2013-11-01T13:11:14-05:00 2012-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY COURT ALBANY NY 12205 990 2012-01-01 223408456 LUTHERAN CENTER AT POUGHKEEPSIE INC LUTH 9143656365 277 NORTH AVENUE NO 201 NEW ROCHELLE NY 10801 LARAINE FELLEGARA 9143656365 2013-10-21 1 JOHN C OLSEN P00321116 5184644080 2013-10-21 2012 2016-03-07 17:11:31Z FRANK TRIPODI 277 NORTH AVENUE NO 201 NEW ROCHELLE NY 10801 23608134 0 X WWW.TLCN.ORG X 1998 NY PROVISION OF SKILLED NURSING CARE AND HEALTH RELATED FACILITY CARE 9 9 327 0 0 0 0 226967 23156627 23380170 1504 997 0 0 23158131 23608134 0 0 0 0 13731859 13337450 0 0 0 10255061 10403805 23986920 23741255 -828789 -133121 14180528 12576581 18026677 16743202 -3846149 -4166621 X PROVISION OF SKILLED NURSING CARE AND HEALTH RELATED FACILITY CARE. THE ORGANIZATION IS PART OF THE LUTHERAN CARE NETWORK, WHICH IS A MINISTRY OF HEALING, HOSPITALITY AND COMMUNITY THROUGH PARTNERSHIP AND CARING. 0 0 15991559 16870359 PROVIDING SKILLED NURSING CARE. 160 BEDS - APPROXIMATELY 57,600 DAYS IN 2012. 2882283 4206196 PROVIDE LONG TERM HOME HEALTH CARE SERVICES. APPROX 79,000 VISITS IN 2012. 712882 1436128 PROVIDE ADULT DAY CARE SERVICES TO AN AVERAGE OF 20 PATIENTS. APPROX 9,500 VISITS IN 2012. 607305 867487 EXTENDED FAMILY PROGRAM - FOSTER FAMILY CARE - AVERAGE 23 PATIENTS IN 2012. 607305 867487 20194029 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 41 0 1 327 1 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 1 1 1 1 1 0 0 1 1 0 1 1 1 1 1 0 X X THERESA NICHOLSON 9143656365 277 NORTH AVENUE NO 201 NEW ROCHELLE NY 10801 MS NANCY GRAF PETERS 4.00 X 0 0 0 MR MICHAEL H GRAHAM 4.00 X 0 0 0 REV DR DWAYNE MAU 4.00 X 0 0 0 MR RICHARD OLSON 4.00 X X 0 0 0 MR ARTHUR UPRIGHT 4.00 X 0 0 0 JOSEPH DAVIS 4.00 X 0 0 0 MS ELIZABETH WOLF 4.00 X X 0 0 0 TAD THAYER 4.00 X 0 0 0 ANTHONY TOOLE 4.00 X 0 0 0 FRANK TRIPODI 35.00 X 0 403262 39249 LARAINE FELLEGARA 35.00 X 0 283212 44679 GILBERT PREIRA 35.00 X 115910 0 27183 KIM PESTOUR 35.00 X 103558 0 10933 219468 686474 122044 3 0 1 0 MORRISON PO BOX 102289 ATLANTA GA 30368 DIETARY SERVICES 1032495 THE LUTHERAN CARE NETWORK 277 NORTH AVE NEW ROCHELLE NY 10801 MANAGEMENT SERVICES 755892 NPORT THERAPY 3041 AVENUE U BROOKLYN NY 11229 REHAB AGENCY 249480 NORTHEAST TRANSPORT SERVICES PO BOX 99 RED HOOK NY 12571 TRANSPORTATION 159469 QUIAMBAO SERVICES INC 6 HAWKINS STREET POUGHKEEPSIE NY 12601 REHAB AGENCY 142021 5 226967 226967 NURSING FACILITY 623000 16826662 16826662 LONG TERM HOME HEALTH CARE 623000 4206196 4206196 HOSPICE - ADULT DAY HEALTH CARE 623000 1436128 1436128 EXTENDED FAMILY PROGRAM 623000 867487 867487 MISCELLANEOUS 623000 43697 43697 23380170 997 997 23608134 23380170 0 997 219468 219468 9150222 8398202 752020 3313670 2750346 563324 654090 542895 111195 14455 14455 33694 33694 1166322 732033 434289 607346 603386 3960 197803 197803 45162 42904 2258 841491 799416 42075 147172 139813 7359 SUPPLIES, FEES & OTHER 4623101 3621340 1001761 FOOD/DIETARY 1077671 1077671 CASH RECEIPTS ASSESSMEN 622540 622540 PHARMACEUTICAL/DRUGS 407165 407165 619883 258515 361368 23741255 20194029 3547226 0 841333 910680 1168006 701137 3350374 2626559 50693 53037 196319 238827 20365794 13010457 7831799 7355337 742004 691004 14180528 12576581 2602580 2810196 