DATA AGAINST INTERNAL STRUCTURE, RECOGNIZES THE UNIQUE RELATIVE VALUE OF EACH FUNCTION, REWARDS, INDIVIDUAL PERFORMANCE, WHILE BEING FINANCIALLY SUSTAINABLE OVER TIME. IT IS REVIEWED ON AN AS NEEDED BASIS BY WARTBURG'S PERSONNEL & COMPENSATION COMMITTEE OF THE BOARD AND IS SUBJECT TO SUCH BUDGETARY CONSIDERATIONS AS BUSINESS CONDITIONS MAY CREATE. SINCE 2007, THE WARTBURG HAS ENGAGED THE SERVICES OF SIBSON CONSULTING, A NATIONAL EMPLOYEE COMPENSATION AND BENEFITS FIRM, TO REVIEW EXECUTIVE AND SENIOR MANAGEMENT COMPENSATION. DATA USED IN DETERMINING MARKET MID RANGE IS DERIVED FROM REPORTS ISSUED BY SIBSON USING REPUTABLE TOP-TIER SURVEY HOUSES AS WELL AS LOCAL, INDUSTRY, AND ASSOCIATION SPECIFIC SOURCES. WORLD AT WORK STANDARDS ARE FOLLOWED IN THE SELECTION AND USE OF THE COMPENSATION SURVEYS TO ASSURE RELIABILITY AND VALIDITY OF DATA SOURCES. IN ADDITION, MARKET DATA IS MATCHED AGAINST JOB CONTENT AND DESCRIPTIONS, NOT JOB TITLES, AND BY THE USE OF WARTBURG'S JOB FACTOR ANALYSIS TOOL. EXEMPTION DECISIONS ARE MADE IN ACCORDANCE WITH FAIR LABOR STANDARD ACT REQUIREMENTS. IT IS OUR ORGANIZATION'S DESIRE TO PAY A COMPETITIVE BASE SALARY ALIGNED TO MARKET VALUE AND TO OFFER A COMPENSATION PACKAGE WHICH INTEGRATES OTHER TOTAL COMPENSATION OFFERINGS SUCH AS PAID TIME OFF, HEALTH COVERAGE, TUITION REIMBURSEMENT, ETC. "COMPETITIVE" IS DEFINED AS MARKET 50TH PERCENTILE. MARKET PARITY/MID RANGE DECISIONS ARE BASED ON FACTORS SUCH AS EDUCATION, SUBJECT EXPERTISE, LEVEL OF PERFORMANCE, AS WELL AS LEVEL OF STRATEGIC IMPACT/VALUE TO THE LONG-TERM GOALS OF THE ORGANIZATION. AS BUSINESS CONDITIONS WARRANT AND BASED ON THE STRATEGIC NEEDS OF THE ORGANIZATION, WITH BOARD APPROVAL, AN EMPLOYEE'S BASE SALARY MAY BE SUPPLEMENTED WITH INCENTIVE-BASED PAY AND/OR OTHER TOTAL COMPENSATION ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY.
FORM 990, PART IX, LINE 11GTHERAPISTS: PROGRAM SERVICE EXPENSES 294,339. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 294,339. CONSULTANTS: PROGRAM SERVICE EXPENSES 608,048. MANAGEMENT AND GENERAL EXPENSES 636,371. FUNDRAISING EXPENSES 111,487. TOTAL EXPENSES 1,355,906. RNS & LPNS: PROGRAM SERVICE EXPENSES 142,747. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 142,747. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 69,550. MANAGEMENT AND GENERAL EXPENSES 25,178. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,728. PCA FEES: PROGRAM SERVICE EXPENSES 1,064,988. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,064,988. HHA FEES: PROGRAM SERVICE EXPENSES 3,078,265. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,078,265. RESPIRATORY THERAPY: PROGRAM SERVICE EXPENSES 10,375. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,375. SOCIAL SERVICES: PROGRAM SERVICE EXPENSES 95,612. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95,612. CHEMOTHERAPY: PROGRAM SERVICE EXPENSES 1,698. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,698. PAYROLL SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 110,750. FUNDRAISING EXPENSES 383. TOTAL EXPENSES 111,133. EMPLOYEMNT AGENCY FEES: PROGRAM SERVICE EXPENSES 7,052. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,052. PHYSICIANS FEES: PROGRAM SERVICE EXPENSES 128,296. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128,296.OTHER FEES
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF TRUSTS HELD BY THIRD PARTIES AND POOLED INCOME DEFERRED 1,439. CHANGE IN VALUE OF TRUSTS HELD BY THIRD PARTIES 11,744.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
WARTBURG SENIOR HOUSING INC
WARTBURG PLACEMT VERNONNY10552134043128OPERATE AN ASSISTED LIVING FACILITYNY501(C)39WARTBURG MT VERNON INC0
WARTBURG MT VERNON INC
WARTBURG PLACEMT VERNONNY10552133621265SUPPORT SERVICES FOR THE WARTBURG ENTITIESNY501(C)3TYPE II0N/A
WARTBURG RESIDENTIAL COMMUNITY INC
WARTBURG PLACEMT VERNONNY10552133695648PROVIDE HEALTHCARE SERVICES TO THE ELDERLYNY501(C)39WARTBURG MT VERNON INC0
WARTBURG FOUNDATION
WARTBURG PLACEMT VERNONNY10552133621266SUPPORT THE WARTBURG ENTITIESNY501(C)37WARTBURG HOME OF THE EVANGELICAL LUTHERN CHURCH1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1FRIEDRICHS SUPPORTIVE HOUSING LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1WARTBURG PLACEAddressLine1
CityMT VERNONCity
StateNYState
ZIP Code10522ZIPCode
FieldValueIRS element (for citing)
EIN453530097EIN
Primary ActivityAPARTMENT COMPLEX FOR LOW-INCOME SENIORSPrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1THE WARTBURG RESIDENTIAL COMMUNITY INCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
FRIEDRICHS HOUSING MM INC
WARTBURG PLACEMT VERNONNY10552453539822MANAGING MEMBER OF FRIEDRICHS SUPPORTIVE HOUSING LLCNYTHE WARTBURG RESIDENTIAL COMMUNITY INCC0
WARTBURG FRIEDRICHS HOUSING DEVELOPMENT FUND CORPORATION
WARTBURG PLACEMT VERNONNY10552454205282DEVELOP A NONPROFIT HOUSING PROJECT FOR PERSONS OF LOW INCOMENYTHE WARTBURG RESIDENTIAL COMMUNITY INCC0
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 Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
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 Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1WARTBURG FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved1314732AmountInvolved
Method Of Amt DeterminationCOSTMethodOfAmtDetermination

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