64000 93500 13380000 12945000 1980097 894506 18026677 16743202 X -3846149 -4166621 -3846149 -4166621 14180528 12576581 -133121 -4593 -182758 0 X X 0 1 X 1 0 X 8086 833 427 226967 236313 19456898 18520458 23398918 23158131 23420783 107955188 19464984 18521291 23399345 23158131 23647750 108191501 0 0 0 108191501 553 233 186 1504 997 3473 553 233 186 1504 997 3473 449499 449499 19465537 18971023 23399531 23159635 23648747 108644473 0.99580 0.99480 0.00000 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 146 146 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: AS PER THE TERMS OF COLLECTIVE BARGAINING NEGOTIATIONS BETWEEN THE ORGANIZATION AND THE LABOR UNION REPRESENTING SOME OF ITS EMPLOYEES, A PORTION OF THE EMPLOYER CONTRIBUTION AMOUNTS THAT GO TO VARIOUS UNION FUNDS IS USED FOR LOBBYING PURPOSES BY THE UNION. THESE LOBBYING EFFORTS ARE IN CONNECTION WITH NYS AND FEDERAL POLICY ISSUES. THE ORGANIZATION'S PRO-RATA SHARE OF LOBBYING EXPENSES FOR 2012 WAS $146. 857836 857836 8582208 4790935 3791273 8001472 6212902 1788570 2924278 2006620 917658 7355337 DEBT ISSUANCE COSTS 691004 691004 RESIDENT FUNDS 233945 DUE TO THIRD PARTY PAYOR 199503 DUE TO AFFILIATED COMPANIES 461058 894506 X 23380170 0 23380170 227964 227964 23608134 23741255 0 23741255 0 23741255 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: FINANCIAL STATEMENT FOOTNOTE 2, INCOME TAXES, INCLUDES A DISCLOSURE RELATED TO UNCERTAIN TAX POSITIONS UNDER FIN 48. THE TEXT RELATED TO THE ORGANIZATION'S LIABILITY IS AS FOLLOWS: FOR TAX-EXEMPT ENTITIES, THEIR TAX-EXEMPT STATUS ITSELF IS DEEMED TO BE AN UNCERTAINTY, SINCE EVENTS COULD POTENTIALLY OCCUR TO JEOPARDIZE THEIR TAX-EXEMPT STATUS. AS OF DECEMBER 31, 2012, THE COMPANY DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE COMPANY FILES EXEMPT ORGANIZATION TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. THE COMPANY IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009. PART XI, LINE 4B OTHER: GRANT FROM AFFILIATE $226,967 INTEREST INCOME 997 TOTAL OTHER EXPENSES REPORTED $227,964 0 0 0 0 0 0 0 0 0 FRANK TRIPODI 0 353587 0 0 0 49675 0 9800 0 29449 0 442511 0 0 LARAINE FELLEGARA 0 278412 0 0 0 4800 0 9800 0 34879 0 327891 0 0 A DUTCHESS COUNTY INDUSTRIAL DEVELOPMENT AGANCY 141613685 267041FK2 2005-04-07 15720000 PROVIDE FUNDS TO REFUND A PRIOR ISSUE BOND DATED 1997. 0 0 0 A 15900887 180887 15720000 2005 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 X DEBT FORGIVENESS OF LOANS RECEIVABLE 200000 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION'S SOLE MEMBER, THE LUTHERAN CARE NETWORK, INC., PROVIDES CERTAIN MANAGEMENT FUNCTIONS, INCLUDING THE CEO AND CFO FUNCTIONS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER - THE LUTHERAN CARE NETWORK, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS ARE ELECTED BY THE SOLE MEMBER AS PER THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B AS PER THE ORGANIZATION'S BYLAWS, THE VOTE OF THE MEMBERSHIP IS REQUIRED FOR THE FOLLOWING ACTIONS: 1) THE AMENDMENT OF THE BYLAWS, 2) INCURRING DEBT IN EXCESS OF $100,000, 3) INITATION OF ANY ACTIVITIES REQUIRING A CERTIFICATE OF NEED, AND 4) ESTABLISHING A SUBSIDIARY OR OTHERWISE AFFILIATING WITH ANY OTHER ENTITY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE CHAIR OR AT LEAST ONE MEMBER OF THE AUDIT COMMITTEE. ONCE APPROVED, A COPY IS GIVEN TO EACH BOARD MEMBER BEFORE SIGNING AND FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C AT BEGINNING OF EMPLOYMENT, MANAGEMENT LEVEL EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST AND OUTSIDE ACTIVITIES FORM. THE ORGANIZATION ENFORCES THIS POLICY BY ASSESSING AND MONITORING SITUATIONS IN WHICH ANY POTENTIAL CONFLICT OF INTEREST ARISES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF CEO AND EXECUTIVE STAFF IS AT THE DISCRETION OF THE BOARD OF DIRECTORS UNDER ADVISEMENT OF AN INDEPENDENT 3RD PARTY COMPENSATION FIRM. A CONSULTANT FIRM IS USED THAT PROVIDES STRATEGIC HUMAN RESOURCES SOLUTIONS TO CORPORATE AND NON PROFIT EMOPLOYERS AND WAS SELECTED FROM SEVERAL VENDORS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE AVAILABLE ON THE WEBSITE. FORM 990, PART XI, LINE 2C: NO CHANGE FROM PRIOR YEAR. COBURG VILLAGE 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 113211085 SENIOR HOUSING NY 501(C)(3) LINE 9 0 GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 237310663 SKILLED NURSING FACILITY NY 501(C)(3) LINE 9 0 KENWORK MANOR INC 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 141368178 LICENSED ADULT HOME FACILITY NY 501(C)(3) LINE 9 0 GOOD SAMARITAN SENIOR DEVELOPMENT FUND COMPANY INC 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 141727655 LOW INCOME HOUSING NY 501(C)(3) LINE 9 0 WARTBURG NURSING HOME 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 237087284 DORMANT NY 501(C)(3) LINE 9 0 LUTHERAN HOUSING DEVELOPMENT CORPORATION AT CONCORD VILLAGE 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 030436196 RESIDENTIAL APARTMENT BUILDING FOR THE ELDERLY NY 501(C)(3) LINE 9 0 LUTHERAN HOUSING DEVELOPMENT CORPORATION OF LONG ISLAND 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 112574183 RESIDENTIAL APARTMENT BUILDING FOR THE ELDERLY NY 501(C)(3) LINE 9 0 LUTHERAN HOUSING DEVELOPMENT CORPORATION OF PAWLING 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 113269257 RESIDENTIAL APARTMENT COMPLEX FOR THE ELDERLY NY 501(C)(3) LINE 9 0 WARTBURG HOUSING DEVELOPMENT FUND CORPORATION 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 113051052 TO PROVIDE HOUSING FOR LOW INCOME AND INDIGENT PEOPLE NY 501(C)(3) LINE 9 0 THE LUTHERAN CARE NETWORK FOUNDATION INC 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 112645255 TO DEVELOP AND SUPPORT NOT FOR PROFIT HEALTH CARE ENTITIES NY 501(C)(3) LINE 7 0 WARTBURG LUTHERAN HOME FOR THE AGING INC 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 111631836 MANAGES SENIOR HOUSING PROGRAMS NY 501(C)(3) LINE 9 0 THE LUTHERAN CARE NETWORK INC 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 112896230 PROVIDE MGMT, DEVP & FUNDRAISING SERVICES TO RELATED 501 (C)(3) NY 501(C)(3) LINE 9 0 CASTLE STAFF SERVICES INC 277 NORTH AVENUE SUITE 201 NEW ROCHELLE NY 10801 364511365 HOME CARE SERVICES NY N/A C 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 THE LUTHERAN CARE NETWORK FOUNDATION INC D 433542 THE LUTHERAN CARE NETWORK INC D 27516 GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER D 94 COBURG VILLAGE D 116 THE LUTHERAN CARE NETWORK INC P 755892 THE LUTHERAN CARE NETWORK FOUNDATION INC C 200000